scholarly journals Peri-operative Considerations in Intracranial Hemorrhage in Dengue Virus Infected Patients: A Prospective Mini Case Series

2016 ◽  
Vol 13 (1) ◽  
pp. 43-46
Author(s):  
Shyam C Meena ◽  
Suresh C Dulara ◽  
Sachindanand Gautam ◽  
Sharad Beldar
Keyword(s):  
Intracranial Hemorrhage ◽  
Care Center ◽  
Case Series ◽  
Operative Management ◽  
Toxic Encephalopathy ◽  
Rare Presentation ◽  
Health Care Center ◽  
Excellent Outcome ◽  
Neurologic Status ◽  
High Dependency

Dengue is one of the most common mosquito-transmitted arboviral diseases of tropical and few subtropical areas of the world. It is estimated that 100 million cases occur every year and 2.5 billion people are at risk. Hemorrhagic complications causing encephalopathy is quite a rare presentation but usually fatal. We discuss the peri-operative management of 8 uncommon cases of intracranial hemorrhage (ICH) in dengue. High index of suspicion is required for prompt diagnosis and treatment.Eighteen dengue serology positive patients who presented with neurological manifestations were managed in neurosurgery unit of our tertiary health care center in six months duration. Most of the patients had deranged prothrombin time and thrombocytopenia. They were given platelet concentrates for correction of thrombocytopenia. All vital parameters and neurologic status were closely monitored in high dependency unit. Eight of these patients had deterioration in neurologic status; five of them underwent surgery.All patients who underwent surgery had excellent outcome. Rest of the patients including one patient of cervical extradural hemorrhage were managed conservatively with intravenous fluid and cerebral decongestants. Two patients with deep-seated bleed deteriorated very rapidly and died. Rest who were managed either surgically or conservatively including cervical EDH improved well without any residual deficit.High index of suspicion of ICH is required in dengue especially during convalescence. Special attention should be given to those patients who are disoriented and have altered sensorium and should not be misinterpreted as fever delirium or toxic encephalopathy. It needs immediate attention and investigation. Timely diagnosis and intervention can save lives.Nepal Journal of Neuroscience 13:43-46, 2016  

scholarly journals Phyllodes tumors of the breast treated in a tertiary health care center: case series and literature review

2018 ◽  
Vol 48 (1) ◽  
pp. 030006051880353
Author(s):  
Hazem Assi ◽  
Rana Salem ◽  
Fares Sukhon ◽  
Jaber Abbas ◽  
Fouad Boulos ◽  
...  
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Care Center ◽  
Case Series ◽  
Health Care Center ◽  
Phyllodes Tumors

scholarly journals Rupture Spleen as Initial Presentation in A Patient of Chronic Myeloid Leukaemia: A Case Report

2016 ◽  
Vol 13 (2) ◽  
pp. 52-54
Author(s):  
Mohammad Ibrahim Khalil ◽  
Md. Nazmul Islam ◽  
Mafruha Akter ◽  
AZM Mostaque Hossain ◽  
Md. Amir Hossain
Keyword(s):  
Chronic Myeloid Leukaemia ◽  
Myeloid Leukaemia ◽  
Female Student ◽  
Care Center ◽  
Chronic Phase ◽  
Abdominal Distension ◽  
Emergency Laparotomy ◽  
Rare Presentation ◽  
Health Care Center ◽  
Common Presentation

A 22 years female student presented with sudden severe abdominal pain in left upper quadrant followed by abdominal distension. She attended in surgery unit of a tertiary health care center. On examination she was in shock and the abdomen was distended, tender. She was evaluated as  surgical acute abdomen and emergency laparotomy revealed rupture of spleen and splenectomy was done. Her CBC showed gross leucocytosis with predominance of neutrophils and significant number of myelocytes and the PBF showed the features of chronic phase of chronic myeloid leukaemia. BCR-ABL was positive from bone marrow that confirms the diagnosis. Splenomegaly is a common presentation of CML. However spontaneous rupture of spleen is a very rare presentation of CML. Journal of Science Foundation, 2015;13(2):52-54DOI: http://dx.doi.org/10.3329/jsf.v13i2.27935

scholarly journals Characterization of a case series of Mastocytosis in a health care center in Cali, Colombia

2021 ◽  
Author(s):  
Daniela Marulanda Sandoval ◽  
Oscar Felipe Borja Montes ◽  
Jose Leonel Zambrano Urbano ◽  
Rigoberto Gomez Gutierrez
Keyword(s):  
World Literature ◽  
Case Reports ◽  
Care Center ◽  
Clinical Manifestations ◽  
Case Series ◽  
Poor Response ◽  
Skin Lesions ◽  
Serum Tryptase ◽  
Health Care Center

Abstract Mastocytosis is a group of rare diseases, which correspond to neoplasms of the myeloid lineage. In Colombia there are only case reports and so far there are no studies of greater extension. We conducted a case series in which an active search was made for patients with a diagnosis of mastocytosis, either cutaneous (CM) or systemic (SM), from the total number of consultations between June 2004 and June 2019 in the reference hemato-oncologic center ("mastocytosis"). A total of 4 cases of CM and 3 cases of SM were identified. The most frequent clinical manifestations were skin lesions, which were present in 100% of patients; of these hyperpigmented macules were the most frequent findings. Serum tryptase (TS) levels were found to be elevated in 67% (2/3) of patients with DM. Both TS levels and mean absolute eosinophils were higher in patients with MS. In this case series we found a higher frequency of extracutaneous involvement, and in general a very poor response to the management. The findings of this series are comparable to those reported in world literature.

scholarly journals Poncet’s disease diagnostic criteria decodes conundrum: Poncet’s vs pseudo Poncet’s

Reumatismo ◽  
2019 ◽  
Vol 71 (1) ◽  
pp. 46-50 ◽  
Author(s):  
V. Shobha ◽  
A.M. Desai
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Diagnostic Criteria ◽  
Care Center ◽  
Case Series ◽  
The Other ◽  
Health Care Center ◽  
Seropositive Rheumatoid Arthritis ◽  
Poncet’S Disease

Poncet’s disease is very important and yet a challenging diagnosis of importance in countries with high TB endemicity (e.g. India). In this case series, we present 5 patients with diagnosed as Poncet’s disease and in our tertiary health care center over 12 months and examine the performance of the diagnostic criteria suggested by Sharma and Pinto. The majority (4/5) of the patients were subsequently diagnosed and responded to anti-tuberculous therapy. In the other patient, a diagnosis of atypical seropositive rheumatoid arthritis or Pseudo Poncet’s disease was established on follow up.

scholarly journals Squamous cell carcinoma of the kidney in an End Stage Renal disease patient in a tertiary health care center; a case report and review of literature, Assiut university hospital experience 2021,

2021 ◽  
Author(s):  
abdelrahman mohamed abdelkader ◽  
mohamed Zarzour
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Care Center ◽  
Disease Patient ◽  
University Hospital ◽  
General Role ◽  
Health Care Center ◽  
Excellent Outcome ◽  
Stage Renal Disease

Abstract The literature mentioned few case that are squamous cell carcinoma of the renal pelvis since 1955. Renal cell carcinoma with all its variants represent more than ninety percent, the remaining ten percent is divided on urothelial tumors, sarcomas and metastasis from other organs. Squamous cell carcinoma of the urothelium is not common, but in Egypt it was very frequently seen in the bladder, multiple cause are proposed such as the chronic irritation caused by Schistosomiasis infection .The general role of this type is that it is resistant to both chemo and radiotherapy with fair outcome to surgery if early intervention was done. This article will discuss a case that developed squamous cell carcinoma in the renal bed after nephrectomy, which was managed with excellent outcome in assiut university hospital

scholarly journals ECT in the Postpartum Period: A Retrospective Case Series from a Tertiary Health Care Center in India

2018 ◽  
Vol 40 (6) ◽  
pp. 562-567
Author(s):  
Sandeep Grover ◽  
Swapnajeet Sahoo ◽  
Subho Chakrabarti ◽  
Debashish Basu ◽  
Shubh M. Singh ◽  
...  
Keyword(s):  
Health Care ◽  
Postpartum Period ◽  
Care Center ◽  
Case Series ◽  
Retrospective Case ◽  
Health Care Center ◽  
Retrospective Case Series

scholarly journals Concha Bullosa Mucocele: A Case Series and Review of the Literature

2016 ◽  
Vol 7 (4) ◽  
pp. ar.2016.7.0179 ◽  
Author(s):  
Sarah Khalife ◽  
Cinzia Marchica ◽  
Faisal Zawawi ◽  
Sam J. Daniel ◽  
John J. Manoukian ◽  
...  
Keyword(s):  
Care Center ◽  
Middle Turbinate ◽  
Case Series ◽  
Subtotal Resection ◽  
Concha Bullosa ◽  
Review Of The Literature ◽  
Nasal Mass ◽  
Health Care Center ◽  
Imaging Characteristics ◽  
Rare Diagnosis

Background Concha bullosa mucocele is a rare diagnosis that presents as a nasal mass. It impinges on surrounding structures and can easily be mistaken for a neoplasm. Objective The objective of this study was to shed light on this rare entity and report its diagnostic features and treatment outcomes. Methods A case series conducted in a tertiary health care center. Demographic data, clinical presentation, imaging, cultures, and treatments were recorded. Operative video illustration and key images were obtained. A review of the literature was also performed. Results A total of five cases were reviewed, four of which were concha bullosa mucoceles and one was a mucopyocele. Three of the patients had some form of previous nasal trauma. Headache and nasal obstruction were the most common symptoms with a nasal mass finding on physical examination. Computed tomography was used in all the patients, and magnetic resonance imaging was used in four of the five patients. Four patients had coexistent chronic rhinosinusitis, and three had positive bacterial cultures. All these patients were treated endoscopically either with middle turbinate marsupialization or subtotal resection. No recurrence has been noted thus far. Conclusion Concha bullosa mucocele is a rare diagnosis. Imaging characteristics are helpful in considering the diagnosis, although surgical intervention is often necessary to confirm the diagnosis and treat concha bullosa mucocele.

scholarly journals Nasal Dermoid Sinus Cyst expanding into Frontal Sinus: A Rare Presentation

2012 ◽  
Vol 5 (3) ◽  
pp. 123-126
Author(s):  
Ashok Gupta ◽  
Rijuneeta LNU ◽  
Grace Budhiraja ◽  
Abhilash Alex Francis
Keyword(s):  
Frontal Sinus ◽  
Care Center ◽  
Complete Removal ◽  
Clinical History ◽  
Sinus Tract ◽  
Combined Approach ◽  
Rare Presentation ◽  
Health Care Center ◽  
Dermoid Sinus ◽  
Rare Case Report

ABSTRACT Nasal dermoid sinus cysts are uncommon congenital anomalies that require interventions only when they present as complications. They frequently present in childhood as midline nasal masses requiring excision. They may present with intracranial as well as intraorbital extensions, making it necessary to subject the patient for proper radiological diagnosis preoperatively. Here, we present a rare case report of 28-year-old male patient who presented at our tertiary health care center with nasal dermoid cyst expanding into the frontal sinus causing proptosis and blurring of vision. The cyst was excised by combined approach, i.e. external nasal dermoid sinus tract excision and endoscopic nasofrontal sinusotomy for complete removal. The embryology, clinical history, diagnosis and surgical management are discussed. How to cite this article Gupta R, Gupta A, Budhiraja G, Francis AA. Nasal Dermoid Sinus Cyst expanding into Frontal Sinus: A Rare Presentation. Clin Rhinol An Int J 2012;5(3):123-126.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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