scholarly journals Acute focal bacterial nephritis with vesicoureteral reflux in infants

2020 ◽  
Author(s):  
YAN LIU ◽  
HONG WEN WANG ◽  
JING CHEN ◽  
DONG LIU ◽  
Quan Chun Cai

Abstract Background Acute focal bacterial nephritis (AFBN) is a seldom infection in children kidney disease,Vesicoureteral reflux(VUR) often exist in infants who are easy to have urinary tract infection(UTI).In this study,we summarize the clinical features ,imaging and therapy. Methods eleven patients with AFBN and VUR aged from two months to eight months treated at this hospital from January 2017 to August 2019 were reviewed.The manifestations,urine and blood tests, imagings,treatments of patients were analyzed retrospectively. Results Fever was the common symptom,blood CRP was higher than normal(25 mg/L-200 mg/L),The percentage of neutrophils in blood was 52%-85%.The ratio of neutrophils to lymphocytes was 1.39–11.6,Routine urine microscopic examination of leukocyte was +∽3+/HP,Urine culture samples were 42, 34 samples were positive, the positive rate was 80.95%.Diagnosis was set by CT combined MCU.Enhanced CT conducted for all patients showed hypoperfused wedged-shaped or round and space-occupying lesions in kidney.MCU conducted showed I-V grade VUR in single or both sides.9 cases were treated with prophylactic antibiotics, DxHA injection was operated on 1 case, cohen operation for another patient.Relapses were rarely occur after insisting on treatment. Conclusion AFBN in children are rare and associated with VUR. Patients with AFBN should perform MCU to find out VUR and insist on prophylactic antibiotic until the VUR disappeared, patients with recurrent infection and serious VUR need urological treatment in order to prevent the formation of renal scar.

2016 ◽  
Vol 52 (5) ◽  
pp. 297-304 ◽  
Author(s):  
Joseph D. Palamara ◽  
Jennifer J. Bonczynski ◽  
Jason M. Berg ◽  
Philip J. Bergman

ABSTRACT The prevalence of urinary tract infections (UTIs) in dogs with Type I intervertebral disc extrusion has been reported as high as 38% within 6 wk of surgery. Proper treatment of a UTI is important with myelopathy because it is a risk factor for persistent infection and reinfection in dogs. The study authors' investigated the incidence of UTIs in dogs having received either cefovecin or cefazolin as a preoperative prophylactic antibiotic for thoracolumbar hemilaminectomy. Thirty-nine dogs were retrospectively identified and assigned to groups based on preoperative antibiotic administration and postoperative urinary tract management. Urinalysis and urine culture performed preoperatively, at 2 wk, and at 6 wk, were reviewed to determine the incidence of UTIs. Urinary tract management, grade of neurologic deficit, time to ambulation, and time to voluntary urination were identified to evaluate for additional risk factors. No significant prevalence of UTI incidence was appreciated between the cefovecin and cefazolin groups. Patients with higher grades of neurologic deficit and that took longer to regain ambulation and voluntary urination were at significantly greater risk for UTIs throughout the postoperative period. This study reemphasizes the importance of continued surveillance for UTIs in patients with prolonged neurologic recovery.


Author(s):  
Kim Lan Lại Thị

EVALUATING THE EFFECT OF CHRONIC PAIN TO PATIENT’S GENERAL HEALTH AT TRADITIONAL MEDICINE DEPARTMENT OF HUE CENTRAL HOSPITAL BRANCH 2 Background: Pain is a very common symptom in the community and it is a leading cause of patients have to meet doctors and come to hospitals. Chronic pain results in poor quality of life, many days lost from work and high direct and indirect costs for the health care system. Objective: To investigate on chronic pain and general health with their ralated factors on patients at Traditional medicine department. To evaluate the effects of chronic pain to general health. Participants and method: A cross-sectional survey was performed for patients at Traditional medicine department with the pain and general health questionaire from 6/2018 to 6/2019. Results: Duration of chronic pain is very long. The common location of pain is low back. Majority of patients reported their pain condition is from moderate to severe level. Majority of patients have general health is lower moderate level. Conclusion: Chronic pain is one of the major health problems of the population. The common location of pain is low-back. The first is not to determine the effect of pain to general health of patient. Keywords: chronin pain, general health


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Azmi M. G. Darwazeh ◽  
Tamer A. Darwazeh

Clinical oral Candida infection (candidiasis) is one of the common oral mucosal infections, and its management is usually frustrating due to either treatment failure or recurrence. Historically, oral candidiasis has been branded as disease of diseased. The unsuccessful management of oral candidiasis can due to either incorrect diagnosis, failure to identify (or correct) the underlying predisposing factor(s), or inaccurate prescription of antifungal agents. Failure to properly treat oral candidiasis will lead to persistence of the fungal cell in the oral cavity and hence recurrence of infection. The oral health care provider should be aware of these fall pits in order to successfully manage oral candidiasis.


CNS Spectrums ◽  
2008 ◽  
Vol 13 (S5) ◽  
pp. 22-26 ◽  
Author(s):  
Harvey Moldofsky

AbstractPeople with fibromyalgia syndrome (FMS) experi-ence unrefreshing sleep, aches, hypersensitivity, and cognitive and emotional difficulties. Although no specific causative factor or biological agent is known to account for all of the features of FMS and these related diagnoses, the generalized hypersensitivity of the body is considered to be affected by disturbances in cen-tral nervous system (CNS) functions. Such CNS dis-turbances are intrinsic to the sleeping-waking brain, where the common symptom elements in all these illnesses are poor quality of sleep, nonspecific pain, fatigue, and psychological distress in the absence of known disease pathology.


2008 ◽  
Vol 23 (12) ◽  
pp. 2227-2232 ◽  
Author(s):  
Alper Soylu ◽  
Belde Kasap Demir ◽  
Mehmet Türkmen ◽  
Özlem Bekem ◽  
Murat Saygı ◽  
...  

Author(s):  
Nenci Siagian ◽  
Bramantono Bramantono ◽  
Usman Hadi

Tuberculous Lymphadenitis (TBLN) is most common extrapulmonary tuberculosis. The common symptom of TBLN is cervical lymphadenopathy which is known to mimic numerous pathological conditions like NHL. Coexistency TBLN and lymphoma is  a rare. A woman, 56 years old, had chief complaint of cervical masses since 2 months ago. She had history of weight loss, fever and night sweats but no history of chronic cough. From physical examination and supporting examination, the patient was diagnosed with TBLN coexists with NHL. She got antituberculosis drug (ATD) for 2 weeks before chemotherapy. The patient died of septic shock 9 days later after chemotherapy. From HPE examination, TBLN and NHL may show simillar feature so Zhiel-Neelsen staining and Immunohistochemical are important to confirm each disease. ATD was given to supress the mycobacterium activity before chemotherapy. However the patient had febrile neutropenia after chemotherapy and died of septic shock. Both TBLN and NHL may occur with simillar sign and symptom and HPE. Further examinations have to be done to confirm the diagnosis of both disesases. Although ATD had given to prevent Tb infection progresivity. On 7 days after chemotherapy she had febrile neutropenia and lead to death due to septic shock.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Ramalia P. Mohamad ◽  
John Porotu'o ◽  
Heriyannis Homenta

Abstract: The common symptom of lung disease is cough which is usually recovered after 2-3 weeks. However, if the cough persists continually then it should be paid attention seriously ith detect Mycobacterium tuberculosis in the sputum of patients with cough ≥2 weeks at Puskesmas Ranomuut and Puskesmas Kombos (primary health centers) in Manado by using the Ziehl-Neelsen staining method. This was a descriptive study using total sampling from August to November 2016. The results showed that there were 25 patients with cough ≥2 weeks; 7 patients at Puskesmas Ranomuut and 18 patients at Puskesmas Kombos. The majority of patients were male (68%) and aged 15-34 years old (44%). The Ziehl-Neelsen staining of patients’ sputum revealed that at Puskesmas Kombos there were 2 patients (11,1%) with positive acid-fast bacilli meanwhile at Puskesmas Ranomuut there was no positive result. Conclusion: Acid-fast bacilli were detected in 11.1% patients with cough ≥2 weeks at Puskesmas Kombos only. Keywords: Mycobacterium tuberculosis, pulmonary tuberculosis, Ziehl-Neelsen Abstrak: Gejala penyakit paru yang paling sering ditemukan ialah batuk. Batuk biasanya akan membaik dalam 2-3 minggu namun bila batuk terjadi terus-menerus perlu diselidiki lebih lanjut karena merupakan gejala utama dari penyakit tuberkulosis paru. Penelitian ini bertujuan untuk mendeteksi adanya kuman Mycobacterium tuberkulosis dalam dahak penderita batuk ≥2 minggu di Puskesmas Ranomuut dan Puskesmas Kombos dengan pemeriksaan mikrobiologi menggunakan teknik pewarnaan Ziehl-Neelsen. Jenis penelitian ialah deskriptif. Pengambilan sampel menggunakan cara total sampling dalam kurun waktu Agustus-November 2016. Hasil penelitian mendapatkan 25 pasien batuk ≥2 minggu terdiri dari 7 pasien di Puskesmas Ranomuut dan 18 pasien di Puskesmas Kombos. Jumlah pasien laki-laki (68%) lebih banyak dibandingkan perempuan (32%) dengan usia terbanyak 15-34 tahun (44%). Pada pemeriksaan BTA di Puskesmas Ranomuut tidak ditemukan pasien dengan BTA positif sedangkan di Puskesmas Kombos terdapat 2 pasien dengan BTA positif (11,1%). Simpulan: Kuman BTA positif dalam sputum penderita batuk ≥2 minggu sebanyak 2 orang (11,1%) hanya di Puskesmas Kombos.Kata kunci: Mycobacterium tuberculosis, tuberkulosis paru, Ziehl-Neelsen


2020 ◽  
Vol 3 (2) ◽  
pp. 28-33
Author(s):  
Shirish Ardhapuskar ◽  
Raghu Rammulu

Background: Anemia is one of the common Hematological disorders in India and worldwide. It affects all the age groups both in Males and Females. Moderate to Severe Anemia causes increased morbidity and mortality in elderly patients (AWHO expert group) - According to Worlds Health Organization, Anemia is a define when adults males are having Hemoglobin less than 13.5gr% when adults females non-pregnant less than 12 gr% and when pregnant females are having less than 11 ger%. The incidence of Anemia is very high in old age people who are more than 75 years of age. It ranges from 9% to 41%. In India Anemia is commonly due to nutrition, pregnancy, Hookworm infestation, DUB in the case of females, and Malignancy. The prevalence of anemia in the elderly has been found to range from 9% to 42% with the highest prevalence in 80 years and above. The common causes of anemia in India are Nutritional, Pregnancy, Hookworm infestation, and DUB in the case of Females and Malignancy. The common symptom is General weakness, Fatigue, Lack of concentration, Shortness of Breath, and Palpitations. A WHO expert group proposed that anemia should be considered when hemoglobin level below 13.5gr& in adult males; 12gr% in adults females non-pregnant; 11 gr% in adult female pregnant; 12gr% in children over 14yrs(1). The aim is to evaluate the etiology and clinical features of anemia in adults in rural medical colleges. Subjects & Methods: This study is conducted at GEMS Medical College, Srikakulam, A.P for the period of 1 year from April 2018 to March 2019. This study includes 120 patients with Anemia. The age group is between 20 years and 70 years. Males were 56 and females were 64. Results: We have conducted this study at GEMS Medical College, Srikakulam for 1 year, from April 2019 to March 2019 total no. of patients included in this study are 120 males 56 and females 64. The age group is between 20 years and 70 years. The maximum patients are in between 30 years and 70 years in both sexes. Conclusion: Anemia is a common medical problem in developing countries. In a rural part of India, the disorders will complicate the pregnancy also. So periodical examination and education of the people can decrease morbidity and mortality. In our area still, the common cause is nutritional.


2020 ◽  
Vol 20 (5) ◽  
pp. 718-723
Author(s):  
Sahadev Choudhary ◽  
Deepak Kumar ◽  
Gopal K. Bohra ◽  
Alok Gupta ◽  
Durga S. Meena ◽  
...  

: A number of patients of febrile thrombocytopenia increase during monsoon and postmonsoon period. Diseases like dengue fever, malaria, chikungunya fever, etc. are responsible for the clustering of febrile thrombocytopenia cases during this period. The diagnosis of fever with thrombocytopenia cases can be challenging and physicians should be aware of the regional and endemic seasonal cause of this syndrome. Study Design: It is a prospective observational study. Material and Methods: The study included 103 consecutive patients. The patients admitted with acute febrile illness defined by a duration of less than 2 weeks with thrombocytopenia were evaluated. Results: The present study included 103 consecutive cases of febrile thrombocytopenia. Out of these, 71.84% were male and 28.16% were female. The most common etiology for febrile thrombocytopenia was dengue fever (44.66%) and malaria (31.06%). Among clinical evaluation of the cases, fever was the inclusion criteria. Myalgia was the most common symptom found after fever, which was observed in 83.5% of the patients. The most common bleeding manifestation was petechiae/ purpura (12.62%) followed by hematuria (6.80%). Renal dysfunction was present in all 8(100%) cases of sepsis, followed by 14(43.75%) cases of malaria. All sepsis cases also had liver dysfunction, followed by 91.3% cases in dengue fever and 90.62 % cases in malaria had liver dysfunction. Conclusion: The study showed that acute febrile thrombocytopenia is an important seasonal syndrome. The common causes are dengue fever and malaria. Early identification of these diseases and prompt treatment decreases complications and reduces mortality.


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