scholarly journals Neurological Manifestations of Puffer Fish Poisoning and It’s Outcome: Study of 83 Cases

1970 ◽  
Vol 21 (2) ◽  
pp. 121-125 ◽  
Author(s):  
M Azizul Haque ◽  
Q Tarikul Islam ◽  
MA Razzak ◽  
MA Faiz ◽  
M Iqbal Bari
Keyword(s):  
Medical College Hospital ◽  
Entire Body ◽  
Presumptive Diagnosis ◽  
College Hospital ◽  
Medical College ◽  
Respiratory Involvement ◽  
Fish Poisoning ◽  
Life Saving ◽  
Puffer Fish ◽  
History Of

The study was carried out in Medicine and Pediatrics Department of Rajshahi Medical College Hospital, and Natore Sadar Hospital, both are located in the northern territory of Bangladesh. Period of study ranged from admission of patients till discharge. On 8th June 2008, 83 patients of Singra Upazilla Natore were admitted in Rajshahi Medical College Hospital and Natore Sadar Hospital with the history of consumption of Puffer fish. A presumptive diagnosis of Puffer fish poisoning was made on the basis of classical clinical presentations followed by Puffer fish ingestion. Blood and urine samples from 38 patients were sent to Frankfurt, Germany for toxicological analysis. The cases were clinically reviewed periodically and routine investigations were done. Report of the toxicological study confirmed the diagnosis of tetrodotoxin poisoning. Important neurological symptoms observed were peri-oral paresthesia (71), tingling over entire body (50), dizziness (35), headache (20). Muscular paralysis of the limbs was noted in 13 patients, of which 7 patients developed respiratory involvement. All the patients who developed respiratory involvement died. Early diagnosis and supportive management could ensure a safe and favorable outcome. Management of respiratory failure by ventilator support can be life saving. doi: 10.3329/taj.v21i2.3790 TAJ 2008; 21(2): 121-125

Puffer fish (Tetrodotoxin) poisoning: an analysis and outcome of six cases

2007 ◽  
Vol 37 (4) ◽  
pp. 263-264 ◽  
Author(s):  
Fazle Rabbi Chowdhury ◽  
H A M Nazmul Ahasan ◽  
Abdullah Al Mamun ◽  
A K M Mamunur Rashid ◽  
Abdullah Al Mahboob
Keyword(s):  
Medical College Hospital ◽  
Single Family ◽  
College Hospital ◽  
Medical College ◽  
Puffer Fish ◽  
History Of ◽  
Successful Outcomes

On 24 July 2005, six members of a single family were admitted to the Medicine and Pediatrics Department of Khulna Medical College Hospital, Khulna, Bangladesh, with a history of ingestion of puffer fish. All patients developed toxic manifestations. The cases were clinically analysed with successful outcomes.

scholarly journals A Clinico-epidemiological Study of Malaria Patients Admitted in A Tertiary Care Hospital of Bangladesh

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Diagnostic Test ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Clinical Aspects ◽  
Case Report Form ◽  
Care Hospital ◽  
Mosquito Net ◽  
College Hospital ◽  
Medical College ◽  
History Of

Malaria is a public health problem in 90 countries around the world affecting 300 million people and responsible for about 1 million deaths annually. Bangladesh is considered as one of the malaria endemic countries in Asia. Every year large number of people suffered for malaria. But there is little studies about clinico-epidemiology of malaria. Aim: To study the epidemiological and clinical aspects of malaria. Methods: This is a Prospective observational study that was conducted in all medicine unit of Chittagong Medical College Hospital, Chittagong, Bangladesh during August 2017 to June 2018. Total 55 patients were included in the study having malaria diagnosed by blood slide examination or rapid diagnostic test. Patients were enrolled in this study after getting written informed consent from the patient or attendant. Detail demographic and clinical data were recorded in structured case report form. Patients were regularly followed up and outcome recorded. Results: Results showed males (65.5%) of 25±15.109 years of age were the main sufferer. Majority (45%) came from low socio-economic condition (<5000 taka/month). 65.5% patients denied any history of recent travel to malarias’ area. 69.1% cases give history of using mosquito net, but only 25.5% have insecticide treated mosquito net. Majority (89.1%) were diagnosed as severe malaria and only few (10.9%) as uncomplicated malaria. Most of the diagnosis done at Chittagong Medical College Hospital, mainly presenting with coma or altered consciousness and convulsion. At field level diagnostic test done in 67.27% cases, of which RDT in 14.5%, BSE in 45.5% and both in 7.3% cases. 78.2% cases outcome were good with improvement and death occurred in 21.8% cases, mainly due to acute renal failure. Conclusion: Though we are making significant effort to control malaria, still we have to improve in controlling malaria based on both preventing the infection and on prompt effective treatment of the infection and illness when it does occur.

Risk Analysis of Placenta Previa in Subsequent Pregnancy with History of Cesarean Section: A Case Control Study in Faridpur Medical College Hospital

2016 ◽  
Vol 10 (2) ◽  
pp. 52-54
Author(s):  
Dilruba Zeba ◽  
Shila Rani Das ◽  
Swapan Kumar Biswas ◽  
Rajib Kumar Roy ◽  
Abul Fattah ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Placenta Previa ◽  
Subsequent Pregnancy ◽  
Medical College Hospital ◽  
Bladder Injury ◽  
College Hospital ◽  
Medical College ◽  
History Of ◽  
Previous Cesarean

Placenta previa is a life threatening pregnancy complication where placenta partially or completely covers the internal cervical os causing serious adverse consequence for both mother and baby. History of cesarean delivery is an important risk factor for placenta previa. Which have a increased chance of cesarean hysterectomy and bladder injury because of an associated accrete syndrome. The objective of this study is to analyze the outcome of placenta previa with history of cesarean section. This is a prospective study done in Faridpur Medical College Hospital, Bangladesh from 01.01.2013 up to 31.12.14. Total 18 (study group) patients had undergone cesarean delivery with placenta previa and history of previous cesarean section. Among 18 patients maternal age range was 25- 40, parity 1-4, emergency hysterectomy was done in 11, average blood transfusion 2-8 and other morbidity like urinary bladder injury was 4. So we decided to conduct the study to evaluate the frequency of the placenta previa and morbidity related to number of previous cesarean deliveries.Faridpur Med. Coll. J. Jul 2015;10(2): 52-54

scholarly journals Prune Belly Syndrome: A Rare Case Report

2020 ◽  
Vol 17 (1) ◽  
pp. 53-55
Author(s):  
Md Abdul Awal ◽  
Shahara Haque ◽  
Mst Nazmun Nahar ◽  
Husne Ara ◽  
Farhana Kamal
Keyword(s):  
Medical College Hospital ◽  
Prune Belly Syndrome ◽  
Presumptive Diagnosis ◽  
College Hospital ◽  
Medical College ◽  
Prune Belly ◽  
Breath Sounds ◽  
Local Doctor ◽  
Rare Case Report ◽  
Male Neonate

Prune belly Syndrome (PBS), a rare congenital anomaly of uncertain aetiologies has been seldom reported among Bangladeshis. Prune belly syndrome is a birth defect that involve three main problems like poor development of the abdominal musclescausing the skin of the belly area to wrinkle like a prune, undescended testicles and urinary tract problems. We report a case of 15 days old term male neonate with PBS. The baby named Shumon was admitted in Dhaka Medical College Hospital with complaint of lax abdominal wall, absence of both testes since birth. He was born by NVD and consulted with a local doctor who commented that the baby was not normal and referred to Dhaka Medical College Hospital for better management. On physical examination the baby weighted 2.7Kg and full length was 40 cm. He was mildly pale, his respiratory rate was 32 cycles per minute with normal breath sounds. Heart rate was 134 beats per minute. His abdomen was flabby with a wrinkled appearance and there were visible peristalses with palpable kidneys & bilateral undescended testes. His B.P was within normal range and cardiac examination was normal clinically and echocardiographically. USG of abdomen showed bilateral gross hydronephrosis with mega ureter. Micturating cystography showed grade-IV vesico-ureteric reflux bilaterally with no urethral obstruction. Serum creatinine concertration was 80 μmol/L, Serum Sodium was 130 mmol/L and Serum Potassium was 5.8 mmol/L. The presumptive diagnosis was Prune Belly Syndrome. Bangladesh Journal of Urology, Vol. 16, No. 1, Jan 2014 p.53-55

scholarly journals HEPATITIS 'B' AND 'C'

2011 ◽  
Vol 18 (01) ◽  
pp. 69-74
Author(s):  
MUHAMMAD ZAFAR IQBAL ◽  
MUHAMMAD AZEEM ◽  
MUHAMMAD RAZZAQ MALIK
Keyword(s):  
Risk Factors ◽  
Hepatitis C ◽  
Blood Transfusion ◽  
Hepatitis B ◽  
Previous History ◽  
Medical College Hospital ◽  
History Of Surgery ◽  
College Hospital ◽  
Medical College ◽  
History Of

Background: Hepatitis B and C is a global problem. The prevalence of hepatitis B and C in orthopedic patients is quite high with the common risk factors: previous history of surgery or blood transfusion. Objectives: The objectives of this study were to, "Find out the prevalence of Hepatitis B and C and their risk factors in patients admitted in Orthopedic Unit of Sheikh Zayed Medical College Hospital Rahim Yar Khan.”. Design & Duration: This was a prospective cohort study. The duration was from July 2009 to December 2009. Patients and Methods: This study was conducted in Orthopedic Department of Sheikh Zayed Medical College Hospital Rahim Yar Khan. Patients of either sex and of all ages who were undergoing orthopedic surgery were included in the study. All patients underwent screening for Hepatitis-B and Hepatitis-C and confirmed by Elisa method in positive patients. Data regarding age, sex, HBV, HCV was noted and analyzed by SPSS version 14. Results: Among 745 patients. 581 (77.98%) were male and 164 (22.02%) were female. Hepatitis B and C was present in 165 (22.15) patients. Out of these positive cases 125 (75.76%) were suffering from hepatitis C and 36 (21.81%) were suffering from hepatitis B, and 4 (2.43%) patients were positive for both HBV & HCV. Among the predisposing factors previous history of surgery was positive in 39 patients; history of blood transfusion in 27 patients, dental procedure was in 17 patients’ and 123 patients having injection therapy in the past. Conclusions: All the patients who need surgery should be properly screened for HBV and HCV. It is also necessary that separate operation theaters and instruments should be used for HBV and HCV positive cases.

scholarly journals Epidemiological Pattern of Renal Insufficiency among the Patients of Nephrology Unit of Dhaka Medical College Hospital, Dhaka, Bangladesh

2014 ◽  
Vol 8 (2) ◽  
pp. 80-84
Author(s):  
Md Nazmul Haq ◽  
Latifur Raaman ◽  
Md Zohirul Islam Miah ◽  
Easin Ali Gazi ◽  
Shukti Catherine Baroi
Keyword(s):  
Renal Insufficiency ◽  
Medical College Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Throat Infection ◽  
Ckd Stage ◽  
Significant Difference ◽  
History Of ◽  
Epidemiological Pattern

A hospital based descriptive cross sectional study was conducted at Nephrology unit of Dhaka Medical College Hospital (DMCH) to see the association between epidemiological pattern of renal insufficiency with sociodemographic factors, kidney related factors and others factors. Sources of data include patient interviews, diagnosis cards and case records. Respondents were categorized to their CKD stage according to their estimated GFR on Modification of Diet in Renal Disease (MDRD). The sample comprised 150 patients suffering from CKD with male and female ratio being 1.5:1, mean age of the population was 47 years (SD ± 14.5), 47.3% of the respondents had history of streptococcal throat infection and 10% had previous kidney disease Renal Replacement Therapy (RRT) was the commonly advised therapy for CKD indicating very late diagnosis of CKD. Total 49.3% had smoking habit while 60.7% was on regular physical exercise and 49.3% took extra salt on their dietary habit, 52.7% were diabetic and 78.7% were hypertensive and 40% had both diabetes and hypertension. Total 76.6% were in stage-5 of CKD where 60.7% of them used NSAID with 54.0% within normal range of BMI. There is statistically significant difference with stage of renal insufficiency and history of streptococcal throat infection (p=0.00) and therapy advised for CKD (P-0.01). Worldwide, CKD is becoming a common disease in the general population. It requires early, accurate and improved detction and mangemnt of diabetes and hypertension, the major contributors to CKD. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20391 Faridpur Med. Coll. J. 2013;8(2): 80-84

scholarly journals Endovascular Treatment of Subarachnoid Haemorrhage, First Time at Dhaka Medical College Hospital

1970 ◽  
Vol 17 (2) ◽  
pp. 131-133
Author(s):  
SU Khan ◽  
MR Siddiqui ◽  
KM Rahman ◽  
MA Hoque ◽  
MBA Mondol ◽  
...  
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Medical College Hospital ◽  
Endovascular Coiling ◽  
Arterial Aneurysm ◽  
College Hospital ◽  
Medical College ◽  
Key Words Subarachnoid Haemorrhage ◽  
History Of ◽  
First Time ◽  
Very High

Subarachnoid hemorrhage (SAH) due to rupture aneurysm is a neurologic catastrophe with a very high risk of rebleeding if the aneurysm is not treated. Endovascular coiling has becoming common and has replaced neurosurgical clipping as the treatment of choice. A 48-year-old man came to us with the history of SAH from ruptured cerebral arterial aneurysm and for the first time in the history of Dhaka Medical College Hospital, we had successfully treated by Endovascular coiling. Key words: Subarachnoid haemorrhage (SAH); cerebral DSA; surgical clipping; endovascular coiling. DOI: 10.3329/jdmc.v17i2.6597J Dhaka Med Coll. 2008; 17(2) : 131-133

Comorbid Risk Factors for Acute Stroke: A Case-Control Study in Tertiary Care Hospital of Bangladesh

2017 ◽  
Vol 2 (2) ◽  
pp. 84-88
Author(s):  
Salahuddin Feroz ◽  
Shahjada Selim ◽  
Afsar Ahammed ◽  
Rahat Afza Chowdhury ◽  
Shahabul Huda Chowdhury ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Stroke ◽  
Case Control Study ◽  
Case Control ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
History Of ◽  
Control Study

Background: There is a high prevalence of coexisting medical conditions in patients with acute stroke; therefore, clinical investigators often need to adjust for comorbidities when assessing the effect of those risk factors on patient outcome. Objective: This study aimed to determines comorbid risk factors in patients with acute stroke.Methodology: A hospital-based case control study was conducted in Shaheed Suhrawardy Medical College Hospital (ShSMCH) and Dhaka Medical College Hospital between January-June 2011. The cases and controls studied consisted of 175 hospitalized patients with stroke (confirmed by computed tomography scan) and 171 matched-age and sex controls that were hospitalized at the study hospital for condition other than stroke. After obtaining written informed consent from the patient or the closest attendant, all the information included to record were age, sex, monthly family income, family size, family history of CVD death, history of hypertension and diabetes mellitus, ECG change, aspirin intake, blood pressure and heart rate, waist and hip circumference and psychosocial factors. The edited data then analyzed by SPSS V. 16.Result: The most predictive independent variables were history of hypertension (OR 4.056), psychosocial stress (OR 4.90) and increased WHR (OR 3.806) were found significant risk factor for developing stroke. Conclusion: Therefore, to recognize comorbid risk factors and to treat them appropriately is the key to establish primary preventive strategies in non-stroke patients or secondary preventive measures to avoid recurrence in stroke victims. Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 84-88

scholarly journals Obstetrics Factors Related with Pelvic Inflammatory Disease Patients

2019 ◽  
Vol 16 (2) ◽  
pp. 65-69
Author(s):  
Nadira Khan ◽  
Firoza Rahman ◽  
Nilufar Jahan ◽  
Rahela Khatun ◽  
Shafeya Khanam
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Total Duration ◽  
Medical College Hospital ◽  
College Hospital ◽  
Puerperal Sepsis ◽  
Medical College ◽  
Birth Attendants ◽  
History Of ◽  
At Home

Background: Pelvic Inflammatory disease is a very common gynaecological condition among the women. Objectives: The purpose of the present study was to see the obstetrics factors related with the pelvic inflammatory disease. Methodology: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology at Dhaka Medical College Hospital, Dhaka, Bangladesh from November 2001 to April 2002 during the period of six (06) months and December 2002 to February 2003 for three (03) months with the total duration of nine (09) months. Women in child bearing age who were suffering from chronic pelvic inflammatory disease (PID) attended at the OPD of gynecology Department at Dhaka Medical College Hospital, Dhaka, Bangladesh were selected as study population. Relevant data from each patient were recorded in a questionnaire. Result: A total number of 150 cases were studied. Out of 146 patients 75.3% were delivered at home, 8.2% at hospital and 16.4% cases had their deliveries at home and at hospital also. Out of 146 patients 63.0% were delivered by untrained birth attendants at home and 36.99% were delivered by trained birth attendants. Out of 146 patients 54.1% had history of puerperal sepsis. However, the rest of the 67(45.9%) cases were normal puerperium. In this study 84.0% patients had history of MR, 18 percent had spontaneous abortion and 4.7 percent had induced abortion. Out of these 115 patients with history of pregnancy termination, 47.3% patients had history of pelvic infection following that event. Also, 2.7% gave history of ectopic pregnancy. Conclusion: In conclusion most of the PID patients are delivered at home with untrained birth attendants with the history of puerperal sepsis Journal of Science Foundation 2018;16(2):65-69

scholarly journals A Clinico-epidemiological Study of Malaria Patients Admitted in A Tertiary Care Hospital of Bangladesh

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Diagnostic Test ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Clinical Aspects ◽  
Case Report Form ◽  
Care Hospital ◽  
Mosquito Net ◽  
College Hospital ◽  
Medical College ◽  
History Of

Malaria is a public health problem in 90 countries around the world affecting 300 million people and responsible for about 1 million deaths annually. Bangladesh is considered as one of the malaria endemic countries in Asia. Every year large number of people suffered for malaria. But there is little studies about clinico-epidemiology of malaria. Aim: To study the epidemiological and clinical aspects of malaria. Methods: This is a Prospective observational study that was conducted in all medicine unit of Chittagong Medical College Hospital, Chittagong, Bangladesh during August 2017 to June 2018. Total 55 patients were included in the study having malaria diagnosed by blood slide examination or rapid diagnostic test. Patients were enrolled in this study after getting written informed consent from the patient or attendant. Detail demographic and clinical data were recorded in structured case report form. Patients were regularly followed up and outcome recorded. Results: Results showed males (65.5%) of 25±15.109 years of age were the main sufferer. Majority (45%) came from low socio-economic condition (<5000 taka/month). 65.5% patients denied any history of recent travel to malarias’ area. 69.1% cases give history of using mosquito net, but only 25.5% have insecticide treated mosquito net. Majority (89.1%) were diagnosed as severe malaria and only few (10.9%) as uncomplicated malaria. Most of the diagnosis done at Chittagong Medical College Hospital, mainly presenting with coma or altered consciousness and convulsion. At field level diagnostic test done in 67.27% cases, of which RDT in 14.5%, BSE in 45.5% and both in 7.3% cases. 78.2% cases outcome were good with improvement and death occurred in 21.8% cases, mainly due to acute renal failure. Conclusion: Though we are making significant effort to control malaria, still we have to improve in controlling malaria based on both preventing the infection and on prompt effective treatment of the infection and illness when it does occur.

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