Evaluation of Epididymo-Orchtis-A Study of 100 Cases

Background: Acute epididymo-orchitis is a common clinical problem in urological practice. It is not an uncommon disease in our country to cause work loss particularly in active group of people. Aim of the study: The aim of this study was to see the predisposing factors involved, aetiopathology and progression of disease process.Methods:This prospective study was conducted in department of surgery, Kumudini Women’s Medical College Hospital, Tangail from April 2008 to March 2009. Hundred patients of inflammation of epididymis and testis were included in this study.Results:Out of 100 patients, majority (48%) were in monogamous relationship. All patients (100%) had scrotal pain, 22% had scrotal swelling, 59% had fever, 32% had dysuria and 11% had urethral discharge. All patients presented with tenderness of the testis and epididymis and 82% cases had both epididymal and testicular swelling. Thirty two percent cases had urinary tract infection, trauma and promiscuous sexual contact were associated with the disease in 2% and 18% cases, respectively. History of masturbation was noted in 18% cases. By urine routine microscopy 28% had pus cell and 03% had RBC in urine, 16 cases were positive in urine culture, among 15% were E.coll and 01% were found Klebsiela. Forty patients were tested Chlamydial CFT and 16(40%) were found positive, out of 12 Filarial CFT tested 01(8.33 %) was found positive, Gram staining of urethral discharge revealed Neisseria gonorhhoae in 02(18.18%) cases. In maximum cases no actiological factor was found. Majority cases under 35 years were infected with Chlamydia and patients older than 35 years were mostly infected with E.coli.Conclusion:This study reflects that maximum of our study patients report to hospital nearly at right time with relatively better health status and outcome of available treatment facilities are satisfactory.

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Microbiological Study of Chronic Suppurative Otitis Media

Bangladesh Medical Journal ◽

10.3329/bmj.v46i2.40210 ◽

2019 ◽

Vol 46 (2) ◽

pp. 7-9

Author(s):

Rifat Nousin Shumi ◽

Abdullah Siddiqe ◽

Arefa Akter

Keyword(s):

Otitis Media ◽

Age Groups ◽

Chronic Suppurative Otitis Media ◽

Klebsiella Pneumonia ◽

Biochemical Tests ◽

College Hospital ◽

Suppurative Otitis Media ◽

Medical College ◽

Microbiological Profile ◽

Gram Staining

Chronic suppurative otitis media (CSOM) is a prevailing and notorious infection in developing countries causing serious local damage and threatening complications. The purpose of the present study was determine the microbiological profile of isolates from discharge in CSOM. This study was conducted at out-patient department of ENT at Rajshahi Medical College Hospital, Rajshahi from January 2014 to December 2014. Samples were taken from 185 patients (both male and female) in all age groups suffering from chronic suppurative otitis media. Their Gram staining, culture, and biochemical tests were carried out to identify the organisms. It showed the predominance by staphylococcus aereus (29.13%), followed by Pseudomonas Aeruginosa (22.83%), Streptococcus Pyogen (14.96%), E.Coli (9.44%), Proteus Mirabilis (6.29%), Klebsiella Pneumonia ( 4.72%). Bangladesh Med J. 2017 May; 46 (2): 7-9

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Clinical Profile of Meningitis in Children

TAJ Journal of Teachers Association ◽

10.3329/taj.v28i1.39060 ◽

2018 ◽

Vol 28 (1) ◽

pp. 6-11

Author(s):

MB Uddin ◽

M Rahman ◽

KI Jahan ◽

S Yeasmin ◽

F Rahman

Keyword(s):

Aseptic Meningitis ◽

Clinical Problem ◽

Cross Sectional Study ◽

Suspected Case ◽

Pyogenic Meningitis ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Meningitis In Children ◽

Untreated Individuals

Meningitis is an emergency clinical problem in pediatrics. The mortality from meningitis is close to 100% in untreated individuals and can still be up to 40% in children who received appropriate antibiotic therapy in developing countries. A cross sectional study was done to address the common presentation of meningitis among the children. The study was conducted in the Pediatric unit of Rajshahi Medical College Hospital from March 2008 to July 2009. A total of 130 suspected case of meningitis patients were included in the study. Among them 102 were diagnosed as meningitis of 66 children with pyogenic meningitis, 36 children with aseptic meningitis and 28 children without meningitis were taken as non meningitis group. This study showed that all patients (100%) had fever. 97 (95.10%) had symptom of convulsion. Vomiting was present in 62 (60.78%), excessive cry or irritability present in 50(49%) cases. This study expressed that 75 (73.53%) patients had bulged fontanel. Neck rigidity was present in 67 (65.69%). Only 32.35% had kernig’s sign positive and 17.65% present with Brudginsky’s sign positive. The infancy was the most vulnerable age for pyogenic meningitis. H. influenzae were the leading pathogen (24.24%) in infancy followed by S. pneumoniae (21.21%). The result shows that among 66 pyogenic meningitis, 26 (39.39%) were completely cured and 24 (36.37%) were cured with sequelae. Out of 36 aseptic meningitis 27 (75.00%) were completely cure.TAJ 2015; 28(1): 6-11

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Oral submucous fibrosis: is it a collagen disease? A study in search for its aetiology

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20191731 ◽

2019 ◽

Vol 5 (3) ◽

pp. 690

Author(s):

Mohan Bansal

Keyword(s):

Oral Submucous Fibrosis ◽

Tertiary Care ◽

Geographical Area ◽

Collagen Disease ◽

College Hospital ◽

Medical College ◽

Uncommon Disease ◽

Autoimmune Conditions ◽

Submucous Fibrosis ◽

Haematological Study

Background: The aetiopathogenesis of oral submucous fibrosis (OSMF), though not an uncommon disease, is not yet well established. OSMF is prevalent in the geographical area of study. These were the driving factors to conduct this study. This haematological study in patients with oral submucous fibrosis was conducted to find out some definite causative features so that an effective treatment regime could be evolved.Methods: This prospective hospital-based observational study was conducted in the Department of Otorhinolaryngology (ENT) and Pathology in a tertiary care medical college hospital. The 150 clinically diagnosed patients were enrolled for the study. Routine laboratory tests were done to identify markers which would suggest autoimmune conditions. Results: In 124 cases (83%), mild to moderately anaemia was observed while 75 cases (50%) showed raised ESR. Lymphocytosis and eosinophilia were observed in 42 cases (28%) and 48 cases (32%) respectively. Hyperglobulinaemia was observed in 45 cases (30%). In 18 cases (12%) leukocytosis was observed. In 30 cases (20%), pus cells were seen in urine, while ova and cysts were found present in 42 cases (28%).Conclusions: The present study could not establish the commonly claimed theory of collagen disease. The exact aetiology of OSMF is not yet known. Some genetic factors seem to play a role, which make some people predisposed to react abnormally to chronic masticatories of different forms of areca nut, tobacco and areca leaves. Therefore further research in the direction of genetic studies will perhaps reveal the exact cause of OSMF.

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Urinary Bladder Tuberculosis - A Case Report

Faridpur Medical College Journal ◽

10.3329/fmcj.v5i2.6826 ◽

1970 ◽

Vol 5 (2) ◽

pp. 66-68

Author(s):

MY Ali ◽

SA Fattah ◽

MM Islam ◽

MM Haque ◽

AK Biswas ◽

...

Keyword(s):

Urinary Bladder ◽

Histopathological Examination ◽

College Hospital ◽

Medical College ◽

Tb Treatment ◽

Uncommon Disease ◽

History Of ◽

Uncommon Condition ◽

Urinary Tuberculosis ◽

The Masses

Genito-urinary tuberculosis is an infrequent but not uncommon condition in countries with high incidence of tuberculosis like Bangladesh. A female patient of 25 years was admitted into Faridpur Medical college Hospital with acute retention of urine with history of haematuria, dysuria, fever and difficulty in urination for about three years. USG revealed few masses in the urinary bladder, later proved by histopathological examination as granulomatous lesion consistent with tuberculosis. Anti-TB treatment was given and the masses were removed surgically. With this treatment recovery of the patient is satisfactory and symptoms are disappearing. The aim of this study to make internist more efficient to diagnose the disease by strong clinical suspicion and relevant laboratory investigation, otherwise such uncommon disease and its complications may endanger life of such patient. DOI: 10.3329/fmcj.v5i2.6826Faridpur Med. Coll. J. 2010;5(2):66-68

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Silicosis - A Case Report

Faridpur Medical College Journal ◽

10.3329/fmcj.v5i2.6827 ◽

1970 ◽

Vol 5 (2) ◽

pp. 69-71

Author(s):

MY Ali ◽

SA Fattah ◽

MT Alam ◽

F Ahmed ◽

SS Parveen ◽

...

Keyword(s):

Case Report ◽

College Hospital ◽

Medical College ◽

Silica Dust ◽

Uncommon Disease ◽

Similar Disease ◽

Chest X Ray ◽

Stone Cutting ◽

Good Number ◽

Protective Mask

Silicosis is not an uncommon disease in Bangladesh as a good number of people are exposed to silica dust in their working places. Again pulmonary tuberculosis is also common here, the risk of which is increased by about 30 folds in silicosis. In the reported case, a young stone cutter of 40 years was admitted to Faridpur Medical College Hospital with progressive dyspnoea, dry cough and radiological appearance of multiple small and a large nodular pulmonary mass. Two of his brothers, also stonecutter, died of similar disease. In this context the patient was diagnosed as a case of chronic complicated silicosis and treated symptomatically as there is no curative treatment. A good number of people are engaged in stone cutting in our country including Faridpur district and are vulnerable to this progressive and non-curable disease. To aim of this case report is to make those people to be aware about the condition, so that they can protect themselves by taking appropriate measures (i.e. using protective mask) and should monitored their condition by regular chest x-ray. If early signs of silicosis is detected the worker should changed their job. DOI: 10.3329/fmcj.v5i2.6827Faridpur Med. Coll. J. 2010;5(2):69-71

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Microbiological surveillance of hospital environment in a Medical College Hospital in Kathmandu, Nepal

International Journal of Infection and Microbiology ◽

10.3126/ijim.v1i2.7410 ◽

2013 ◽

Vol 1 (2) ◽

pp. 76-79 ◽

Cited By ~ 2

Author(s):

SB Pradhan ◽

CD Shrestha

Keyword(s):

Infection Control ◽

Teaching Hospital ◽

Descriptive Analysis ◽

College Teaching ◽

Hospital Environment ◽

Clinical Microbiology Laboratory ◽

College Hospital ◽

Medical College ◽

Gram Staining ◽

Before And After

INTRODUCTION: Hospital acquired infections (HAI) are serious problems in the patient care and management despite antimicrobial therapy and advances in supportive care in developing countries. Regular cleaning following institutionalized guidelines of infection control policies can minimize the possibility of contamination and prevent the HAI so that the morbidity and mortality related to HAI will be reduced. MATERIALS AND METHODS: Descriptive analysis of the culture growth of the samples from different sites of the Kathmandu Medical College Teaching Hospital (KMCTH) environment from 4th March, 2011 to 4th April, 2012 was done. The swabs were taken before and after fumigation and disinfection and number of colonies grown were used to monitor the effectiveness of the intervention. The cultures and Gram staining were performed as per standard microbiological procedures in Clinical Microbiology Laboratory, Department of Pathology, Kathmandu Medical College Teaching Hospital. RESULTS: Almost all the floors of the hospital wards swabbed were contaminated with the bacteria. The bacteria that grew from the environment ranged from 50 to 140 colonies in Medical Intensive Care Unit and Special High Care Unit respectively. Common contaminants were Staphylococci spp., Gram negative diplococcic, and Gram positive. The Staphylococci spp. contaminated air in most of the wards. The number of colonies after fumigation and disinfection were drastically decreased from no growth to 15 colonies. CONCLUSIONS: Environment was contaminated with microorganisms. Even after regular cleaning and disinfection, bacterial growth was seen. To prevent any contamination prior HAI develops, hospital needs to develop programmes for the implementation of good infection control practices. DOI: http://dx.doi.org/10.3126/ijim.v1i2.7410 Int J Infect Microbiol 2012;1(1):76-79

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Magnitude of cancer patients in a teaching hospital

Bangladesh Medical Journal Khulna ◽

10.3329/bmjk.v44i1-2.10471 ◽

2012 ◽

Vol 44 (1-2) ◽

pp. 18-20

Author(s):

MK Sarker ◽

SS Rahman

Keyword(s):

Cancer Patients ◽

Primary Data ◽

College Hospital ◽

Total Study Population ◽

Medical College ◽

Radiotherapy Department ◽

Study Population ◽

Treatment Facilities ◽

Data Source

This was an observational study carried out among all cancer patients attended at radiotherapy department of Khulna medical college hospital between January 2010 and December 2010. The study aimed to develop a primary data source for further research and improvement of patient care. Data were collected by a questionnaire. Total study population was 321 and out of them 158 was male and 163 were female. Top five organs involved with malignancies of both sexes are breast (14.64%), non-Hodgkins Lymphoma (1 0.59%), lung (7.79%), mouth and oral cavity (7.48%), and stomach (7.48%). This hospital-based cancer registry should be maintained to improve the treatment facilities and follow-up system.DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10471Bang Med J (Khulna) 2011: 44(1&2) 18-24

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Microbial aspect of aspiration pneumonia in patients with altered consciousness admitted in Dhaka Medical College Hospital, Bangladesh

Journal of Dhaka Medical College ◽

10.3329/jdmc.v22i2.21517 ◽

2015 ◽

Vol 22 (2) ◽

pp. 110-114

Author(s):

Md Rashed Alam Chowdhury ◽

Khan Abul Kalam Azad ◽

Mohammad Zaid Hossain ◽

Md Hafiz Sardar ◽

Mahmudur Rahman Siddiqui ◽

...

Keyword(s):

Blood Culture ◽

Aspiration Pneumonia ◽

Altered Consciousness ◽

College Hospital ◽

Gram Negative ◽

Medical College ◽

Gram Staining ◽

Agar Media ◽

The Mean ◽

Gram Positive Cocci

Context: Aspiration Pneumonia is a common complication in patients with altered consciousness, if general supportive care is not taken properly. There is no national study on microbial aspect of aspiration pneumonia in hospitalized patients with altered consciousness. This study was done to see the microbial aspect of aspiration pneumonia in patients with altered consciousness admitted in a tertiary level hospital in Bangladesh. Methods: A prospective observational study was done on 50 adult patients of aspiration pneumonia with altered consciousness admitted in the medicine department of medicine, Dhaka Medical College Hospital, Dhaka, between January and December 2010. Aspiration pneumonia was confirmed by clinical examination and laboratory investigations. Hematologic measurements, chest x-ray, blood gas analysis, estimation of blood urea, serum creatinine and random blood sugar were done in all patients. Sputum for gram staining and culture & sensitivity as well as blood culture & sensitivity were done in patients who were diagnosed as aspiration pneumonia clinically and radiologically. Validated sputum was cultured in blood agar, chocolate agar and McConkeys agar media. Blood culture was done in trypticase soya broth, blood agar, chocolate agar and McConkeys agar media. Results: The mean age was 38.9±17.3 years. 35 (70%) patients were male and 15 (30%) patients were female. Blood culture was found positive in 30.8% patients who developed aspiration pneumonia among the study patients. In sputum for Gram staining, only Gram positive Cocci was present in 46.15%, only Gram negative Bacilli was present in 38.46%, mixed Gram positive cocci and Gram negative bacilli was present in 7.7% and Gram negative Coccobacilli was found in 7.7% patients who developed aspiration pneumonia among the study patients. In growth positive cases (n=11) sputum culture revealed 45.45% streptococcus pneumoniae, 36.36% Klebsiella pneumoniae, 9% Pseudomonas species and 9% Haemophylus influenzae. The mean duration of hospital stay was 8.12±2.42 days with ranging from 4 to 14 days DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21517 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 110-114

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Pattern of Carbapenem Resistance in Enterobacteriaceae in Rajshahi Medical College Hospital

TAJ Journal of Teachers Association ◽

10.3329/taj.v33i2.51341 ◽

2020 ◽

Vol 33 (2) ◽

pp. 63-68

Author(s):

Ayesha Siddica ◽

Md Bulbul Hasan ◽

Md Shah Alam ◽

Sabera Gul Nahar ◽

Nurjahan Begum ◽

...

Keyword(s):

Carbapenem Resistance ◽

Medical College Hospital ◽

Biochemical Tests ◽

College Hospital ◽

E Coli ◽

Medical College ◽

Gram Staining ◽

Carbapenem Resistant ◽

Colonial Morphology ◽

Carbapenem Resistant Enterobacteriaceae

The global emergence and spread of Carbapenem Resistant Enterobacteriaceae have been threatening the ability to treat an infection. Hence the present study was carried out with the aim to isolate important members of Enterobacteriaceae family with identification of carbapenem resistant isolates among them. The study was done in the Department of Microbiology, Rajshahi Medical College with collaboration of different disciplines of RMCH from January 2019 to December 2019. Samples were collected purposively. Causative organisms were isolated by culture and identified by colonial morphology, gram staining and relevant biochemical tests. Identified Enterobacteriaceae those showed resistance to carbapenem (imipenem, meropenem) were tested phenotypically by Modified Hodge Test (MHT) to see carbapenemase production. A total of 97 Enterobacteriaceae were isolated from 275 samples. E. coli (54.64%) was the most frequent isolate. By Modified Hodge Test, 19(19.59%) bacteria were phenotypically confirmed as Carbapenem Resistant Enterobacteriaceae (CRE). This study signifies that carbapenem resistance is increasing at an alarming rate. TAJ 2020; 33(2): 63-68

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SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i5.1143 ◽

2020 ◽

Vol 4 (5) ◽

Author(s):

Monika Kushwaha ◽

Sanjeev Narang

Keyword(s):

Preterm Birth ◽

Comparative Study ◽

Pregnancy Outcome ◽

Neonatal Morbidity ◽

Research Centre ◽

College Hospital ◽

Cross Sectional ◽

Chorionic Villi ◽

Term Birth ◽

Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

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