Pub Date : 2021-05-22DOI: 10.3329/jemc.v10i2.53537
R. K. Chowdhury, H. Rashid, Ma Hossain, Shafayet Hossain Riyan
Evans syndrome is an uncommon haematological disorder characterised by autoimmune haemolytic anaemia (AIHA), immune thrombocytopenia (ITP) and/or immune neutropenia. It may occur in all ethnic groups, all ages and has no sex predilection. The direct antiglobulin test (DAT) is almost invariably positive. This condition generally runs a chronic course and is characterised by frequent exacerbations and remissions. Corticosteroids and/or intravenous immunoglobulin (IVIG) are the most commonly used first line therapy. Here we report a case of a female who presented with severe shortness of breath, palpitation and low grade fever and on examination she was found severely pale and mildly icteric. Her CBC and PBF showed pancytopenia. Indirect bilirubin and LDH were raised and direct Coomb’s test was positive. She was labeled as a case of Evans syndrome and responded to oral prednisolone. On subsequent follow-up her haematological profiles remained normal. J Enam Med Col 2020; 10(2): 114-117
{"title":"A Female with Evans Syndrome Presented with Pancytopenia","authors":"R. K. Chowdhury, H. Rashid, Ma Hossain, Shafayet Hossain Riyan","doi":"10.3329/jemc.v10i2.53537","DOIUrl":"https://doi.org/10.3329/jemc.v10i2.53537","url":null,"abstract":"Evans syndrome is an uncommon haematological disorder characterised by autoimmune haemolytic anaemia (AIHA), immune thrombocytopenia (ITP) and/or immune neutropenia. It may occur in all ethnic groups, all ages and has no sex predilection. The direct antiglobulin test (DAT) is almost invariably positive. This condition generally runs a chronic course and is characterised by frequent exacerbations and remissions. Corticosteroids and/or intravenous immunoglobulin (IVIG) are the most commonly used first line therapy. Here we report a case of a female who presented with severe shortness of breath, palpitation and low grade fever and on examination she was found severely pale and mildly icteric. Her CBC and PBF showed pancytopenia. Indirect bilirubin and LDH were raised and direct Coomb’s test was positive. She was labeled as a case of Evans syndrome and responded to oral prednisolone. On subsequent follow-up her haematological profiles remained normal. \u0000J Enam Med Col 2020; 10(2): 114-117","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45133971","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 : 2021-05-22DOI: 10.3329/jemc.v10i2.53541
R. Parvin
Abstract not available J Enam Med Col 2020; 10(2): 130-131
中华医学杂志2020;10 (2): 130 - 131
{"title":"College News Vol 10(2)","authors":"R. Parvin","doi":"10.3329/jemc.v10i2.53541","DOIUrl":"https://doi.org/10.3329/jemc.v10i2.53541","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2020; 10(2): 130-131","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42947796","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 : 2021-05-22DOI: 10.3329/jemc.v10i2.53540
K. K. Shanta, Mashah Binte Amin
Abstract not available J Enam Med Col 2020; 10(2): 126-129
摘要不可用J Enam Med Col 2020；10（2）：126-129
{"title":"Jejunogastric Intussusception: A Rare Complication of Gastric Surgery","authors":"K. K. Shanta, Mashah Binte Amin","doi":"10.3329/jemc.v10i2.53540","DOIUrl":"https://doi.org/10.3329/jemc.v10i2.53540","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2020; 10(2): 126-129","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46925248","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 : 2021-05-22DOI: 10.3329/jemc.v10i2.53536
Md Benzamin, M. Rukunuzzaman, M. Mazumder, A. Karim
Hirschsprung’s disease (HD) is a rare genetic congenital defect of intestine causing failure of migration of parasympathetic ganglionic cells in some definite part of intestine, resulting in functional intestinal obstruction. It commonly involves rectosigmoid region of colon but other parts of colon or total colon, even small intestine may be affected. Incidence is 1/5000 live births. It is one of the common pediatric surgical problems and 2nd most organic cause of constipation. Symptoms may be evident from 1st day of life. About 90% infants with Hirschprung’s disease fail to pass meconium in 1st 24 hours of life. About 80% HD cases are diagnosed in early few months of life and present with abdominal distention, constipation, poor feeding, vomiting etc. HD enterocolitis is a devastating condition related to mortality. HD may be associated with some congenital anomalies and syndrome. High index of suspicion is the main key to diagnosis. Radiological investigation supports the diagnosis and rectal biopsy for histopathology is confirmatory. Although it is a surgical problem, physician can play a key role in early diagnosis and thus help to prevent HD enterocolitis-related mortality and restore near-normal life. J Enam Med Col 2020; 10(2): 104-113
{"title":"Hirschsprung’s Disease: Diagnosis and Management","authors":"Md Benzamin, M. Rukunuzzaman, M. Mazumder, A. Karim","doi":"10.3329/jemc.v10i2.53536","DOIUrl":"https://doi.org/10.3329/jemc.v10i2.53536","url":null,"abstract":"Hirschsprung’s disease (HD) is a rare genetic congenital defect of intestine causing failure of migration of parasympathetic ganglionic cells in some definite part of intestine, resulting in functional intestinal obstruction. It commonly involves rectosigmoid region of colon but other parts of colon or total colon, even small intestine may be affected. Incidence is 1/5000 live births. It is one of the common pediatric surgical problems and 2nd most organic cause of constipation. Symptoms may be evident from 1st day of life. About 90% infants with Hirschprung’s disease fail to pass meconium in 1st 24 hours of life. About 80% HD cases are diagnosed in early few months of life and present with abdominal distention, constipation, poor feeding, vomiting etc. HD enterocolitis is a devastating condition related to mortality. HD may be associated with some congenital anomalies and syndrome. High index of suspicion is the main key to diagnosis. Radiological investigation supports the diagnosis and rectal biopsy for histopathology is confirmatory. Although it is a surgical problem, physician can play a key role in early diagnosis and thus help to prevent HD enterocolitis-related mortality and restore near-normal life. \u0000J Enam Med Col 2020; 10(2): 104-113","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45504104","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 : 2021-05-22DOI: 10.3329/jemc.v10i2.53538
A. Sarker
Efferent loop obstruction is a very rare post-gastrectomy obstruction that can occur following Billroth-II or Roux-en-Y reconstruction. Here we report a case who underwent gastrojejunostomy for gastric outlet obstruction 30 years back and now developed efferent loop obstruction due to phytobezoar. The efferent loop obstruction was successfully resolved by laparotomy. J Enam Med Col 2020; 10(2): 118-121
{"title":"An Unusual Cause of Efferent Loop Obstruction","authors":"A. Sarker","doi":"10.3329/jemc.v10i2.53538","DOIUrl":"https://doi.org/10.3329/jemc.v10i2.53538","url":null,"abstract":"Efferent loop obstruction is a very rare post-gastrectomy obstruction that can occur following Billroth-II or Roux-en-Y reconstruction. Here we report a case who underwent gastrojejunostomy for gastric outlet obstruction 30 years back and now developed efferent loop obstruction due to phytobezoar. The efferent loop obstruction was successfully resolved by laparotomy. \u0000J Enam Med Col 2020; 10(2): 118-121","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47148464","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 : 2021-05-22DOI: 10.3329/jemc.v10i2.53539
R. Gomes, R. Hasan, Athai Majumder, Kazi Tamanna Akter
Infiltration of sarcoid granuloma in old cutaneous scars is one of the uncommon cutaneous manifestations of sarcoidosis. Here we report the case of a 32-year-old female who presented with swelling and irritation in a 9-month-old appendicectomy scar. An incisional scar biopsy was done and it revealed non-caseating granuloma. On query she had inflammatory polyarthritis and persistent dry cough for last two months. High resolution CT (HRCT) revealed right paratracheal, both hilar, paraaortic, and subcarinal lymphadenopathy with pulmonary nodular densities in both lung fields. FNAC from mediastinal node revealed non-caseating granuloma consistent with sarcoidosis. Successful regression of cutaneous inflammation was achieved using a course of oral steroids, hydroxychloroquine and methotrexate. The incidence of scar sarcoidosis is rare and therefore not well-understood. However, inflammatory alterations in preexisting scars may be important indicators of disease onset. J Enam Med Col 2020; 10(2): 122-125
{"title":"Rare Scar Sarcoidosis: A Dermatologic Masquerader","authors":"R. Gomes, R. Hasan, Athai Majumder, Kazi Tamanna Akter","doi":"10.3329/jemc.v10i2.53539","DOIUrl":"https://doi.org/10.3329/jemc.v10i2.53539","url":null,"abstract":"Infiltration of sarcoid granuloma in old cutaneous scars is one of the uncommon cutaneous manifestations of sarcoidosis. Here we report the case of a 32-year-old female who presented with swelling and irritation in a 9-month-old appendicectomy scar. An incisional scar biopsy was done and it revealed non-caseating granuloma. On query she had inflammatory polyarthritis and persistent dry cough for last two months. High resolution CT (HRCT) revealed right paratracheal, both hilar, paraaortic, and subcarinal lymphadenopathy with pulmonary nodular densities in both lung fields. FNAC from mediastinal node revealed non-caseating granuloma consistent with sarcoidosis. Successful regression of cutaneous inflammation was achieved using a course of oral steroids, hydroxychloroquine and methotrexate. The incidence of scar sarcoidosis is rare and therefore not well-understood. However, inflammatory alterations in preexisting scars may be important indicators of disease onset. \u0000J Enam Med Col 2020; 10(2): 122-125","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41893410","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45063
M. Khan, Shajal Kumar Shil, Solaiman Hossain, Goutam Saha, Uttam Kumar, A. K. Hasan
1. Associate Professor, Department of Neurology, Enam Medical College & Hospital, Savar, Dhaka 2. Assistant Professor, Department of Neurology, Kumudini Women’s Medical College, Mirzapur, Tangail 3. Associate Professor, Department of Cardiology, Enam Medical College & Hospital, Savar, Dhaka 4. Indoor Medical Officer, Department of Neurology, Mymensingh Medical College & Hospital, Mymensingh 5. Assistant Registrar, Department of Neurology, Mymensingh Medical College & Hospital, Mymensingh 6. Assistant Professor, Khaja Yunus Ali Medical College, Sirajgonj Correspondence Mohammed Momenuzzaman Khan, Email: mzkhannm18@gmail.com Abstract
{"title":"Study of Association of Serum Lipid Levels with Migraine","authors":"M. Khan, Shajal Kumar Shil, Solaiman Hossain, Goutam Saha, Uttam Kumar, A. K. Hasan","doi":"10.3329/jemc.v10i1.45063","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45063","url":null,"abstract":"1. Associate Professor, Department of Neurology, Enam Medical College & Hospital, Savar, Dhaka 2. Assistant Professor, Department of Neurology, Kumudini Women’s Medical College, Mirzapur, Tangail 3. Associate Professor, Department of Cardiology, Enam Medical College & Hospital, Savar, Dhaka 4. Indoor Medical Officer, Department of Neurology, Mymensingh Medical College & Hospital, Mymensingh 5. Assistant Registrar, Department of Neurology, Mymensingh Medical College & Hospital, Mymensingh 6. Assistant Professor, Khaja Yunus Ali Medical College, Sirajgonj Correspondence Mohammed Momenuzzaman Khan, Email: mzkhannm18@gmail.com Abstract","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42711932","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45059
R. Parvin
Abstract not available J Enam Med Col 2020; 10(1): 4-5
摘要不可用J Enam Med Col 2020；10（1）:4-5
{"title":"Deprescription—Remove the Barriers","authors":"R. Parvin","doi":"10.3329/jemc.v10i1.45059","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45059","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2020; 10(1): 4-5","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46866641","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45066
Benzamin, N. Hassan, R. Mollika, K. Fathema, K. Nahid, R. Alam
1. Residents, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 2. Assistant Professor, Department of Physiology, Enam Medical College & Hospital, Savar, Dhaka 3. Assistant Professor, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 4. Assistant Professor, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Correspondence Rono Mollika, Email: rono.j14@gmail.com Abstract
{"title":"Diagnosis of Galactosemia by Simple Technique in a Resource-Constraint Country","authors":"Benzamin, N. Hassan, R. Mollika, K. Fathema, K. Nahid, R. Alam","doi":"10.3329/jemc.v10i1.45066","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45066","url":null,"abstract":"1. Residents, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 2. Assistant Professor, Department of Physiology, Enam Medical College & Hospital, Savar, Dhaka 3. Assistant Professor, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 4. Assistant Professor, Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Correspondence Rono Mollika, Email: rono.j14@gmail.com Abstract","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"43-48"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41674281","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45062
S. Khatun, S. Shaha
Background: Urinary tract infection (UTI) is the most common illness affecting both males and females in almost all age groups. Hence, continuous analysis of prescribing pattern in UTI is vital. Objective: The study was designed to determine the prescribing pattern of antibiotics in UTI patients at a tertiary care hospital. Materials and Methods: A prospective observational study was carried out on 180 patients in Dhaka National Medical College Hospital from January to March 2012 by collecting data from outpatient department of Surgery, Medicine and Gynaecology & Obstetrics. Results: Analysis of prescribed drugs revealed that use of antibiotics such as nitrofurantoin (30.55%), cefuroxime (22.22%) and ciprofloxacin (16.66%) were significantly higher compared to other drugs. The most common isolated organisms were Escherichia coli (60%), Proteus (20%), Klebsiella (13.33%), and Pseudomonas (6.66%). Conclusion: Present findings are suggestive of the need for periodic monitoring of antibiotic sensitivity pattern to provide effective treatment.
{"title":"Prescribing Pattern of Antimicrobials in Urinary Tract Infection at Outpatient Department in a Tertiary Care Hospital in Dhaka","authors":"S. Khatun, S. Shaha","doi":"10.3329/jemc.v10i1.45062","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45062","url":null,"abstract":"Background: Urinary tract infection (UTI) is the most common illness affecting both males and females in almost all age groups. Hence, continuous analysis of prescribing pattern in UTI is vital. Objective: The study was designed to determine the prescribing pattern of antibiotics in UTI patients at a tertiary care hospital. Materials and Methods: A prospective observational study was carried out on 180 patients in Dhaka National Medical College Hospital from January to March 2012 by collecting data from outpatient department of Surgery, Medicine and Gynaecology & Obstetrics. Results: Analysis of prescribed drugs revealed that use of antibiotics such as nitrofurantoin (30.55%), cefuroxime (22.22%) and ciprofloxacin (16.66%) were significantly higher compared to other drugs. The most common isolated organisms were Escherichia coli (60%), Proteus (20%), Klebsiella (13.33%), and Pseudomonas (6.66%). Conclusion: Present findings are suggestive of the need for periodic monitoring of antibiotic sensitivity pattern to provide effective treatment.","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45837507","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}
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