A Case Report of Dual Infection of Rhino-Orbital Mucormycosis and Scabies in a Diabetic Patient

2021 ◽  
Vol 11 (10) ◽  
pp. 169-171
Author(s):  
Beena . ◽  
Betu Rama Soujanya

Diabetes mellitus is an immunosuppressed condition and patients with this condition are more prone to bacterial, viral, fungal, and parasitic infections and infestations. Mucormycosis is one of the acute opportunistic infections seen in diabetic individuals which are the third most common angioinvasive disease. Scabies is an acute form of skin disease seen in immune-compromised patients like diabetic individuals and is caused by Sarcoptes scabiei. Early identification, successful management, and prompt medical/surgical intervention reduce the morbidity and mortality associated with them. ​Hereby we report a case of dual infection of mucormycosis and scabies in a diabetic individual. Key words: Knowledge and practice, child survival strategies, mothers, south Nigeria.

2021 ◽  
Vol 11 (5) ◽  
pp. 226-228
Author(s):  
Raiba Deshmukh ◽  
Avishkar Barase ◽  
Kshitij Kirane

Crohn’s disease is a chronic, transmural inflammatory disease of GIT. It can involve any part of alimentary tract from mouth to anus but mostly affects small intestine and colon (1). Early diagnosis and prompt management of this condition is required to avoid high morbidity and mortality. We present a rare clinical presentation of Crohn’s disease. Key words: Knowledge and practice, child survival strategies, mothers, south Nigeria.


2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Aniekan Jumbo Etokidem ◽  
Ofonime Johnson

Introduction. Nigeria is one of the five countries that account for about 50% of under-five mortality in the world. The objective of this study was to assess the knowledge and practice of child survival strategies among rural community caregivers in Cross River State of Nigeria.Materials and Methods. This descriptive cross-sectional survey used a pretested questionnaire to obtain information from 150 women of reproductive age. Data analysis was done using SPSS version 20.Results. The child survival strategy known to most of the respondents was oral rehydration therapy as indicated by 98% followed by female education by 73.3% and immunization by 67.3%. Only 20% of the respondents had adequate knowledge of frequency of weighing a child while only 32.7% knew that breastfeeding should be continued even if the child had diarrhea. More respondents with nonformal education (83.3%) practiced exclusive breastfeeding of their last children compared to respondents with primary education (77.3%), secondary education (74.2%), and tertiary education (72.2%).Conclusion. Although respondents demonstrated adequate knowledge and practice of most of the strategies, there was evidence of gaps, including myths and misconceptions that could mar efforts towards reducing child morbidity and mortality in the state.


Medicina ◽  
2018 ◽  
Vol 54 (2) ◽  
pp. 27 ◽  
Author(s):  
Wojciech Wołyniec ◽  
Małgorzata Sulima ◽  
Marcin Renke ◽  
Alicja Dębska-Ślizień

Introduction. The immunosuppression used after transplantation (Tx) is associated with an increased risk of opportunistic infections. In Europe, parasitic infections after Tx are much less common than viral, bacterial and fungal ones. However, diseases caused by parasites are very common in tropical countries. In the last years the number of travellers with immunosuppression visiting tropical countries has increased. Methods. We performed a literature review to evaluate a risk of parasitic infections after Tx in Europe. Results. There is a real risk of parasitic infection in patients after Tx travelling to tropical countries. Malaria, leishmaniasis, strongyloidiasis and schistosomiasis are the most dangerous and relatively common. Although the incidence of these tropical infections after Tx has not increased, the course of disease could be fatal. There are also some cosmopolitan parasitic infections dangerous for patients after Tx. The greatest threat in Europe is toxoplasmosis, especially in heart and bone marrow recipients. The most severe manifestations of toxoplasmosis are myocarditis, encephalitis and disseminated disease. Diarrhoea is one of the most common symptoms of parasitic infection. In Europe the most prevalent pathogens causing diarrhoea are Giardia duodenalis and Cryptosporidium. Conclusions. Solid organ and bone marrow transplantations, blood transfusions and immunosuppressive treatment are associated with a small but real risk of parasitic infections in European citizens. In patients with severe parasitic infection, i.e., those with lung or brain involvement or a disseminated disease, the progression is very rapid and the prognosis is bad. Establishing a diagnosis before the patient’s death is challenging.


Author(s):  
Mohammad Reza Mahmoudi ◽  
Behnaz Rahmati

Introduction: Patients with cancer and hemodialysis are prone to opportunistic infections. The present research aims to examine the frequency of Toxoplasmosis and intestinal parasites in these patients. Methods: In the present cross-sectional study, seventy stool and blood samples from immunocompromised patients (46 hemodialysis and 24 cancer patients) from Guilan Province were collected in 2017-2018. Different tests including direct smear examination and formalin-ether was conducted for the intestinal protozoan parasites. To detect coccidian parasites (e.g. Cryptosporidium spp.) Ziehl Neelsen staining was applied. The anti T.gondii antibodies were detected via ELISA method. Results: Totally 6.52% and 4.16% cases of hemodialysis and cancer patients were positive for intestinal parasite infection respectively. Blastocystis hominis was only intestinal parasite that were detected in these patients. IgG anti-Toxoplasma antibody detected in 35 (76.8%) hemodialysis and 15 (62.5%) cancer patients. IgM antibody were found in 1 elderly hemodialysis patient. Mix infection (Toxoplasmosis and Blastocystis) was observed in 6.52% and 4.16% in hemodialysis and cancer patients respectively. Conclusion: It is recommended to evaluate these patients for intestinal parasitic infections during hemodialysis or chemotherapy sessions. Data showed the high percentage of elderly patients were susceptible to reactivation of chronic Toxoplasmosis. Therefore, in order to refer them for early therapy or other interventions, it is important that elderly hemodialysis and cancer patients with toxoplasma infection be diagnosed and identified.  


Author(s):  
Okechukwu S. Chukwudeh ◽  
Funmilola E. Ojo

The study examined the social context of child survival strategies among mothers in polygynous marriages in Ibadan, Nigeria. The social exchange theory was employed as the theoretical framework. Thirty in-depth interviews were conducted with mothers in Polygynous marriages. Referral and snowball techniques were used to reach the target population. Mothers in polygynous marriages were purposively selected from three geographical locations in Ibadan, Nigeria. Manual content analysis was used to analyze the data for the study. The result showed that most mothers in polygynous marriages in Ibadan engaged in informal economic activities in order to raise finance needed for sustenance and child survival; use traditional herbs for child care, treatment and survival; live separately from other wives in order to prevent childhood sicknesses associated with congestion and overcrowding in the house. In addition, there is inconsistency in administering immunization to children due to poverty. The study concluded that mother’s place of residence, health care practices, and engaging in informal economic activities positively influenced child survival among women in polygynous marriages in Ibadan. There is need for more awareness campaign to ensure that children in polygynous families are regularly administered with vaccines in order to ensure their survival and achievement of the Sustainable Development Goal 3.


Author(s):  
Françoise Gray ◽  
Kum Thong Wong ◽  
Francesco Scaravilli ◽  
Leroy R. Sharer

This chapter describes and illustrates the different lesions observed in CNS infections. A wide variety of pathogenic infectious organisms may affect the CNS. They can be classified as “pathogenic” (causing disease in every individual) or “opportunistic” (affecting only patients with immunodeficiency). Bacteria may cause pyogenic infections or so-called “specific infections,” in which the morphology of the lesions is suggestive of a specific agent. Mycoses and parasitic infections used to be uncommon, restricted to certain countries; however, due to increasing incidence of immunodeficiency conditions and intercontinental travel, they are now more frequently encountered. Viral infections of the CNS cause nonspecific lesions due to immune-mediated reactions or more specific encephalitides. In AIDS, infection by the human immunodeficiency virus causes a unique encephalitis and immunodeficiency with a wide range of secondary opportunistic infections.


2008 ◽  
Vol 41 (4) ◽  
pp. 325-329 ◽  
Author(s):  
Ana Paula Ferreira ◽  
Thadeu Côrrea ◽  
Rosângela Cunha ◽  
Marcos José Marques ◽  
Maria Angela Montesano ◽  
...  

In this study, we evaluated the profile of anti-Paracoccidioides brasiliensis immunoglobulin isotypes in serum from patients with the acute and chronic forms of paracoccidioidomycosis, using the whole Paracoccidioides brasiliensis antigen and the antigen treated with sodium metaperiodate. All the immunoglobulin isotypes present in the serum from patients with the acute and chronic forms of paracoccidioidomycosis presented higher reactivity towards the whole antigen than to the antigen treated with metaperiodate (P < 0.05). The reactivity of IgG and IgM to the antigen treated with metaperiodate was greater in serum from patients with the acute form of the disease (P < 0.05), while IgA was more reactive in serum from patients with the chronic form (P < 0.05). There was greater reactivity of IgG1 and IgG2 to the whole antigen and the antigen treated with metaperiodate in the serum from patients with paracoccidioidomycosis than there was in serum from patients with other parasitic infections (P < 0.05). Furthermore, IgG1 from patients with the acute form recognized the 19kDa, 27kDa and 31kDa antigens in the western blot test. Thus, the results suggest that modifications to the epitopes of Paracoccidioides brasiliensis antigens may help to improve the immunodiagnosis of paracoccidioidomycosis.


JAMA ◽  
1985 ◽  
Vol 254 (15) ◽  
pp. 2152
Author(s):  
Helen M. Wallace

2020 ◽  
Vol 18 (3) ◽  
pp. 176-184
Author(s):  
Oyediran Emmanuel Oyewole ◽  
◽  
Christiana Mautin Todowede ◽  
Isaac Oluwafemi Dipeolu ◽  
◽  
...  

Introduction. There is little information regarding childcare practices among adolescent mothers in the study areas. Aim. This study was aimed at investigating knowledge, perception and childcare practices among adolescent mothers. Material and methods. A descriptive cross-sectional survey was conducted on randomly select 382 adolescent mothers. A validated semi-structured questionnaire was used to collect data, which were analysed using, descriptive and multivariate analyses with p-value set at 0.05. Age of respondents was 18.5±0.7 years. Results. Majority (80.6%) had poor knowledge of when to start ante-natal care. Also, 70.0% of the respondents could not perceive growth monitoring as a necessary strategy for child survival and 86.4% perceived diarrhoea as normal for children during the teething period. Many (58.4%) did not practise exclusive breastfeeding. Respondents with secondary education were less likely to have poor knowledge than those with primary education (OR: 0.2, CI: 0.6-0.9, 95%). Respondents, who received supervision from older women during childcare, were less likely to have poor childcare practice than those who did not (OR: 0.2, CI: 0.4-0.7, 95%). Conclusion. Respondents had poor knowledge of childcare practices when childcare survival strategies were used as the yardstick for evaluation. Involvement of older women is suggested to assist adolescent mothers improve their knowledge and practices of childcare.


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