SPINAL TUBERCULOSIS REVISTED : STUDY OF CLINICALPRESENTATION, DIAGNOSIS, AND MANAGEMENT OF SPINAL TUBERCULOSIS IN A TERTIARY CARE CENTRE IN SOUTH INDIA

2021 ◽  
pp. 9-12
Author(s):  
Thamilpavai. N ◽  
K. Prabha ◽  
Ganesan Sreeprakash
Keyword(s):  
Medical Management ◽  
Spinal Tuberculosis ◽  
Tertiary Care ◽  
Transverse Myelitis ◽  
Western World ◽  
Tertiary Care Centre ◽  
General Medical Ward ◽  
Holistic Treatment ◽  
Study Materials ◽  
Intramedullary Lesion

Introduction: Tuberculosis is a disease that affects mostly young individuals in their productive formative years. The risk is 20–37 times greater in HIV co- infected individuals than among those without HIV. Spinal tuberculosis is uncommon in the western world as compared to Asian countries. But it is e-emerging in Western Countries due to the HIV pandemic. Aim Of The Study: This study analysis the clinical presentation, neuroradiology manifestations, and treatment aspects of spinal tuberculosis. Design: Observational study. Materials And Methods: Patients admitted in government Royapettah hospital during the year July 2018- February 2020 in the general medical ward with the diagnosis of paraplegia / paraparesis and subsequently diagnosed with spinal tuberculosis were recruited for the study. 35 of them were diagnosed to have spinal tuberculosis after Inclusion and exclusion criteria. Detailed history was taken, examination was done and appropriate imaging (MRI Spine, CT Chest) was taken. Results: 1 (2.9 %) patient had intramedullary lesion in the form of longitudinally extensive transverse myelitis. 34 (97.1 %) patients had extra medullary lesion. 26 (74.3 %) patients underwent medical management. All of them were started on CAT I ATT DOTS regimen along with steroids. 9 (25.7 %) of them underwent both surgical and medical management. Conclusion: The prime aim of treatment of spinal tuberculosis is prevention of deformity so that patients can have a better quality of life. Paramount to this is a high index of suspicion, early detection and initiation of treatment. A holistic treatment approach in all cases of spinal tuberculosis is needed to prevent this dreaded complication.

scholarly journals Intestinal obstruction in a tertiary care centre in India: are the differences with the Western experience becoming less?

2021 ◽  
Author(s):  
Suvendu Sekhar Jena ◽  
Ravi Chandra Reddy Obili ◽  
Sri Aurobindo Prasad Das ◽  
Ruchir Bhavsar ◽  
Sanket Solanki ◽  
...  
Keyword(s):  
Developing Countries ◽  
Intestinal Obstruction ◽  
Demographic Data ◽  
Tertiary Care ◽  
Developed Countries ◽  
Western World ◽  
Tertiary Care Centre ◽  
Duration Of Symptoms ◽  
Operative Complications ◽  
Post Operative Complications

Abstract Background: Patients with intestinal obstruction consist of a major proportion of emergency room visits and the complication is associated with significant morbidity and mortality. It has a diverse etiology and varies from region to country. In developed countries it is mainly due to adhesions and in developing countries due to obstructed hernias. Although there are numerous studies from the western world there have been few recent publications from the developing world. Method: We retrospectively analyzed all the patients admitted for intestinal obstruction to our department from January 1996 to December 2019. Their demographic data, duration of symptoms before presenting to the hospital and duration of stay before surgery in the hospital were noted along with cause and level of obstruction. The type of procedure, any post-operative complications, mortality or re-exploration were also noted. Post-operative complications were graded as per Clavien Dindo classification. Results: A total of 986 patients presented with intestinal obstruction during this period out of which 743 patients underwent surgery. There were 429 (57.74%) males 314 (42.26%) females who had a mean age of 50.1 years (range 11 to 96 years). The commonest cause of obstruction was adhesions in 273 (36.7%) followed by carcinoma [130(17.5%)], tuberculosis [111(14.9%)], stricture [94(12.7%)] and hernia (5.4%) patients. Colorectal surgery was the most common previous procedure in the adhesive group [85(31.1%)]. Colon cancer was the common cause in carcinoma group. Ileum was the most common site of obstruction [329(44.3%)]. The overall operative mortality was 41 (5.5%). Conclusion: Postoperative adhesions are now the commonest cause of intestinal obstruction in our referral center with a comparable mortality rate with western reports. Though the etiology of intestinal obstruction is shifting towards the western pattern, tuberculosis, obstructed inguinal hernia still consists a major chunk of patients in developing countries.

Abstract #1100: Tumor Induced Osteomalacia: Clinical; Biochemical and Radiological Features from a Single Tertiary Care Centre with Emphasis on Functional Imaging.

2017 ◽  
Vol 23 ◽  
pp. 289
Author(s):  
Vineet Surana ◽  
Rajesh Khadgawat ◽  
Nikhil Tandon ◽  
Chandrashekhar Bal ◽  
Kandasamy Devasenathipathy
Keyword(s):  
Functional Imaging ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Radiological Features

Emerging Antimicrobial Resistance Among Methicillin Resistant Staphylococcus Aureus (MRSA) in a Tertiary Care Centre in North India

JMS SKIMS ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 48-49
Author(s):  
Javaid Ahmad Bhat ◽  
Shariq Rashid Masoodi
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Tertiary Care ◽  
Resistance Mechanisms ◽  
North India ◽  
Global Public Health ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Effective Prevention ◽  
Mupirocin Resistance

Apropos to the article by Dr Bali, titled “Mupirocin resistance in clinical isolates of methicillin-sensitive and resistant Staphylococcus aureus in a tertiary care centre of North India” (1), the authors have raised important issue of emerging antimicrobial resistance (AMR). Antimicrobial resistance is an increasingly serious threat to global public health that requires action across all government sectors and society. As per WHO, AMR lurks the effective prevention and management of an ever-increasing spectrum of infections caused by bacteria, parasites, fungi and viruses. Novel resistance mechanisms are emerging and spreading globally, threatening the man’s ability to treat common infectious diseases.

Sign in / Sign up

Export Citation Format

Share Document