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Clinical Characteristics of Brain Abscess in a Developing Country, a Number of Cases 发展中国家脑脓肿的临床特点及若干病例分析
Pub Date : 2021-04-22 DOI: 10.36349/easjms.2021.v03i04.004
 Juárez-Rebollar Daniel, Juárez-Rebollar Alejandra Giselle, S. D. Del Rosario, Valdés–García Javier, Broc–Haro Guy Gilbert
Quick Response Code Abstract: Brain abscess has been considered a rare infection; it is characterized by a collection of pus in the brain parenchyma. Different studies talk about the management and medical treatment with antibiotic regimens (at the beginning of therapy, the antibiotic is chosen empirically), among the most used are vancomycin, thirdgeneration cephalosporins, clindamycin, trimethoprim-sulfamethoxazole, aztreonam, metronidazole, fluoroquinolone, and fluconazole when it is a fungal-type infection, and linezolid has shown promising results. Surgical management depends on the size, location, and characteristics of the brain abscess; it is suggested in the literature for small brain abscess do the aspiration and eradicates the purulent material, and in a big abscess (> 2.5cm) performs craniotomy and resection. A decrease in the degree of mortality related to brain abscess has been reported. That is why this study is presented, carried out over three years (2018 -2021) showing the results obtained, as well as the frequency of patients with brain abscess treated in the service of neurosurgery, of the Regional Hospital “Lic. Adolfo López Mateos”, in Mexico City. A series of cases is presented showing the evaluation and diagnosis protocol used in Neurosurgery and the clinical-epidemiological characteristics that the patients gave.
摘要:脑脓肿被认为是一种罕见的感染;其特点是脑实质中有脓液聚集。不同的研究讨论了抗生素方案的管理和药物治疗(治疗开始时,根据经验选择抗生素),其中使用最多的是万古霉素、第三代头孢菌素、克林霉素、甲氧苄啶-磺胺甲恶唑、氨曲南、甲硝唑、氟喹诺酮和氟康唑,当它是真菌型感染时,利奈唑胺已显示出良好的效果。手术处理取决于脑脓肿的大小、位置和特征;文献建议对小的脑脓肿行抽吸并根除化脓性物质,对大脓肿(> 2.5cm)行开颅切除。据报道,脑脓肿的死亡率有所下降。这就是为什么这项研究是在三年(2018 -2021)的时间里进行的,显示了所获得的结果,以及在Lic地区医院神经外科治疗的脑脓肿患者的频率。阿道夫López马特奥斯”,在墨西哥城。本文介绍了一系列的病例,展示了在神经外科中使用的评估和诊断方案以及患者给出的临床流行病学特征。
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引用次数: 0
“Clinical & Demographic Profile with Serum Homocysteine Level among Type II Diabetic Patients and IGT Patients with Normal People” 2型糖尿病患者与正常人IGT患者血清同型半胱氨酸水平的临床及人口学分析
Pub Date : 2021-04-12 DOI: 10.36349/easjms.2021.v03i04.003
 Nurmahal Rubaiya, M. Bhuiyan, A. Haque, M. Azad, Nabarun Biswas, Goutam Saha, Md. Magfur Rahman, Md. Abdul Hakim Choudhury, Md. Iktier Hassan Khan
Private Practitioner, Department of Medicine, Private Care Hospital, Mymensingh, Bangladesh Assistant Professor (Surgery), Mymensingh Medical College, Mymensingh, Bangladesh Professor & Head, Department of Medicine, Mymensingh Medical College Hospital, Mymensingh Associate Professor & Head (Surgery), Mymensingh Medical College, Mymensingh, Bangladesh Registrar (Surgery), Mymensingh Medical College Hospital, Mymensingh, Bangladesh Assistant Professor, Dept. Of Neurology, Mymensingh Medical College, Mymensingh, Bangladesh Cardiac Surgeon & Consultant (Cardiologist & Diabetologist), Department of Cardiac Surgery, Bangabandu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh Assistant Professor, Dept. Of Anaesthesiology, National Institute of Kidney Diseases & Urology (NIKDU), Dhaka, Bangladesh Assistant Professor (Cardioy), MBBS, D-Card (Cardiology), Shaheed Shiekh Abu Naser Specialized Hospital, Khulna, Bangladesh
Mymensingh,孟加拉国私人护理医院医学系私人医生(外科),Mymensingh医学院,孟加拉国教授兼系主任,Mymensingh医学院,Mymensingh副教授兼系主任(外科),Mymensingh医学院,Mymensingh,孟加拉国注册医师(外科),Mymensingh医学院医院,Mymensingh,孟加拉国神经内科助理教授,孟加拉国迈门辛格医学院,孟加拉国迈门辛格心脏外科医生和顾问(心脏病专家和糖尿病专家),孟加拉国达卡班班杜谢赫·穆吉布医科大学(BSMMU)心脏外科(心脏外科),孟加拉国达卡国家肾脏疾病和泌尿外科研究所(NIKDU)麻醉科助理教授(心脏病),孟加拉国库尔纳沙希德·谢赫·阿布·纳赛尔专科医院MBBS, D-Card(心脏病学)
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引用次数: 0
Management of Surgical Site Infection 手术部位感染的处理
Pub Date : 2021-04-08 DOI: 10.36349/easjms.2021.v03i04.002
 Md. Anwarul Haque, Mst. Mousumi Marjiara Begum, M. Sayem, Hasibul Hasan
Quick Response Code Abstract: The aim of this cross-sectional study to assess on management of surgical site infection at the Islami Bank Medical College Hospital. A total of 1256 respondents were selected for the study. At last January 2016 to march 2021 their socio-economic condition, demographic characteristics, opinion and level about surgical site infection were mainly investigated. The invasion and multiplication of microorganisms such as bacteria, viruses, and parasites that is not normally present within the body. Infection may cause no symptoms and be subclinical, or it may cause symptoms and be clinically apparent.
摘要:本横断面研究的目的是评估伊斯兰银行医学院医院手术部位感染的管理。共有1256名受访者参与了这项研究。2016年1月至2021年3月主要调查患者的社会经济状况、人口特征、对手术部位感染的看法和水平。细菌、病毒和寄生虫等通常不存在于体内的微生物的入侵和繁殖感染可能没有症状,是亚临床的,也可能有症状,是临床明显的。
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引用次数: 3
Urine Sampling and Culture in the Diagnosis of Urinary Tract Infection: A Review Article 尿液取样和培养在尿路感染诊断中的应用综述
Pub Date : 2021-04-06 DOI: 10.36349/easjms.2021.v03i04.001
 Iddah M. Ali, Benard O. Wesonga
Quick Response Code Abstract: Among patients with symptoms suggestive of a Urinary tract infection (UTI) which includes dysuria and frequency, the diagnosis can be confirmed by sending a cleancatch specimen for culture and for urinalysis. One suggested exception recommended by most experts is a symptomatic young woman with pyuria detected by urinalysis dipstick who has apparently uncomplicated cystitis. It has been proposed that the findings are sufficiently diagnostic that an empiric course and usually three days of antimicrobial therapy can be initiated without performing a urine culture. Children who are toilet trained can provide clean voided urine samples. Clean voided bag urine samples are acceptable for urinalysis in infants and children between two months and two years of age who have unexplained fever and do not appear ill enough to require immediate antimicrobial therapy. If the sample suggests infection, then a catheterized urine specimen should be obtained for confirmatory testing and urine culture. Suprapubic aspiration and transurethral bladder catheterization are invasive but are the only valid ways to collect urine for culture in febrile young infants under two months of age and older infants and children with unexplained fever who are younger than two years of age and ill enough to merit immediate antimicrobial therapy. The use of portable ultrasound to visualize the bladder increases the success rate for both suprapubic aspiration and transurethral bladder catheterization. In this review article, we will cover urine sampling, procedure, culture, and dipstick as a tool of UTI analysis in both adults and children.
摘要:对于有尿路感染(UTI)症状的患者,包括排尿困难和尿频,可通过送清洁标本进行培养和尿液分析来确诊。大多数专家建议的一个例外是有尿尿症状的年轻女性,用尿分析试纸检测到,显然没有并发症的膀胱炎。有人提出,这些发现足以诊断,可以在不进行尿液培养的情况下开始经验性疗程和通常三天的抗菌治疗。接受过如厕训练的儿童可以提供干净的尿液样本。对于2个月至2岁的婴儿和儿童,如果出现不明原因的发热,且病情未严重到需要立即进行抗微生物治疗,可接受清洁空袋尿样进行尿液分析。如果样本提示感染,则应取导尿标本进行确认试验和尿培养。耻上穿刺和经尿道膀胱导尿是侵入性的,但对于两个月以下的发热婴儿、较大的婴儿和两岁以下的不明原因发热且病情严重到需要立即进行抗菌治疗的儿童,这是收集尿液进行培养的唯一有效方法。使用便携式超声观察膀胱增加了耻骨上穿刺和经尿道膀胱导尿的成功率。在这篇综述文章中,我们将介绍尿液取样、程序、培养和试纸作为成人和儿童尿路感染分析的工具。
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引用次数: 0
Predictor Factors Influencing the Final Outcome and Treatment of Pediatric Patients with Acute Scrotum - Study For a Period of 10 Years 影响小儿急性阴囊患者最终结局和治疗的预测因素——为期10年的研究
Pub Date : 2021-03-26 DOI: 10.36349/easjms.2021.v03i03.003
 . T, K. K
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引用次数: 0
Coexistence of Celiac Disease and Systemic Lupus Erythematosus: A Case Report 乳糜泻与系统性红斑狼疮共存1例
Pub Date : 2021-03-17 DOI: 10.36349/easjms.2021.v03i03.002
 . J. Yousfi, S. Oumlil, L. Benjilali, L. Essaadouni
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引用次数: 0
Systemic Lupus Erythematosus and Psoriasis: A Case Report 系统性红斑狼疮和银屑病:病例报告
Pub Date : 2021-03-13 DOI: 10.36349/easjms.2021.v03i03.001
 . J. Yousfi, S. Oumlil, L. Benjilali, L. Essaadouni
Quick Response Code Abstract: Celiac disease (CD) is a chronic inflammatory disorder of the small intestine triggered by the ingestion of gluten. It has been associated with auto-immune disorders. Although many similarities exist between the pathogenesis of CD and systemic lupus erythematosus (SLE), their association has been rarely reported. We describe a case of a 23year-old woman diagnosed with CD, and one year later developed SLE.
快速反应代码 摘要:乳糜泻(CD)是一种由摄入麸质引发的小肠慢性炎症性疾病。它与自身免疫性疾病有关。虽然乳糜泻和系统性红斑狼疮(SLE)的发病机制有许多相似之处,但两者之间的关联却鲜有报道。我们描述了一例 23 岁女性的病例,她被诊断为 CD,一年后又患上了系统性红斑狼疮。
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引用次数: 0
The Evaluation of Frequency of Intracranial Haemorrhage in Patients of Head Trauma with GCS 10-15 on Computed Tomography Scan 颅脑外伤患者gcs10 -15型颅内出血发生率的ct评价
Pub Date : 2020-12-30 DOI: 10.36349/EASJMS.2020.V02I11.002
Nazeeha Waseem, A. Akhtar, Kainat Saleem, Saleha Liaqat, Umair Waqas
Quick Response Code Abstract: Traumatic head injuries are a prominent cause of death. The privilege of intracranial hemorrhage is one of the fatal problems. CT-scan is considered the gold standard for the traumatic brain injuries diagnosis. GCS of the patients is helpful in patient evaluation. Patient with high GCS are neglected but it may be considered that they can develop significant problems. However, it is controversial whether to perform CT-scan in patients that have 13-15 GCS or not. Purpose: I hereby to evaluate the patients of head trauma with high GCS 10-15 on CT-scan that may be neglected but they may develop symptoms. My aim of study was to determine whether it is safe to discharge such patients or performing CT scan is safe. Besides this, I mainly found the frequency of different types of ICH in 50 patients that have 10-15 GCS. Approach: 50 patients of head trauma injuries were evaluated on computed tomography. All the patients had undergone non-contrast computed tomography scan of brain with the axial images and slice thickness of 5mm from foramen magnum to vertex. A Performa was filled for patient’s name, age, gender and other findings. Any statistical variables were correct by putting some exclusion criteria i.e. bleeding disorder and anti-coagulant therapy so that it might not influence the desired conclusions. Results: Out of 50 patients 22 (44.00%) patients had intracranial hemorrhage. Out of these 22 patients 9 (40.91%) had EDH, 9 (40.91%) had subdural, 2 (9.09%) had SAH and 2 (9.09%) had ICrH. Conclusion: This study demonstrates that the frequency of ICH is 44% and the incidence of SDH and EDH is equally higher than other types. Patients with RTA have higher risk of ICH and it is more in females than in males. Data analysis for different variables was done by using Microsoft excel 365. Graphs and charts were used to explain the results.
摘要:颅脑外伤是造成死亡的重要原因之一。颅内出血的特权是致命的问题之一。ct扫描被认为是外伤性脑损伤诊断的金标准。患者的GCS有助于患者的评价。高GCS患者被忽视,但可以认为他们可能发展出严重的问题。然而,对于13-15 GCS患者是否进行ct扫描存在争议。目的:我在此评估ct扫描GCS高10-15可能被忽视但可能出现症状的头部创伤患者。我的研究目的是确定这样的患者出院是否安全,或者进行CT扫描是否安全。除此之外,我主要查找了50例GCS为10-15的患者中不同类型ICH的发生频率。方法:对50例颅脑外伤患者进行计算机断层扫描。所有患者均行脑ct无对比扫描,轴位像,从枕骨大孔到顶角5mm的层厚。填写了患者的姓名、年龄、性别和其他调查结果。通过设置一些排除标准,即出血性疾病和抗凝治疗,任何统计变量都是正确的,因此它可能不会影响预期的结论。结果:50例患者中22例(44.00%)发生颅内出血。在这22例患者中,9例(40.91%)有EDH, 9例(40.91%)有硬膜下,2例(9.09%)有SAH, 2例(9.09%)有ICrH。结论:本研究表明ICH发生率为44%,SDH和EDH的发生率均高于其他类型。RTA患者患脑出血的风险较高,女性高于男性。使用Microsoft excel 365对不同变量进行数据分析。用图形和图表来解释结果。
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引用次数: 1
C-Reactive Protein in Cardiovascular Disease c -反应蛋白在心血管疾病中的作用
Pub Date : 2020-12-09 DOI: 10.36349/EASJMS.2020.V02I11.001
Iddah, M. Ali, B. Wesonga
C-Reactive Protein in Cardiovascular Disease Iddah, M. Ali, Benard O. Wesonga Department of Medical Microbiology and Parasitology, School of Medicine, Masinde Muliro University of Science and Technology, P.O. Box 190-50100, Kakamega, Kenya Departments of Community Health and Behavoural Sciences, School of Medicine, Masinde Muliro University of Science and Technology P.O. Box 190-50100, Kakamega, Kenya
c -反应蛋白在心血管疾病中的作用Iddah, M. Ali, Benard O. Wesonga马辛德·穆里罗科技大学医学院医学微生物学和寄生虫学系,邮政信箱190-50100,卡卡梅加,肯尼亚马辛德·穆里罗科技大学医学院社区卫生和行为科学系,邮政信箱190-50100,卡卡梅加,肯尼亚
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引用次数: 0
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EAS Journal of Medicine and Surgery
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