scholarly journals THE CLINICAL PROFILE OF DENGUE PATIENTS IN CHILDREN

Author(s):  
Poonam Meena ◽  
Satish Meena ◽  
Ashok Meena ◽  
Kailash Meena

Background: To study the clinical profile of dengue in children Methods: The hospital based study was conducted on patients presenting to paediatric hospital, who fulfilled inclusion and exclusion criteria. Results: Based on the symptoms, the most common symptoms noticed were fever 94.00% followed by myalgia 85.00% decreased appetite 83%, retroorbital pain in 84.0%  and vomiting 81.00% Conclusion: It concluded that  common symptoms observed were fever, myalgia, decreased appetite and headache The common complications presented were hepatic dysfunction and shock with no mortality indicating the presence of less virulent organisms.. Keywords: Dengue, Complication, Shock

2017 ◽  
Vol 4 (2) ◽  
pp. 534
Author(s):  
Tamil Selvan ◽  
Nagaraj M. V. ◽  
Saravanan P. ◽  
. Somashekar

Background: Dengue is a major international health concern and is a major health problem in India which constantly threatens the health care system. The objective of the present study was to study the clinical profile of dengue fever in children.Methods: Prospective and descriptive study was conducted on all the laboratory confirmed cases of dengue fever in children admitted at SIMS and RC over a period of 1 year from December 2015 to November 2016. Results: Among 568 children studied, majority of them were males 63.3% and in the age group of 10-18 years 39.4%. The most common symptoms noticed were fever 90.1% followed by myalgia 88.3%,decreased appetite 88.2%, retroorbital pain in 84.5%, vomiting 84.1% and the least common symptoms noticed were convulsions 0.8% and altered sensorium 1%. The most common signs were skin rash 65.4% and ascites 31.6% and least common sign was spleenomegaly 8.4%. The most common complications seen were hepatic dysfunction 30.6% followed by shock 18.6% and pleural effusion 15.8%. The least complication noticed was encephalitis 0.7%. Death was nil in our study.Conclusions: This study concludes male children in the age group of 10 - 18 years were more affected. The common symptoms observed were fever, myalgia, decreased appetite and headache and commonest signs were skin rash and ascites. The common complications presented were hepatic dysfunction and shock with no mortality indicating the presence of less virulent organisms.


2017 ◽  
Vol 15 (1) ◽  
pp. 20-22
Author(s):  
Roma KM ◽  
Manita Pyakurel ◽  
Veena Gupta ◽  
Piush Kanodia

Background: Neonatal period is a period from birth to under 28 days of life. The common causes of mortality and morbidity in our region are preventable, among which neonatal sepsis is the commonest one. Most of the deaths occur within 7 days of life. Objectives: To study the clinical profile, pattern of diseases, causes of morbidity and mortality amongst newborns. Materials and methods: A hospital based descriptive study was done among total 967 newborns including both inborn and out born admitted in NICU, NGMC from January 2016 to December 2016. Age, sex, gestational age, diagnosis at admission, outcome of admitted th newborns were the main variables under study. Data was entered in Excel and analyzed using SPSS 20th version. Data were presented through pie, bar graph and table with frequency and percentage. Results: Male were predominant in the study (65%). One third of the admitted newborns were preterms. Half of the admitted newborns were admitted on their first day of life. Neonatal sepsis was the most common cause of admission. Deaths occured in 7.4%of total babies. Seventy-six percent got improved after treatment. Only 2.8% were referred to higher center. Conclusions: Most of the neonates got admitted in first day of life with commonest cause being neonatal sepsis. Recovery rate was satisfactory. To reduce the mortality and morbidity of neonates, we need to increase awareness level in general population and proper aseptic practices in medical practitioners.


2018 ◽  
Vol 38 (1) ◽  
pp. 25-30
Author(s):  
Bina Prajapati Manandhar ◽  
Usha Singh ◽  
Najala Khatun

IIntroduction: In Nepal, cerebral palsy (CP) is the common cause of severe motor disability. However, only few descriptive studies related to it have been conducted, but those did not incorporate neuroimaging in CP. Thus, the objective of this study is to identify clinical and radiological profile of children diagnosed with CP at a tertiary level paediatric hospital of Nepal.Material and Methods: This study was carried out at Kanti Children's Hospital and the study utilized data of children diagnosed with CP from September 2015- April 2017.Results: A total of 100 children were diagnosed with CP. Spastic CP was the most common in children (71%), followed by mixed (21%) and dyskinetic (8%). Majority of the children were male (74%), born at term (90%) and delivered at institution (80%). Neuroimaging abnormality was found in 66% of cases which included brain malformation (2%), periventricular white matter abnormalities (23%), cortical or deep grey matter lesions (37%) and miscellaneous (4%). The results of this study also showed significant association between variables such as birth weight and birth asphyxia with type of neuroimaging findings.Conclusion: Neuroimaging is helpful for diagnosis of CP and also useful for parents and physicians to understand children condition. Hence, further studies related to neuroimaging in CP are important to better understand it in detail.


2010 ◽  
Vol 105 ◽  
pp. S98
Author(s):  
Ravindra Satarasinghe ◽  
Ravi Jayawardana ◽  
Crislan Navaratne ◽  
Chamila Subasinghe ◽  
Upul Wickramasingha ◽  
...  

2020 ◽  
Vol 11 (4) ◽  
pp. 40-45
Author(s):  
Subash Bhattarai ◽  
Ramesh Raj Acharya ◽  
Bishnu Jwarchan ◽  
Dipesh Karki

Background: Most of the bleeding in the lower gastrointestinal tract are usually located in the rectum, colon and terminal ileum. Colonoscopy is an invasive procedure used for both diagnostic and therapeutic purposes for detection of lower gastrointestinal (GI) tract pathologies and haemorrhage. Aims and Objective: The purpose of the study was to understand the clinical profile and colonoscopic findings in patients with lower gastrointestinal haemorrhage. Materials and Methods: Seventy-two patients presenting with lower GI haemorrhage were included in the study. All patients underwent colonoscopy after achieving hemodynamic stability and bowel preparation. Clinical profile and colonoscopic findings were studied. Results: The common aetiologies of lower GI haemorrhage were haemorrhoids followed by nonspecific colitis, colorectal polyp and carcinoma of colon. Rectum followed by sigmoid harbored majority of pathologies that presented with lower GI haemorrhage. Conclusions: The diagnosis of the pathological lesion and management of underlying cause not only prevents another episode of lower GI haemorrhage but also help in reducing morbidity and mortality. Colonoscopy or at least sigmoidoscopy is strongly recommended for evaluation, diagnosis and management of lower GI haemorrhage.


Author(s):  
Rakesh Thakur ◽  
Sumeet Verma

Background: This study is to describe the clinical profile of children presenting with seizure including common causes of seizure and classify the seizure types. Methods:  Hospital-based, analytic and descriptive study. This study includes all children in the age group 6 months to 12 years who presented in the department of paediatrics with seizure. Results: Seizures presented with fever in 36.00% of cases Conclusions: Seizures are one of the common causes of hospitalization. It can be inferred from this study that CNS infections are the most common cause of acute symptomatic seizure. The improvement in health care facilities like sanitation and immunization is warranted to prevent it. Keywords: Seizures, GTCS, Children


Author(s):  
Diwakar Aiyaloo ◽  
Banumathi C. M

Seizure is a sudden, uncontrolled electrical disturbance in the brain which causes changes in behavior, movements or feelings, and in the levels of consciousness. Suffering from more seizures or tendency to have recurrent seizures that may lead to epilepsy. This study is to describe the clinical profile of children presenting with seizure including common causes of seizure and classify the seizure types. Methods:  Hospital-based, analytic and descriptive study. This study includes all children in the age group 6 months to 12 years who presented in the department of paediatrics with seizure. Demographic analysis and analysis of different seizure types, analysis of patient based on the cause of seizure as well as outcome of patient presented with seizure in relation to demographic, fever diagnosis and status epilepticus.  Results: The total numbers of patients with seizure under study are 100 in which 61 were males and 39 were females. The most common clinical seizure type was generalized tonic- clonic (56.00%). Conclusions: Seizures are one of the common causes of hospitalization. It can be inferred from this study that CNS infections are the most common cause of acute symptomatic seizure. The improvement in health care facilities like sanitation and immunization is warranted to prevent it. Keywords: Generalized tonic-clonic seizures, Neurocysticercosis, Encephalitis, Tubercular meningitis


Author(s):  
Vimal Kumar ◽  
Ashok Kumar

Background: Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. To study the complication of dengue like illness in children Methods: The hospital based study was conducted on patients presenting to paediatric hospital, who fulfilled inclusion and exclusion criteria. Results: According to complications, in dengue positive cases, bleeding was the most common complication seen in 51.00% cases while shock, myocarditis, and convulsion were present in 34.00%, 3.00% and 1.00% of cases respectively. Conclusion: It concluded that dengue hemorrhagic shock was most common complication. Keywords: Dengue Like Illness, Complication, Shock.


2017 ◽  
Vol 4 (2) ◽  
pp. 51-56
Author(s):  
Umid Kumar Shrestha ◽  
Dinesh Shrestha ◽  
Ramila Shrestha ◽  
Arnab Ghosh

Background and aims: The nonspecific clinical features of abdominal tuberculosis (TB) have made its diagnosis difficult, which can lead to the poor outcome in patients who are not able to receive early treatment. Hence, the aim of our study was to determine the clinical profile of abdominal TB in the patients of Nepal.Methods: This is a prospective observational study in which 103 patients with abdominal TB were analyzed for clinical profiles from May 2010 to April 2015. All diagnosed patients received anti-tubercular treatment (ATT) and were followed up at 1 and 6 months of ATT.Results: Among 103 patients of abdominal TB [males 48 (46.6%), females 55 (53.4%); mean age 33.1 years (±12.9)], 47.6% had histopathological examination (HPE) confirmation, 27.2% had high ascitic adenosine deaminase (ADA) value and another 25.2% had suggestive imaging findings. The common symptoms were abdominal pain (84.5%), weight loss (75.7%), anorexia (63.1%), chronic diarrhea (56.3%) and fever (52.4%). The mean weight was <50 Kg, hemoglobin <11 gm/dl and Erythrocyte Sedimentation Rate >40 mm/first hour. The sites involved were ileo-cecal (35.9%), peritoneal (27.2%), ileal (15.5%), colonic (15.5%), lymph nodal (3.9%) and gastroduodenal (1.9%). The sensitivity of HPE for diagnosis of abdominal TB was 47.6% (95% confidence interval 37.6% to 57.6%). All patients of abdominal TB had a good clinical response after ATT.Conclusion: The common symptoms of abdominal TB were abdominal pain, weight loss, anorexia, chronic diarrhea and fever. Since the diagnosis of abdominal TB by HPE may not always be positive, other parameters such as ascitic ADA value, imaging findings and associated supportive clinical features have to be considered, and a therapeutic trial of ATT may be indicated so that all patients of abdominal TB can be treated early in the course of disease.  


2019 ◽  
pp. 1-2
Author(s):  
Deepak Kumar Sharma ◽  
Suman Badhal ◽  
R. K. Wadhwa ◽  
Nonica Laisram ◽  
Vinay Kanaujia

BACKGROUND: Plantar fasciitis is a degenerative tissue condition with symptom of heel pain. Treatment includes patient education,NSAIDS,localinjections,surgery& footwear modification alternative therapy.Aim &Objective:To study the clinical profile of plantar fasciitis patients. Methods:Prospective cross- sectional studywith 40 diagnosed unilateral or bilateral plantar fasciitis patients satisfied inclusion and exclusion criteria attendedthe PMR opdof VMMC & Safdarjung hospital were enrolled .Detailed history and clinical examination done.Results:Patients mean age group was 36.92 ± 7.99 years among them60% females&40% were males also involvement of left side is more 60% & right side 40%, the occupation profiles are 35% homemakers, 35% professionals, 17.50% laborer &12.50% were students Conclusion: Female homemakers and professionals of age group 31-40 years were mostly affected with dominancy of left heel.


Sign in / Sign up

Export Citation Format

Share Document