Pub Date : 2023-08-30DOI: 10.32553/ijmbs.v7i8.2734
Kiran P. Khavte, Rohan K. Khavte, Sandhya K. Khavete, Sampada Khavte
Introduction: One of the most frequently fractured bones, the clavicle accounts for 2.6–4% of all fractures. 73% of these are displaced midshaft clavicular fractures, and 69 to 82% of these occur in the middle portion of the clavicle. For displaced clavicle fractures, including one with NV compromise and skin tenting, surgery has been recommended. Peroni published the first description of intramedullary treatment for clavicular fractures in 1950. The adoption of a TENS nail has benefits such as less soft tissue damage, a shorter surgical procedure, better cosmetic outcomes, load sharing fixation with relative stability, and abundant callus production.
Material and Methods: A prospective study of 20 patients who had TENS nailing treatment after presenting to our institute between January 2022 and June 2023 with displaced midshaft clavicle fractures was conducted. Constant Murley and DASH scores were completed for each patient at 6 and 12 weeks.
Results: All the patients achieved clinical and radiological union at a mean of 7.6 ± 2.89 weeks and 18.8 ± 5.87 weeks respectively.85% of the patient had excellent Constant Murley score on follow up. Based on the assessment parameters (Disability of Arm Shoulder and Hand) Score, the mean DASH score was 24.90 ± 3.21and16.45 ± 3.33at the end of 6 and 12 weeks respectively.
Conclusion: Midshaft clavicle fractures can be safely fixed intramedullarily utilising TENS, and in our experience, this procedure yields both good functional and aesthetic benefits.
Keywords: Clavicle, Intramedullary, Tens, Fracture
{"title":"A Case Series on Tens Nailing in Fracture Clavicle","authors":"Kiran P. Khavte, Rohan K. Khavte, Sandhya K. Khavete, Sampada Khavte","doi":"10.32553/ijmbs.v7i8.2734","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i8.2734","url":null,"abstract":"Introduction: One of the most frequently fractured bones, the clavicle accounts for 2.6–4% of all fractures. 73% of these are displaced midshaft clavicular fractures, and 69 to 82% of these occur in the middle portion of the clavicle. For displaced clavicle fractures, including one with NV compromise and skin tenting, surgery has been recommended. Peroni published the first description of intramedullary treatment for clavicular fractures in 1950. The adoption of a TENS nail has benefits such as less soft tissue damage, a shorter surgical procedure, better cosmetic outcomes, load sharing fixation with relative stability, and abundant callus production.
 Material and Methods: A prospective study of 20 patients who had TENS nailing treatment after presenting to our institute between January 2022 and June 2023 with displaced midshaft clavicle fractures was conducted. Constant Murley and DASH scores were completed for each patient at 6 and 12 weeks.
 Results: All the patients achieved clinical and radiological union at a mean of 7.6 ± 2.89 weeks and 18.8 ± 5.87 weeks respectively.85% of the patient had excellent Constant Murley score on follow up. Based on the assessment parameters (Disability of Arm Shoulder and Hand) Score, the mean DASH score was 24.90 ± 3.21and16.45 ± 3.33at the end of 6 and 12 weeks respectively.
 Conclusion: Midshaft clavicle fractures can be safely fixed intramedullarily utilising TENS, and in our experience, this procedure yields both good functional and aesthetic benefits.
 Keywords: Clavicle, Intramedullary, Tens, Fracture","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-30DOI: 10.32553/ijmbs.v7i8.2721
Tendi Fauzi, Endang Syamsudin, Melita Sylvyana
Introduction: Prior to the COVID-19 pandemic, motor vehicle accidents, falls, physical assaults, and sports injuries were the main causes of maxillofacial trauma. The existence of interventions to prevent the COVID-19 pandemic resulted in home-centered social activities in the community. This also contributes to alterations in the aetiology of maxillofacial trauma that occur worldwide and may affect other characteristics of this entity. Methods:This is a retrospective study conducted at the Hasan Sadikin Hospital, Bandung, West Java, Indonesia, and was carried out in September–December 2022. The population of this study were maxillofacial trauma patients with diagnoses of vulnus (laceratum, schissum, punctum, and morsum), frontal, mandibular, maxillary fractures, orbit, naso-orbito-ethmoid (NOE), zygomaticus, and dentoalveolar fractures before the 2018–2019 pandemic period and during the 2020–2021 pandemic period at the Oral and Maxillofacial Surgery Department at RSUP Dr. Hasan Sadikin Bandung through the emergency department.The variables studied included age, gender, type of trauma, etiology, alcohol involvement, and management.The data are presented as frequency distribution and percentage in tabular and diagram. Results: During the 2018–2021 periods, there were 504 patients who experienced maxillofacial trauma before the COVID-19 pandemic, and this number has decreased to 216 patients during the COVID-19 pandemic. The majority of maxillofacial trauma experienced both before (n = 314; [62%]) and during (n = 166; [77%]) the COVID-19 pandemic was caused by motor vehicle accidents. Most of patients before the COVID-19 pandemic were aged 0–19 years (n = 230; [46%]), meanwhile, during the COVID-19 pandemic most patients were aged 20–39 years (n = 88; [41%]).Overall, there were no differences in sex characteristics, alcohol involvement, type of maxillofacial trauma, or treatment given before and during the COVID-19 pandemic. Conclusion: The existence of interventions to prevent the COVID-19 pandemic by imposing Large-Scale Social Restrictions (PSBB) has resulted in modifications to community social activities that are centered in the home. This factor contributed to some differences in the characteristics of maxillofacial trauma patients at the Oral and Maxillofacial Surgery Department in Hasan Sadikin Hospital before and during the COVID-19 pandemic. Keywords: Maxillofacial trauma, Characteristics, COVID-19
{"title":"Characteristics of Maxilllofacial Trauma Patiens before and during the Covid-19 Pandemic in Oral and Maxilllofacial Surgery Department of Dr. Hasan Sadikin Hospital Bandung","authors":"Tendi Fauzi, Endang Syamsudin, Melita Sylvyana","doi":"10.32553/ijmbs.v7i8.2721","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i8.2721","url":null,"abstract":"Introduction: Prior to the COVID-19 pandemic, motor vehicle accidents, falls, physical assaults, and sports injuries were the main causes of maxillofacial trauma. The existence of interventions to prevent the COVID-19 pandemic resulted in home-centered social activities in the community. This also contributes to alterations in the aetiology of maxillofacial trauma that occur worldwide and may affect other characteristics of this entity. Methods:This is a retrospective study conducted at the Hasan Sadikin Hospital, Bandung, West Java, Indonesia, and was carried out in September–December 2022. The population of this study were maxillofacial trauma patients with diagnoses of vulnus (laceratum, schissum, punctum, and morsum), frontal, mandibular, maxillary fractures, orbit, naso-orbito-ethmoid (NOE), zygomaticus, and dentoalveolar fractures before the 2018–2019 pandemic period and during the 2020–2021 pandemic period at the Oral and Maxillofacial Surgery Department at RSUP Dr. Hasan Sadikin Bandung through the emergency department.The variables studied included age, gender, type of trauma, etiology, alcohol involvement, and management.The data are presented as frequency distribution and percentage in tabular and diagram. Results: During the 2018–2021 periods, there were 504 patients who experienced maxillofacial trauma before the COVID-19 pandemic, and this number has decreased to 216 patients during the COVID-19 pandemic. The majority of maxillofacial trauma experienced both before (n = 314; [62%]) and during (n = 166; [77%]) the COVID-19 pandemic was caused by motor vehicle accidents. Most of patients before the COVID-19 pandemic were aged 0–19 years (n = 230; [46%]), meanwhile, during the COVID-19 pandemic most patients were aged 20–39 years (n = 88; [41%]).Overall, there were no differences in sex characteristics, alcohol involvement, type of maxillofacial trauma, or treatment given before and during the COVID-19 pandemic. Conclusion: The existence of interventions to prevent the COVID-19 pandemic by imposing Large-Scale Social Restrictions (PSBB) has resulted in modifications to community social activities that are centered in the home. This factor contributed to some differences in the characteristics of maxillofacial trauma patients at the Oral and Maxillofacial Surgery Department in Hasan Sadikin Hospital before and during the COVID-19 pandemic. Keywords: Maxillofacial trauma, Characteristics, COVID-19","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-27DOI: 10.32553/ijmbs.v7i8.2740
Tarique Aziz, Charu Gunjal, G G Kaushik
Background: Is to investigate the level of Obestatin in PCOS patients and compare with controls and also see the correlations between the serum Obestatin levels and HOMA-IR.
Patients and methods: We analyzed 30 patients with PCOS and 20 normal women as controls. PCOS patients were divided into two groups based on obese group and non-obese group Serum Obestatin levels, Insulin Homeostasis Model Assessment for Insulin Resistance (HOMA-IR) determined and compared among both groups.
Results: Serum Obestatin levels were significantly lower in obese PCOS group than non-obese and control.
{"title":"Serum Obestatin Levels in PCOS and its Relation with Homa-IR","authors":"Tarique Aziz, Charu Gunjal, G G Kaushik","doi":"10.32553/ijmbs.v7i8.2740","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i8.2740","url":null,"abstract":"Background: Is to investigate the level of Obestatin in PCOS patients and compare with controls and also see the correlations between the serum Obestatin levels and HOMA-IR.
 Patients and methods: We analyzed 30 patients with PCOS and 20 normal women as controls. PCOS patients were divided into two groups based on obese group and non-obese group Serum Obestatin levels, Insulin Homeostasis Model Assessment for Insulin Resistance (HOMA-IR) determined and compared among both groups.
 Results: Serum Obestatin levels were significantly lower in obese PCOS group than non-obese and control.","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135181865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-22DOI: 10.32553/ijmbs.v7i8.2724
Jyoti Goyal, Shrinkhla Sinha, Abhishek Bansal, Raghavendra K Giri, Nitin Kumar, Deepa Jacob
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome can be severe and life-threatening especially in critical care setting if not diagnosed and treated in time. DRESS syndrome is an idiosyncratic drug reaction characterized by rash, fever, eosinophilia, lymphadenopathy and internal organ. Regis CAR (European Registry of Severe Cutaneous Adverse Reaction) scoring system is used for its diagnosis. Diagnosis of this syndrome can be challenging in critical care setting due to nonspecific clinical features, multiple confounding factors, use of polypharmacy, and its resemblance with sepsis and septic shock of varied etiologies. We report a case of 15-year-old boy who developed this syndrome after starting sulfasalazine, HCQ and NSAIDS all together, one month back for treatment of ankylosing spondylitis. This case report focuses on early suspicion and identification of this syndrome in critical care setting. This in turn should help in effective treatment of the illness by stopping offending drugs and timely initiation of steroid therapy. Further it may help in judicious use of antibiotics by holding irrational use of these drugs.
{"title":"DRESS Syndrome in ICU : A Diagnostic Dilemma.","authors":"Jyoti Goyal, Shrinkhla Sinha, Abhishek Bansal, Raghavendra K Giri, Nitin Kumar, Deepa Jacob","doi":"10.32553/ijmbs.v7i8.2724","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i8.2724","url":null,"abstract":"Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome can be severe and life-threatening especially in critical care setting if not diagnosed and treated in time. DRESS syndrome is an idiosyncratic drug reaction characterized by rash, fever, eosinophilia, lymphadenopathy and internal organ. Regis CAR (European Registry of Severe Cutaneous Adverse Reaction) scoring system is used for its diagnosis. Diagnosis of this syndrome can be challenging in critical care setting due to nonspecific clinical features, multiple confounding factors, use of polypharmacy, and its resemblance with sepsis and septic shock of varied etiologies. We report a case of 15-year-old boy who developed this syndrome after starting sulfasalazine, HCQ and NSAIDS all together, one month back for treatment of ankylosing spondylitis. This case report focuses on early suspicion and identification of this syndrome in critical care setting. This in turn should help in effective treatment of the illness by stopping offending drugs and timely initiation of steroid therapy. Further it may help in judicious use of antibiotics by holding irrational use of these drugs.","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135717117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-16DOI: 10.32553/ijmbs.v7i6.2717
Fadly Rasyif, E. Sjamsudin, Eka Marwansyah
Introduction: Traffic accidents commonly cause maxillofacial trauma but rarely industrial accidents. Treatment of multiple maxillofacial traumas needs comprehensive and immediate care to prevent further complications. Objective: Management of a maxillofacial fracture accompanied by dislocation of the right temporomandibular joint due to a fall in a rice mill. Case report: A 20-year-old male patient complained of bleeding and facial fractures due to a rice milling accident approximately one day before admission. The case diagnosis was multiple maxillofacial fractures with condyle dislocation. Emergency oral and maxillofacial surgery was performed immediately and quickly with minimal intervention on the upper jaw to prevent persistent cerebrospinal fluid leakage and prevent infection. Definitive treatment was soft tissue reconstruction, ORIF of the maxillary and mandibular fractures, and repositioning of the condyle dislocation. Conclusion: Multiple facial bone fractures accompanied by TMJ dislocation can result in deformity and loss of facial function affecting the patient's social life. Immediate action and open reduction internal fixation (ORIF) procedure performed in this case were able to restore stomatognathic and facial function. Keywords: Industrial accident, maxillofacial trauma, open reduction internal fixation, temporal mandibular joint dislocation Introduction: Traffic accidents commonly cause maxillofacial trauma but rarely industrial accidents. Treatment of multiple maxillofacial traumas needs comprehensive and immediate care to prevent further complications. Objective: Management of a maxillofacial fracture accompanied by dislocation of the right temporomandibular joint due to a fall in a rice mill. Case report: A 20-year-old male patient complained of bleeding and facial fractures due to a rice milling accident approximately one day before admission. The case diagnosis was multiple maxillofacial fractures with condyle dislocation. Emergency oral and maxillofacial surgery was performed immediately and quickly with minimal intervention on the upper jaw to prevent persistent cerebrospinal fluid leakage and prevent infection. Definitive treatment was soft tissue reconstruction, ORIF of the maxillary and mandibular fractures, and repositioning of the condyle dislocation. Conclusion: Multiple facial bone fractures accompanied by TMJ dislocation can result in deformity and loss of facial function affecting the patient's social life. Immediate action and open reduction internal fixation (ORIF) procedure performed in this case were able to restore stomatognathic and facial function. Keywords: Industrial accident, maxillofacial trauma, open reduction internal fixation, temporal mandibular joint dislocation
{"title":"Management of Unilateral TMJ Dislocated Facial Bone Fracture due to an rarely Industrial Accident","authors":"Fadly Rasyif, E. Sjamsudin, Eka Marwansyah","doi":"10.32553/ijmbs.v7i6.2717","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i6.2717","url":null,"abstract":"Introduction: Traffic accidents commonly cause maxillofacial trauma but rarely industrial accidents. Treatment of multiple maxillofacial traumas needs comprehensive and immediate care to prevent further complications.\u0000Objective: Management of a maxillofacial fracture accompanied by dislocation of the right temporomandibular joint due to a fall in a rice mill.\u0000Case report: A 20-year-old male patient complained of bleeding and facial fractures due to a rice milling accident approximately one day before admission. The case diagnosis was multiple maxillofacial fractures with condyle dislocation. Emergency oral and maxillofacial surgery was performed immediately and quickly with minimal intervention on the upper jaw to prevent persistent cerebrospinal fluid leakage and prevent infection. Definitive treatment was soft tissue reconstruction, ORIF of the maxillary and mandibular fractures, and repositioning of the condyle dislocation.\u0000Conclusion: Multiple facial bone fractures accompanied by TMJ dislocation can result in deformity and loss of facial function affecting the patient's social life. Immediate action and open reduction internal fixation (ORIF) procedure performed in this case were able to restore stomatognathic and facial function.\u0000Keywords: Industrial accident, maxillofacial trauma, open reduction internal fixation, temporal mandibular joint dislocation\u0000Introduction: Traffic accidents commonly cause maxillofacial trauma but rarely industrial accidents. Treatment of multiple maxillofacial traumas needs comprehensive and immediate care to prevent further complications.\u0000Objective: Management of a maxillofacial fracture accompanied by dislocation of the right temporomandibular joint due to a fall in a rice mill.\u0000Case report: A 20-year-old male patient complained of bleeding and facial fractures due to a rice milling accident approximately one day before admission. The case diagnosis was multiple maxillofacial fractures with condyle dislocation. Emergency oral and maxillofacial surgery was performed immediately and quickly with minimal intervention on the upper jaw to prevent persistent cerebrospinal fluid leakage and prevent infection. Definitive treatment was soft tissue reconstruction, ORIF of the maxillary and mandibular fractures, and repositioning of the condyle dislocation.\u0000Conclusion: Multiple facial bone fractures accompanied by TMJ dislocation can result in deformity and loss of facial function affecting the patient's social life. Immediate action and open reduction internal fixation (ORIF) procedure performed in this case were able to restore stomatognathic and facial function.\u0000Keywords: Industrial accident, maxillofacial trauma, open reduction internal fixation, temporal mandibular joint dislocation","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77942593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-08DOI: 10.32553/ijmbs.v7i8.2723
Chitresh Shekhawat, Neetu Singh, Gaurav Sharma
Peripheral vascular malformations (PVMs) include a wide spectrum of diseases that can produce potentially life- or limb-threatening complications. The International Society for the Study of Vascular Anomalies (ISSVA) Classification System categorized vascular anomalies into two basic types, the vaso proliferative or vascular neoplasms and developmental vascular abnormalities.
Method: A retrospective, cross-sectional study was conducted for the period of 2 year. All patients under surgery OPD with a Peripheral limb vascular anomaly excluding upper limbs and lower limbs were taken into the study and investigated and followed up for at least 6 months.
Result: In this study, out of 38 patients 26 patients (12 (44%) males and 14 (56%) females) were diagnosed withvascular malformation of upper and lower limbs. It is observed that low flow lesions are more common in both upper and lower limbs. Male patients with these lesions tend to present much later in life than female patients.
Conclusion: AVMs show variance in site and type based on gender. Male patients were more likely present with high-flow AVMs in lower limbs whereas female patients typically presented with low-flow AVMs on the upper extremities.
Keywords: Peripheral limb vascular malformations, varicose veins, AVM.
{"title":"Incidence of Peripheral Vascular Malformations of Limbs in SMS Hospital Jaipur","authors":"Chitresh Shekhawat, Neetu Singh, Gaurav Sharma","doi":"10.32553/ijmbs.v7i8.2723","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i8.2723","url":null,"abstract":"Peripheral vascular malformations (PVMs) include a wide spectrum of diseases that can produce potentially life- or limb-threatening complications. The International Society for the Study of Vascular Anomalies (ISSVA) Classification System categorized vascular anomalies into two basic types, the vaso proliferative or vascular neoplasms and developmental vascular abnormalities.
 Method: A retrospective, cross-sectional study was conducted for the period of 2 year. All patients under surgery OPD with a Peripheral limb vascular anomaly excluding upper limbs and lower limbs were taken into the study and investigated and followed up for at least 6 months.
 Result: In this study, out of 38 patients 26 patients (12 (44%) males and 14 (56%) females) were diagnosed withvascular malformation of upper and lower limbs. It is observed that low flow lesions are more common in both upper and lower limbs. Male patients with these lesions tend to present much later in life than female patients.
 Conclusion: AVMs show variance in site and type based on gender. Male patients were more likely present with high-flow AVMs in lower limbs whereas female patients typically presented with low-flow AVMs on the upper extremities.
 Keywords: Peripheral limb vascular malformations, varicose veins, AVM.","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135841296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-30DOI: 10.32553/ijmbs.v7i7.2718
Vijendra Sharma, Saurabh Bagra, Vivek Sharma, Ashok Kumar Rajpura, H C Badjatya
Introduction: A liver abscess is infective disease of liver parenchyma having collection of purulent material that can develop as a consequence of injury to the hepatic tissue or via portal vein from any source of infection within abdominal cavity. Mostly liver abscess are either due to amoebic infection or pyogenic bacterial infection but in some cases, etiologies like fungal, tubercular or sometimes mixed infections is also seen. Material and Methods: This present cross-sectional study was carried out by recruiting 137 patients diagnosed of having liver abscess at medical OPD at JLN Hospital, Ajmer during the year December 2019 – June 2021. All the patients with confirmed liver abscess were included in this study. Patients age below 18 years, critically ill patient (Including patients having ruptured liver abscess at the time of presentation and requiring surgical intervention), Pregnancy and GI Malignancy Results: 137 liver abscess patients were studied and males from lower middle class with a mean age of 38.41±8.81 years were more affected. Biochemical, serological, stool test, radiological and Mantoux test were performed and the mean alkaline phosphatase, GGT, SGOT, SGPT, bilirubin (Total/Direct/Indirect) and PT/INR were found to be raised. Discussion: Right lobe of liver abscess was solitary. Right side pleural effusion followed by elevation of right hemidiaphragm was the abnormality diagnosed through X-ray. The survival rate was higher either with percutaneous needle drainage or pigtail drainage. E.coli followed by group A beta hemolytic streptococcus, tubercular and fungal etiologies were the most commonly isolated bacteria on pus culture. Blood, urine and stool culture showed positive cultures and some patients with tubercular liver abscess had mantoux test and sputum AFB positive. Conclusion: Liver abscess is most commonly seen in male from lower middle class mostly in 4th decade of life who are non-vegetarian and alcoholic. As non-vegetarian diet and alcoholism were found to be the most common risk factors, it is suggestible to avoid/restrict their intake to avoid liver abscess. Keywords: Liver abscess, usg, Entamoeba histolytica
{"title":"A Cross Sectional Study to Assess Clinical Profile of Patients with Liver Abscess in Tertiary Care Centre at Central Rajasthan","authors":"Vijendra Sharma, Saurabh Bagra, Vivek Sharma, Ashok Kumar Rajpura, H C Badjatya","doi":"10.32553/ijmbs.v7i7.2718","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i7.2718","url":null,"abstract":"Introduction: A liver abscess is infective disease of liver parenchyma having collection of purulent material that can develop as a consequence of injury to the hepatic tissue or via portal vein from any source of infection within abdominal cavity. Mostly liver abscess are either due to amoebic infection or pyogenic bacterial infection but in some cases, etiologies like fungal, tubercular or sometimes mixed infections is also seen. Material and Methods: This present cross-sectional study was carried out by recruiting 137 patients diagnosed of having liver abscess at medical OPD at JLN Hospital, Ajmer during the year December 2019 – June 2021. All the patients with confirmed liver abscess were included in this study. Patients age below 18 years, critically ill patient (Including patients having ruptured liver abscess at the time of presentation and requiring surgical intervention), Pregnancy and GI Malignancy Results: 137 liver abscess patients were studied and males from lower middle class with a mean age of 38.41±8.81 years were more affected. Biochemical, serological, stool test, radiological and Mantoux test were performed and the mean alkaline phosphatase, GGT, SGOT, SGPT, bilirubin (Total/Direct/Indirect) and PT/INR were found to be raised. Discussion: Right lobe of liver abscess was solitary. Right side pleural effusion followed by elevation of right hemidiaphragm was the abnormality diagnosed through X-ray. The survival rate was higher either with percutaneous needle drainage or pigtail drainage. E.coli followed by group A beta hemolytic streptococcus, tubercular and fungal etiologies were the most commonly isolated bacteria on pus culture. Blood, urine and stool culture showed positive cultures and some patients with tubercular liver abscess had mantoux test and sputum AFB positive. Conclusion: Liver abscess is most commonly seen in male from lower middle class mostly in 4th decade of life who are non-vegetarian and alcoholic. As non-vegetarian diet and alcoholism were found to be the most common risk factors, it is suggestible to avoid/restrict their intake to avoid liver abscess. Keywords: Liver abscess, usg, Entamoeba histolytica","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135399373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-04DOI: 10.32553/ijmbs.v7i6.2716
S. S, Verma Sk, S. Y, K. R.
Background: Recurrent stroke provides a higher risk of fatal or debilitating complications than a first-time stroke. Over the past 40 years, the death rate from initial strokes has reduced, but the number of people at risk for subsequent strokes has grown. In order to help doctors, prescribe the most effective treatment options to lower the risk of recurrent stroke while also informing patients about the risk factors involved and strategies to reduce stroke recurrence, this study was aimed at determining the proportion and the underlying risk factors involved in recurrent stroke. Methodology: Total 84patients with recurrent stroke were studied at a single centre. A detailed history was taken and neurological examination relevant to stroke was performed. Baseline investigations like CH LFT, KFT, RBS, Lipid Profile and Chest X-Ray were done. Diagnosis of the stroke was confirmed by CT/MRI of the brain. Results: The prevalence of recurrent stroke was 25.8%. Among risk factors, alcohol consumption was reported in 34.5% of recurrent cases, smoking reported in 32.1% cases, tobacco use found in 9.5% cases, diabetes mellitus occurred in 53.57% cases and hypertension encountered in 82.1% patients. The cause of recurrence involved patient related factors in 75% cases, drug related factors in 2.4% cases and disease related factors in 45.2% cases. Conclusion: Present study concluded that recurrent stroke is common in our area. The most common factor responsible for recurrence is the patient related factors. Keywords: Recurrent stroke, Tertiary care center, Clinical profile, Neurological examination
{"title":"Clinical Profile of Patients Presenting With Recurrent Stroke at a Tertiary Care Center","authors":"S. S, Verma Sk, S. Y, K. R.","doi":"10.32553/ijmbs.v7i6.2716","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i6.2716","url":null,"abstract":"Background: Recurrent stroke provides a higher risk of fatal or debilitating complications than a first-time stroke. Over the past 40 years, the death rate from initial strokes has reduced, but the number of people at risk for subsequent strokes has grown. In order to help doctors, prescribe the most effective treatment options to lower the risk of recurrent stroke while also informing patients about the risk factors involved and strategies to reduce stroke recurrence, this study was aimed at determining the proportion and the underlying risk factors involved in recurrent stroke. \u0000Methodology: Total 84patients with recurrent stroke were studied at a single centre. A detailed history was taken and neurological examination relevant to stroke was performed. Baseline investigations like CH LFT, KFT, RBS, Lipid Profile and Chest X-Ray were done. Diagnosis of the stroke was confirmed by CT/MRI of the brain. \u0000Results: The prevalence of recurrent stroke was 25.8%. Among risk factors, alcohol consumption was reported in 34.5% of recurrent cases, smoking reported in 32.1% cases, tobacco use found in 9.5% cases, diabetes mellitus occurred in 53.57% cases and hypertension encountered in 82.1% patients. The cause of recurrence involved patient related factors in 75% cases, drug related factors in 2.4% cases and disease related factors in 45.2% cases. \u0000Conclusion: Present study concluded that recurrent stroke is common in our area. The most common factor responsible for recurrence is the patient related factors. \u0000Keywords: Recurrent stroke, Tertiary care center, Clinical profile, Neurological examination","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"43 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91456233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-03DOI: 10.32553/ijmbs.v7i6.2715
Tesa Renjani, Eka Marwansyah Oli’i, D. Maifara
Introduction: Necrotizing Fasciitis also known as flesh eating disease, is a rare, dangerous, and life threatening infection that causes extensive necrosis of muscle, fascia, subcutaneous, dermis, and epidermis tissue along fascial planes with or without overlying cellulitis. Case Report: We report a case of Necrotizing Fasciitis in a 37 year old woman who presented with swelling and neck pain for 7 days. Wound cultured showed Pseudomonas Aeruginosa. Pseudomonas aeruginosa as the culprit in Necrotizing Fasciitis of the neck region is rare and potentially fatal. Odontogenic infections are one of the reasons why this bacteria exists. Under general anesthesia, the patient underwent necrotomy debridement and tooth extraction. To date, the patient has undergone a second necrotomy debridement and closed with anterolateral thigh (ALT) free flap. The study highlights the importance of early intervention to improve outcomes. Conclusion: Treatment for this patient was necrotomy debridement and ATL free flap closure. Early detection, necrotomy debridement, and broad-spectrum antibiotic can reduce mortality and morbidity in Necrotizing Fasciitis. Keyword: Necrotizing Fasciitis, Necrotomy Debridement, Pseudomonas Aeruginosa
{"title":"Early Diagnosis and Surgical Management of Cervical Necrotizing Fasciitis Caused By Pseudomonas Aeruginosa: A Case Report","authors":"Tesa Renjani, Eka Marwansyah Oli’i, D. Maifara","doi":"10.32553/ijmbs.v7i6.2715","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i6.2715","url":null,"abstract":"Introduction: Necrotizing Fasciitis also known as flesh eating disease, is a rare, dangerous, and life threatening infection that causes extensive necrosis of muscle, fascia, subcutaneous, dermis, and epidermis tissue along fascial planes with or without overlying cellulitis. Case Report: We report a case of Necrotizing Fasciitis in a 37 year old woman who presented with swelling and neck pain for 7 days. Wound cultured showed Pseudomonas Aeruginosa. Pseudomonas aeruginosa as the culprit in Necrotizing Fasciitis of the neck region is rare and potentially fatal. Odontogenic infections are one of the reasons why this bacteria exists. Under general anesthesia, the patient underwent necrotomy debridement and tooth extraction. To date, the patient has undergone a second necrotomy debridement and closed with anterolateral thigh (ALT) free flap. The study highlights the importance of early intervention to improve outcomes. Conclusion: Treatment for this patient was necrotomy debridement and ATL free flap closure. Early detection, necrotomy debridement, and broad-spectrum antibiotic can reduce mortality and morbidity in Necrotizing Fasciitis. Keyword: Necrotizing Fasciitis, Necrotomy Debridement, Pseudomonas Aeruginosa","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139363579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.32553/ijmbs.v7i6.2714
Timotius Andi Kadrianto, Endang Syamsudin
Oroantral fistula (OAF) is an abnormal connection between the oral cavity and the maxillary sinuses. This pathology develops when the oroantral communicant fails to close spontaneously; thus, it remains patent and epithelialized. If not treated immediately, this condition might be the passage for bacteria to enter the maxillary sinuses, causing infection, sinusitis, or delayed healing. Consideration of OAF therapy should consider the width of the defect, epithelialization, and whether or not there is an infection. This article aims to understand oroantral fistula and learn about the management of this case so that it can be applied scientifically in medical practice. Keywords : Fistula, Oroantral, maxillary sinuses, oral cavity
{"title":"OROANTRAL FISTULA: An Overview","authors":"Timotius Andi Kadrianto, Endang Syamsudin","doi":"10.32553/ijmbs.v7i6.2714","DOIUrl":"https://doi.org/10.32553/ijmbs.v7i6.2714","url":null,"abstract":"Oroantral fistula (OAF) is an abnormal connection between the oral cavity and the maxillary sinuses. This pathology develops when the oroantral communicant fails to close spontaneously; thus, it remains patent and epithelialized. If not treated immediately, this condition might be the passage for bacteria to enter the maxillary sinuses, causing infection, sinusitis, or delayed healing. Consideration of OAF therapy should consider the width of the defect, epithelialization, and whether or not there is an infection. This article aims to understand oroantral fistula and learn about the management of this case so that it can be applied scientifically in medical practice. \u0000Keywords : Fistula, Oroantral, maxillary sinuses, oral cavity","PeriodicalId":14139,"journal":{"name":"International Journal of Medical and Biomedical Studies","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85270356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：