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Disseminated Cryptococcosis in an Immunocompetent Patient: A Case Study 播散性隐球菌病在免疫功能正常的病人:一个案例研究
Pub Date : 2023-08-07 DOI: 10.9734/ajrid/2023/v14i2288
Jemima Islam, Mir Wasim Ali, S. Chowdhury, Soumyadip Rakshit, Md Karimulla Mondal, Anup Kumar Datta, K. Banerjee, Soumitra Ghosh
Cryptococcosis is the fungal infection caused by the yeast that belongs to the cryptococcus species which is divided into two broad categories, Cryptococcus neoformans and Cryptococcus gattii. Cryptococcosis is the opportunistic infection in the immunocompromised individual, particularly in HIV infected individual. In immunocompetent individuals, there may be serological evidence of cryptococcal infection, but cryptococcal disease is very rare in the absence of impaired immunity. Here we are reporting a case of disseminated cryptococcosis (multiple cold abscesses, sacroiliitis and asymptomatic pulmonary nodules) in an immunocompetent patient, which was initially thought to be mycobacterium tuberculosis infection.
隐球菌病是由酵母引起的真菌感染,属于隐球菌属,隐球菌分为两大类,新隐球菌和加蒂隐球菌。隐球菌病是免疫功能低下个体,特别是HIV感染者的机会性感染。在免疫正常的个体中,可能有隐球菌感染的血清学证据,但在没有免疫力受损的情况下,隐球菌病是非常罕见的。我们在此报告一例免疫功能正常患者的播散性隐球菌病(多发冷脓肿、骶髂炎和无症状肺结节),最初被认为是结核分枝杆菌感染。
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引用次数: 0
Impact of Lockdown on COVID-19 Affected People-Analysis in Pakistan by the Year 2020 到2020年,封锁对巴基斯坦COVID-19感染者的影响分析
Pub Date : 2023-07-31 DOI: 10.9734/ajrid/2023/v14i2287
M. Ghafoor
Objective: The study has been carried to find impact of lockdown on spread of COVID-19 by evaluating number of affected cases in lockdown and post-lockdown period. The study was conducted to analyse whether lockdown has limited spread of disease or otherwise. Methods: The study has been conducted retrospectively between 23rd March 2020 to 12th November 2020 on number of affected cases reported in Daily Jang Newspaper of Pakistan. Since lockdown period was 47 days, therefore data was collected in multiple of 47 days to evaluate results in lockdown and post lock down period. Results: Immediately after lockdown data has shown an increase in percentage (47.04), increase of affected cases (531.46), growth factor (6.31) and frequency of distribution (164244). Lower incidence was observed in lockdown with a number of 26010 bearing percentage of 7.45. Conclusion: The lockdown has limited spread of new viral disease (SARS-CoV-2) with reduced number of affected cases and huge increase in number of cases were observed immediately after lockdown. The number of affected cases were found to be subsequently reduced unless start of second phase of pandemic. On removing limitations due to lock down growth factor and frequency of distribution also indicate higher incidence of new viral disease.
目的:通过评估封城期间和封城后感染病例数,了解封城对新冠肺炎传播的影响。这项研究是为了分析封锁是否限制了疾病的传播或其他方面。方法:对2020年3月23日至2020年11月12日期间巴基斯坦Daily Jang报报道的受影响病例数量进行回顾性研究。由于封锁期为47天,因此以47天为倍数收集数据,以评估封锁期和封锁后期的结果。结果:封城后立即数据显示百分比增加(47.04),感染病例增加(531.46),生长因子增加(6.31),分布频率增加(164244)。封城期间的发病率较低,26010的承载率为7.45。结论:封城限制了新型病毒性疾病(SARS-CoV-2)的传播,感染人数减少,封城后病例数大幅增加。发现受影响病例数随后减少,除非大流行的第二阶段开始。消除由于锁定生长因子和分布频率造成的限制也表明新病毒性疾病的发病率较高。
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引用次数: 0
Dengue in Times of Covid-19: A Pre and Post Pandemic Evaluation in East Delhi Population Covid-19时期的登革热:东德里人口大流行前后的评估
Pub Date : 2023-07-29 DOI: 10.9734/ajrid/2023/v14i2286
Anshdha Shah, S. Sinha, Charu Jain, Shukla Das, Nikita, N. P. Singh
Background: Dengue is an endemic disease in tropical and sub-tropical regions across the globe with South-east Asian countries showing an increasing prevalence over the years. Objective: To observe changes in the disease pattern of Dengue during pre and post pandemic periods. Materials and Methods: A retrospective observational study was performed. The laboratory-based study retrieved data for the tests routinely performed for detection of Dengue infection and Covid-19 infection. The positivity rate was calculated for Dengue (2019-21) and for Covid (2020-21). The impact of the Covid-19 pandemic on dengue incidence was studied. Observations: It was observed that dengue infection peaked during the monsoon and post-monsoon period. The testing for dengue infection declined by 79.3% when the Covid-19 pandemic struck in 2020. The testing for dengue in 2021 showed an increase of 49.9% when compared to 2019 with a higher positivity rate of 36.4%. Conclusion: In the wake of Covid-19 pandemic, as the healthcare system became focused on managing the emergency-like situation and routine diagnostic protocols thus, the control measures for vector borne diseases were disrupted. The surge of dengue cases in 2021 indicates that onset of Covid-19 created a smokescreen which gave rise to increased spread of dengue in the following year. Therefore, it is prudent to incorporate measures to ensure that the control and management of other diseases continues to run seamlessly even during emergence of future epidemics/pandemics.
背景:登革热是全球热带和亚热带地区的一种地方病,东南亚国家的流行率近年来呈上升趋势。目的:观察登革热大流行前后疾病模式的变化。材料和方法:进行回顾性观察性研究。这项基于实验室的研究检索了用于检测登革热感染和Covid-19感染的常规检测的数据。计算登革热(2019-21)和Covid(2020-21)的阳性率。研究了2019冠状病毒病大流行对登革热发病的影响。观察结果:据观察,登革热感染在季风和季风后时期达到高峰。2020年新冠疫情爆发时,登革热感染检测下降了79.3%。与2019年的36.4%的阳性率相比,2021年的登革热检测增加了49.9%。结论:2019冠状病毒病大流行后,由于卫生保健系统将重点放在管理类似紧急情况和常规诊断方案上,因此媒介传播疾病的控制措施受到干扰。2021年登革热病例激增表明,2019冠状病毒病的发作制造了烟幕,导致次年登革热传播加剧。因此,谨慎的做法是纳入措施,确保其他疾病的控制和管理即使在未来出现流行病/大流行期间也能继续顺利进行。
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引用次数: 0
Low Prevalence and Risk Factors Related to HIV-1 Mother to Child Transmission under Option B+ Program at 3 Referral Military and Public Hospitals in Cameroon 喀麦隆3家转诊军事医院和公立医院B+方案下艾滋病毒-1母婴传播的低流行率和相关风险因素
Pub Date : 2023-07-27 DOI: 10.9734/ajrid/2023/v14i2284
Sabine Aimée Touangnou-Chamda, M. Boda, Arnaud Franck Elang, D. S. Mbaga, Eric Simo, S. Kenmoe, J. Essindi, C. Mikangue, Alexandra Emmanuelle Membangbi, Aicha Ngoutane, Carol Sake, U. Tamoufé, Jacky Njiki-Bikoi, Sara Honorine Riwom, J. Nwobegahay
Immunodeficiency Virus type 1 (HIV-1) Mother-To-Child Transmission (MTCT) prevalence and its predictors. Following the limited success achieved with the previous MTCT prevention programs, the Cameroon’s public health ministry adopted in 2014 the Option B+ program that recommends a systematic lifelong treatment to all HIV positive pregnant woman. Study Design: A case-control study was conducted within two groups: a reference group constituted of exposed infants from HIV positive mothers undergoing Option B+ program, and a control group of infants from Anti-Retroviral Treatment (ART) naive HIV positive mothers during pregnancy. Place and Duration of Study: Douala and Yaounde Military Hospitals (HMR2 and HMR1 respectively) as well as the Bertoua Regional Hospital (HRB), From October 2017 to March 2018. Methodology: This research included infected mother - exposed child pairs. Infected mothers’ sociodemographic and clinical characteristics were reported. Infants sampled at six weeks at the HIV MTCT prevention units were tested at the Military Health Research Center for HIV-1 RNA early detection through rtPCR with Abbott m2000sp automated system. Multivariate logistic regression model was built to assess the predictors of MTCT and to compare groups. Results: Within the study period, the overall HIV-1 prevalence in the 107 six weeks old reference group infants and 23 control group infants was nil and 4.35% (1/23) respectively. Logistic regression showed that predictors of HIV-1 MTCT were: home delivery p=0.03 and absence of ART during pregnancy p = 0.04. Conclusion: Vertical transmission of HIV-1 infection is more likely in ART naïve pregnant women as compared to their counterparts established on ART. Hence, implementation of the Option B+ appear to be very essential in eliminating HIV-1 MTCT. Consequently, a systematic enrolment of these pregnant women living with HIV if scaled up, would be very instrumental in eliminating HIV-1 MTCT in Cameroon.
免疫缺陷病毒1型(HIV-1)母婴传播(MTCT)患病率及其预测因素。在之前的母婴传播预防项目取得有限成功之后,喀麦隆公共卫生部于2014年采用了B+方案,建议对所有艾滋病毒阳性孕妇进行系统的终身治疗。研究设计:在两组中进行病例对照研究:参照组由接受B+方案治疗的艾滋病毒阳性母亲所生的暴露婴儿组成,对照组由接受抗逆转录病毒治疗(ART)的妊娠期初次艾滋病毒阳性母亲所生婴儿组成。学习地点和时间:杜阿拉和雅温得军事医院(分别为HMR2和HMR1)以及贝尔图阿地区医院(HRB),从2017年10月到2018年3月。方法:本研究包括受感染的母亲和暴露的儿童对。报告了感染母亲的社会人口学和临床特征。在艾滋病毒MTCT预防单位取样的6周婴儿在军事卫生研究中心使用雅培m2000sp自动化系统通过rt - pcr检测HIV-1 RNA早期检测。建立多元logistic回归模型评估MTCT的预测因素并进行组间比较。结果:在研究期间,107名6周龄参照组婴儿和23名6周龄对照组婴儿的HIV-1总体患病率分别为零和4.35%(1/23)。Logistic回归显示HIV-1 MTCT的预测因子为:家中分娩p=0.03,妊娠期未使用ART治疗p= 0.04。结论:与接受抗逆转录病毒治疗的孕妇相比,抗逆转录病毒naïve孕妇中HIV-1感染的垂直传播可能性更大。因此,实施B+方案似乎对消除艾滋病毒1型母婴传播至关重要。因此,如果扩大对这些感染艾滋病毒的孕妇的系统登记,将非常有助于在喀麦隆消除艾滋病毒1型母婴传播。
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引用次数: 0
Gallium 68-Fibroblast Activation Protein Inhibitor: PET/CT Improves Diagnosis of Neurocysticercosis 镓68-成纤维细胞活化蛋白抑制剂:PET/CT提高神经囊虫病的诊断
Pub Date : 2023-07-27 DOI: 10.9734/ajrid/2023/v14i2285
Priyankkumar G. Moradiya, R. Mahajan, S. Solav, S. Savale, Gauri S. Khajindar, Rajlaxmi R. Jagtap, Aman S. Solav, Suresh L. Balani
F18-FDG (Fluorine18- fluoro-deoxyglucose) Positron emission tomography/computerized tomography scan (PET/CT Scan) scan shows intense physiologic uptake in the brain parenchyma. This prevents evaluation of small cerebral lesions. Ga-68-FAPI (Gallium68- Fibroblast activation protein inhibitor) does not localize in normal brain parenchyma. Hence, it can detect cerebral lesions which concentrate the tracer. We report a case of neurocysticercosis in a 32 years old female who presented with headache, nausea and one episode of seizure. MRI brain raised possibility of tuberculoma over neurocysticercosis. There was a hypometabolic area in the right temporal lobe as revealed by F-18-FDG PET/CT, with no FDG avid lesions or lymph nodes identified in the body. Ga68-FAPI PET/CT was performed which showed increased tracer uptake within the right temporal lobe lesion. A focal FAPI uptake was also noted in a tiny hypodense lesion in the left internal oblique muscle of abdomen, which showed signal characteristics of intramuscular cysticercosis on limited MRI study.
F18-FDG (Fluorine18- fluoro-脱氧葡萄糖)正电子发射断层扫描/计算机断层扫描(PET/CT扫描)显示在脑实质强烈的生理性摄取。这妨碍了对小脑损伤的评估。Ga-68-FAPI(镓68-成纤维细胞活化蛋白抑制剂)不局限于正常脑实质。因此,它可以检测集中示踪剂的脑病变。我们报告一例神经囊虫病在一个32岁的女性谁提出头痛,恶心和癫痫发作一次。脑MRI提示脑囊尾蚴结核瘤的可能性。F-18-FDG PET/CT示右侧颞叶低代谢区,体内未见FDG病变及淋巴结。Ga68-FAPI PET/CT显示右侧颞叶病变内示踪剂摄取增加。左侧腹部内斜肌微小低密度病变也可见局灶性FAPI摄取,在有限的MRI研究中显示肌内囊虫病的信号特征。
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引用次数: 0
Pulse Dose Methylprednisolone Therapy in a Cohort of Very Severe COVID-19 Patients in a Resource-limited Setting in Myanmar: A Case Series of 13 Patients 在缅甸资源有限的情况下,脉冲剂量甲基强的松龙治疗COVID-19重症患者:13例患者的病例系列
Pub Date : 2023-07-25 DOI: 10.9734/ajrid/2023/v14i2283
T. Aye, Hpone Pyae Tun, K. Myat, T. Han, Naing Lin Tun, N. Lwin, Thiha Soe
Aims: Coronavirus disease 2019 (COVID-19) has very high mortality in severe forms of disease, where immunopathology plays an important role. Use of immunomodulating therapies including 6 to 12 mg of dexamethasone is well established. Higher doses of corticosteroids were used with reported success in some settings. This study aims to explore the role of pulse dose methylprednisolone therapy in very severe COVID-19 patients in preventing the need for ICU care and death in resource-limited setting. Study Design: Retrospective case series study. Place and Duration of Study: Oak-ta-chat-thal-ta-pwint COVID-19 treatment center in Yangon, Myanmar between September 2021 to December 2021. Methodology: This study included 13 confirmed COVID-19 patients with severe to critical illness, who were treated with pulse dose methylprednisolone therapy. We reviewed the patients’ demographics, comorbidities, and disease severity before starting pulse dose methylprednisolone therapy and changes in oxygen requirement, chest X-ray scores, inflammatory markers, development of significant clinical events, and 28 days mortality after therapy. Results: Before pulse dose methylprednisolone therapy, all 13 patients had very severe disease (mean SPO2/FiO2 = 173 mmHg, mean SPO2 = 88.54%, mean CRP = 115 mg/L, mean ferritin = 1,295.5 ng/mL and mean Brixia Score = 6.54). They received 3-7 days (mean = 5.5 days) of pulse dose methylprednisolone. Ten patients (76%) survived in a setting with limited ICU care. High ferritin was a significant predictor of mortality. Improvement in oxygen requirement was noticeable after 1-11 days (mean = 5.6 days). Hyperglycemia was common and confirmed bacterial infection was found in 3 patients, but all patients received empirical antibiotics therapy. Conclusion: Pulse-dose methylprednisolone therapy may be an effective salvage therapy in a carefully selected subset of very severe COVID-19 patients. It might be a feasible alternative to other more expensive immunomodulating agents and organ support treatments in a resource-limited setting.
目的:2019冠状病毒病(COVID-19)在严重疾病中具有非常高的死亡率,其中免疫病理起着重要作用。使用包括6至12毫克地塞米松在内的免疫调节疗法是公认的。据报道,在某些情况下,使用更高剂量的皮质类固醇取得了成功。本研究旨在探讨在资源有限的情况下,脉冲剂量甲基强的松龙治疗COVID-19重症患者在预防ICU护理需求和死亡中的作用。研究设计:回顾性病例系列研究。学习地点和时间:2021年9月至2021年12月,在缅甸仰光的Oak-ta-chat-thal-ta-pwint COVID-19治疗中心。方法:本研究纳入13例确诊的COVID-19重症至危重症患者,采用脉冲剂量甲基强的松龙治疗。我们回顾了患者在开始脉冲剂量甲基强的松龙治疗前的人口统计学、合并症和疾病严重程度,以及氧需氧量、胸部x线评分、炎症标志物、重大临床事件的发展和治疗后28天死亡率的变化。结果:13例患者在接受脉冲剂量甲基强的松龙治疗前病情均很严重(平均SPO2/FiO2 = 173 mmHg,平均SPO2 = 88.54%,平均CRP = 115 mg/L,平均铁蛋白= 1295.5 ng/mL,平均Brixia评分= 6.54)。患者接受3 ~ 7天(平均5.5天)脉冲剂量甲基强的松龙治疗。10例患者(76%)在有限的ICU护理环境中存活。高铁蛋白是死亡率的重要预测因子。1-11天(平均5.6天)后需氧量明显改善。3例患者出现高血糖,并确诊有细菌感染,但均接受经验性抗生素治疗。结论:对于精心挑选的重症COVID-19患者,脉冲剂量甲基强的松龙治疗可能是有效的补救性治疗。在资源有限的情况下,它可能是其他更昂贵的免疫调节剂和器官支持治疗的可行替代方案。
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引用次数: 0
Is Previous Covid 19 Infection a Boon or Bane for Dengue Patient? - A Study from a Tertiary Care Hospital in North India 之前的Covid - 19感染对登革热患者来说是福还是祸?——印度北部一家三级保健医院的研究
Pub Date : 2023-07-18 DOI: 10.9734/ajrid/2023/v14i2282
D. Dubey, Swati Agnihotri, S. Vahikar, Shaila Mitra, K. Srivastava, A. Singh, Ravikant Verma
Aims: To study the impact of past COVID 19 infections on various hematological parameters and morbidity in patients with active dengue infection by assessing days of hospital stay, platelet transfusion etc. Study Design: Prospective study. Place and Duration of Study: Department of Pathology, Baba Raghav Das Medical college, Gorakhpur, India between June 2022 to November 2022. Methodology: 189 patients with active dengue infection, proven on Dengue ELISA for IgM detection, were included in this prospective study. Hematological parameters along with demographic profiles and clinicopathological details were recorded for the patients at the time of admission. Results: The mean age was comparable between the two groups, dengue patients with history of COVID 19 (Group A) being 26.93±14.27 years and dengue patients with no history of COVID 19 (Group B) being 28.52±17.65 years. Group A patients were found to have higher mean platelet count [68200.00±28153.33] than Group B patients [54181.21±31792.06]. The fatality rate was 2.68% in the Group A patients and 5% in the group B. Conclusion: Our research indicates that individuals with a history of COVID-19 infection have reduced dengue mortality. However, we cannot presume a causal association between dengue and COVID-19 infection prognosis.
目的:通过评估住院天数、血小板输注等指标,研究既往感染对活动性登革热感染患者各项血液学指标及发病率的影响。研究设计:前瞻性研究。学习地点和时间:2022年6月至2022年11月,印度Gorakhpur Baba Raghav Das医学院病理学系。方法:189例活动性登革热感染患者,经IgM检测登革ELISA证实,纳入本前瞻性研究。在入院时记录患者的血液学参数、人口统计资料和临床病理细节。结果:两组患者的平均年龄具有可比性,有COVID - 19病史的登革热患者(A组)为26.93±14.27岁,无COVID - 19病史的登革热患者(B组)为28.52±17.65岁。A组患者平均血小板计数[68200.00±28153.33]高于B组患者[54181.21±31792.06]。A组病死率为2.68%,b组病死率为5%。结论:有COVID-19感染史的个体降低了登革热病死率。然而,我们不能假定登革热与COVID-19感染预后之间存在因果关系。
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引用次数: 0
Impact of COVID-19 Infection by Federative Entity in Mexico: A Focus on Economic Inequalities and Vulnerability 墨西哥联邦实体COVID-19感染的影响:关注经济不平等和脆弱性
Pub Date : 2023-07-18 DOI: 10.9734/ajrid/2023/v14i1281
R. Josefina, Suarez-Velasco Alda Iliana, Vázquez-Hernández Carolina, Sánchez-Munive Denisse, Indira Vega Gaitan, Ruvalcaba Ledezma Jesús Carlos
In December 2019, China announced a SARS CoV-2 virus in the Wuhan market, later announced by the WHO as the COVID-19 pandemic with a global impact on public health. The aim of this review was focused on determining if there are disparities in the impact of COVID-19 associated with the average salary. Methodology: A documentary review of information detected in the network [Data México] among other sources was carried out, using the keywords; covid-19 pandemic, confirmed cases of covid-19, socioeconomic status and covid-19, socioeconomic disparity and covid-19 as well as cross-checking of confirmed cases of COVID-19, the number of deaths from this cause and salary average of each of the federative entities. Statistical analysis was performed in SPSS-Ver 23. The results denote marked socioeconomic disparities, the impact of covid-19 does not reside in the biology of the virus, but in particularities of the patient, social environment, and other predictors such as marginalization and comorbidities. Conclusion: Economic disparities, municipal marginalization constitute a predictor of presenting severe forms of COVID-19, an independent association of other predictors such as age and cardio-metabolic comorbidities.
2019年12月,中国宣布在武汉市场发现SARS - CoV-2病毒,随后世卫组织宣布这是对全球公共卫生产生影响的COVID-19大流行。本综述的目的是确定COVID-19对平均工资的影响是否存在差异。方法:使用关键词对网络[Data msamxico]和其他来源中发现的信息进行了书面审查;covid-19大流行、covid-19确诊病例、社会经济地位和covid-19、社会经济差距和covid-19,以及对covid-19确诊病例、这一原因造成的死亡人数和每个联邦实体的平均工资进行交叉核对。在SPSS-Ver 23中进行统计分析。结果表明,社会经济差异明显,covid-19的影响不在于病毒的生物学特性,而在于患者的特殊性、社会环境以及边缘化和合并症等其他预测因素。结论:经济差异、城市边缘化是出现严重形式COVID-19的预测因素,是年龄和心脏代谢合并症等其他预测因素的独立关联。
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引用次数: 0
Dengue Fever: Etiology, Diagnosis, Prevention and Treatment 登革热:病因、诊断、预防和治疗
Pub Date : 2023-07-15 DOI: 10.9734/ajrid/2023/v14i1279
C. Nyenke, B. A. Nnokam, R. Esiere, R. Nwalozie
Dengue fever (break-bone fever) is a viral disease transmitted by Aedes mosquitoes. It is caused by the Dengue virus, which is a single positive-stranded RNA virus belonging to the Flaviviridae family. Dengue fever is prevalent in tropical and subtropical areas and is a significant public health concern in many countries, including`g Nigeria. The disease is characterized by symptoms such as high fever, headache, body aches, nausea, vomiting, swollen glands, and rash. In severe cases, dengue fever can lead to complications such as bleeding, organ impairment, and dengue shock syndrome. Diagnosing dengue fever can be challenging, especially in areas where it is endemic. In endemic locations, diagnosis is often made clinically based on the patient's reported symptoms and a physical examination. Tourniquet testing, which involves applying a blood pressure cuff and counting any petechial hemorrhages, can help in the diagnosis. Laboratory methods, including full blood count, cell culture, nucleic acid identification (PCR), and serology, can be used to confirm the diagnosis. Preventing dengue fever involves controlling the mosquito vector and protecting oneself from mosquito bites. Measures such as eliminating mosquito breeding sites, using insect repellents, wearing protective clothing, and using bed nets can help prevent mosquito bites. Vaccination against dengue is also available, with the Dengvaxia vaccine being used in some countries. There is no specific antiviral treatment for dengue fever. Management focuses on supportive care, maintaining a healthy fluid balance, and relieving symptoms such as fever and pain. Severe cases may require hospitalization and intensive medical care. In Nigeria, dengue fever is often misdiagnosed or overlooked due to similarities with other febrile illnesses like malaria. This can lead to underreporting and inadequate management of dengue cases. Increasing awareness among healthcare professionals and the general population is crucial for early detection and appropriate management of dengue fever in Nigeria. In conclusion dengue fever is a viral disease transmitted by mosquitoes, primarily Aedes species. It is a significant global health concern, including in Nigeria. Early diagnosis, prevention measures, and supportive care are essential in managing dengue fever and reducing its impact on public health. This review is aimed at discussing the current issues of Dengue fever with focus on Nigeria.
登革热(骨折热)是一种由伊蚊传播的病毒性疾病。它是由登革热病毒引起的,这是一种属于黄病毒科的单链正RNA病毒。登革热在热带和亚热带地区流行,在包括尼日利亚在内的许多国家是一个重大的公共卫生问题。这种疾病的特点是高烧、头痛、身体疼痛、恶心、呕吐、腺体肿胀和皮疹。在严重的情况下,登革热可导致出血、器官损伤和登革热休克综合征等并发症。诊断登革热可能具有挑战性,特别是在登革热流行的地区。在流行地区,通常根据患者报告的症状和体格检查进行临床诊断。止血带测试,包括使用血压袖带和计数任何点状出血,可以帮助诊断。实验室方法,包括全血细胞计数、细胞培养、核酸鉴定(PCR)和血清学,可用于确认诊断。预防登革热包括控制蚊虫媒介和保护自己不受蚊虫叮咬。消除蚊子滋生地、使用驱蚊剂、穿防护服和使用蚊帐等措施有助于防止蚊虫叮咬。还可以接种登革热疫苗,一些国家正在使用登卡夏疫苗。目前尚无针对登革热的特异性抗病毒治疗方法。治疗的重点是支持性护理,保持健康的体液平衡,缓解发烧和疼痛等症状。严重者可能需要住院治疗和重症监护。在尼日利亚,由于与疟疾等其他发热性疾病相似,登革热经常被误诊或忽视。这可能导致登革热病例的少报和管理不足。在尼日利亚,提高卫生保健专业人员和普通民众的认识对于登革热的早期发现和适当管理至关重要。总之,登革热是一种由蚊子,主要是伊蚊传播的病毒性疾病。这是一个重大的全球卫生问题,包括在尼日利亚。早期诊断、预防措施和支持性护理对于控制登革热和减少其对公共卫生的影响至关重要。这次审查的目的是讨论当前登革热问题,重点是尼日利亚。
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引用次数: 0
Intestinal Parasitic Infection Responsible for Undernourishment and Stunted Growth in Children of School Going Age 肠道寄生虫感染导致学龄儿童营养不良和发育迟缓
Pub Date : 2023-07-07 DOI: 10.9734/ajrid/2023/v14i1278
F. E. Siagian
Aim: To discuss about the specific characteristics of intestinal parasitic infection that contributes to the formation of stunting. Discussion: Intestinal parasites infection (IPI) are one of the global utmost health dilemmas, because they put certain vulnerable member of the population, e.g., children, in danger. Global prevalence rate of IPI varied from 30-60%, especially in developing countries located within the region of tropical and subtropical zone that create a definite public health burden, particularly in low- and middle-income countries, including Indonesia. Basically, IPI divided into helminths- and protozoans; each have different and unique characteristics with helminths have a more sophisticated life cycle compare to protozoan. IPI tends to be chronic and sub-clinical, due to the evasion the host's immune system. This chronic IPI affects the host, directly and indirectly, and in long term when it happen during toddlerhood, it contributes to the formation of undernourishment and stunting via certain pathways. Transmission occurs mainly via food contamination; and it is usually always related with daily socio-economic activity. Persistent transmission exists when source of infection available and practice of poor hygiene supports continuous contamination in the environment. By knowing the details of the life cycle of each gastrointestinal parasite, all stake holder can participate in communal effort to break the chain of transmission. Conclusion: The presence of infected individuals with poor hygiene practice is the main contributor to the existence of persistent transmission in certain environment and this can then play a role in the formation of stunting.
目的:探讨导致发育迟缓的肠道寄生虫感染的具体特点。讨论:肠道寄生虫感染(IPI)是全球最大的健康难题之一,因为它们使人口中的某些脆弱成员(如儿童)处于危险之中。IPI的全球流行率从30-60%不等,特别是在热带和亚热带区域内的发展中国家,特别是在包括印度尼西亚在内的低收入和中等收入国家,造成了明确的公共卫生负担。基本上,IPI分为蠕虫和原生动物;每个都有不同和独特的特征,与原生动物相比,蠕虫有更复杂的生命周期。由于逃避宿主免疫系统,IPI往往是慢性和亚临床的。这种慢性IPI直接或间接地影响宿主,长期而言,当它发生在幼儿期时,它会通过某些途径导致营养不良和发育迟缓的形成。传播主要通过食品污染发生;它通常总是与日常社会经济活动有关。当存在传染源和不良卫生习惯导致环境持续污染时,就存在持续传播。通过了解每种胃肠道寄生虫生命周期的细节,所有利益攸关方都可以参与打破传播链的共同努力。结论:不良卫生习惯感染者的存在是在特定环境中持续传播的主要因素,这可能在发育迟缓的形成中起作用。
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Asian Journal of Research in Infectious Diseases
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