检索结果-南通市图书馆

Asian Pacific Journal of Tropical Medicine 2012年第11期5卷 920-922页

作者： Suhasini Tirumala Bijayini Behera Shilpa Lingala B.Vijay Kumar Pradeep Kumar Mishra Gurunath JM HariCharan Kartik Naresh yashoda hospital SecunderabadIndia

Cytomegalovirus(CMV) infection is associated with adverse clinical outcomes in immunosuppressed *** incidence and association of CMV reactivation with adverse clinical outcomes in critically ill persons lacking evidence of immunosuppression at ICU admission has received great attention in the practice of critical care *** ill patients in ICU who had associated risk factors such as mechanical ventilation,severe sepsis, or blood transfusion are more prone to CMV activation,which in turn led to increased mortality and morbidity in tenns of increased ICU stay,longer duration of mechanical ventilation,and higher rates of nosocomial ***,severe CMV as initial presentation mimicking dengue infection is *** recently came across seven cases with positive CMV serology at ICU admission,which we discuss in the light of current literature.

关键词： Cytomegalovirus Immunosuppression Dengue Mimicking Ganciclovir

Ceftazidime resistance in Burkholderia pseudomallei:First report from India

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Medicine 2012年第4期5卷 329-330页

作者： Bijayini Behera TLVD Prasad Babu A Kamalesh Gangadhar Reddy yashoda hospital SecunderabadIndia.

Melioidosis,a disease of public health importance in Southeast Asia and Northern Australia,of late has shown an increasing trend in India,particularly Southern *** describe a ease of a 39-year-old diabetic patient with left elbow septic arthritis,multiple liver,splenic abscesses, pneumonia,pleural effusion,followed by sepsis *** cultures and culture of the joint aspirate yielded pure growth of Burkholderia psettdomallei(***),sensitive to carbapenem,co-trimoxazole and resistant to *** patient was successfully treated with imipenem- *** was discharged on co-trimoxazole to complete the 24 weeks course and follow-up has continued to *** patient continues to remain *** case re-emphasizes the need to monitor the trend of *** in India,particularly the development of ceftazidime resistance,which incidentally is the drug of choice.

关键词： Melioidosis Burkholderia pseudomallei Southern India Ceftazidime Carbapenem Diabetes mellitus

Acute paroxysmal cold hemoglobinuria upon dengue fever:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Acute Disease 2024年第3期13卷 121-124页

作者： Momin Majed Abdul Basit Aluri Anamika Syed Arfa Ashrafunnisa Rahul Dev Singh Rathore Department of Laboratory Medicine Yashoda HospitalHyderabadIndia Department of Pediatrics and Neonatology Yashoda HospitalHyderabadIndia

Rationale:Dengue fever is capable of inciting the formation of transient polyclonal antibodies directed at red blood cell antigens,resulting in complement-mediated hemolysis,leading to intravascular hemolysis and ***’s concern:A 12-year-old male patient who recovered from dengue fever a week ago had red blood cell agglutination,spherocytes,and engulfment of red blood cells(erythrophagocytosis)by monocytes and neutrophils on routine hematological peripheral blood *** unexpected blood smear results prompted the lab physicians to investigate autoimmune hemolytic anemia,which revealed a monospecific positive direct antiglobulin test for complement(C3d,C3b)and the presence of Donath-Landsteiner ***:Paroxysmal cold hemoglobinuria(PCH),secondary to dengue ***:Oxygen supplements,antibiotics,intravenous immunoglobulins,steroid therapy,and packed cell transfusions were ***:The patient’s condition was improved following the ***:Post-dengue PCH is a rare complication that requires a thorough peripheral smear examination for erythrophagocytosis,as advanced hematology analyzers fail to detect such findings.

关键词： Paroxysmal cold hemoglobinuria Dengue Erythrophagocytosis Donath-Landsteiner test Treatment

Chronic Sinusitis with Frontal Mucocele: A Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2014年第3期3卷 140-142页

作者： D. S. Deenadayal B. Naveen Kumar K. Lakshmi Sameeri Department of Otorhinolaryngology Yashoda Hospital Secunderabad India

Purpose: To describe a type IIIa frontal mucocele in a case of diffuse nasal polyposis. To discuss the clinical presentation, diagnostic and treatment modalities. Study Design: A case report including radiological, histopathological analysis and review of literature. Methods: A case report from a tertiary care centre. Histopathologic and radiological details are reviewed. Results: This case report presents a 59-year-old male who came to us with fronal headaches and nose blocks of 6 months’ duration. Clinical examination revealed bilateral nasal polyposis. Plain CT scan of paranasal sinuses revealed a circumscribed lesion with erosion of inner table of left frontal sinus amidst pan sinus haziness. We addressed the condition by combined FESS with eyebrow incision frontal craniotomy. Histopathological examination revealed a mucocele. Conclusion: In combined approach, eyebrow incision minimal frontal craniotomy remains the optimal option for visualisation of entire sinus, especially in laterally placed frontal mucoceles;while FESS helps in maintaining physiological drainage and proper follow-up.

关键词： Chronic Sinusitis

Angiosarcoma of Maxillary Sinus: A Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2012年第3期1卷 85-87页

作者： D. S. Deenadayal B. Naveen Kumar B. Hemanth Kumar Department of Otorhinolaryngology Yashoda Hospital Secunderabad India

Purpose: To describe a rare malignancy involving the sinonasal cavities. To discuss the clinical, diagnostic, and treatment modalities. Study Design: A case report including histopathological, radiological analysis and review of literature. Method: A case report is described from a tertiary care centre. Histopathological and radiological details are reviewed. Results: This case report presents a 29 year old male with 3 days history of bleeding from the left nostril, blood stained saliva with post nasal discharge and head ache. Biopsy demonstrated poorly differentiated Angiosarcoma. On immune stains the tumor cells showed diffuse strong cytoplasmic membrane positivity with CD 31 and few cells are positive for CD34. FLI-1 is also positive. Conclusion: Angiosarcoma is a rare malignancy involving the sinonasal cavities. Multidisciplinary approach is essential to obtain clear diagnoses and appropriate treatment plans.

关键词： Angiosarcoma of Maxilla Sarcoma

Role of Intratympanic Steroids in the Management of Idiopathic Sudden Sensori Neural Hearing Loss— Our Experience of 67 Cases

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2016年第4期5卷 174-180页

作者： D. S. Deenadayal D. Vidyasagar Vyshanavi Bommakanti Madisetty Naveen Kumar Nakirikanti Ravi Kumar Ramesh Chintha Department of ENT and HNS Yashoda Hospital Secunderabad India

Objective: To assess the outcomes of intratympanic steroids in the management of idiopathic sudden sensorineural hearing loss. Study Design: Retrospective study. Setting: Academic tertiary care medical centre. Materials and Methods: A total of 67 patients with idiopathic sudden sensorineural hearing loss were included in our study. Pre- and post-injection audiograms were taken to assess the outcomes in improvement in hearing. Hearing outcomes were assessed with respect to duration of onset of treatment and age of the patient. Improvement in the speech discrimination score was also assessed. Results: A total of 67 patients were included in our study of which unilateral cases were 59 and bilateral cases were 8. Subjectively 35 patients reported improvement in hearing after the therapy while objectively we found 44 ears [41 patients] had improvement. The mean PTA pre ITS was 62.7 and after ITS it was 56.3. Maximum improvement was noted at 2000 Hz and 1000 Hz. Conclusion: Intratympanic steroids can be offered as a first line therapy for idiopathic sudden sensorineural hearing loss as it is minimally invasive, and can be performed as an office based procedure with no systemic side effects. No major complications have been reported in our study and results have been satisfactory.

关键词： Intratympanic Methyl Prednisolone Sudden Sensorineural Hearing Loss

Correlations between Videostroboscopy and Constant Light Examination with Intraoperative Findings and Histopathology—Our Experience

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2016年第6期5卷 215-227页

作者： D. S. Deenadayal Nabeelah Naeem B. Naveen Kumar Vyshanavi Bommakanti Department of ENT and HNS Yashoda Hospital Secunderabad India

Objective: To assess the role of stroboscopy in the diagnosis of vocal cord lesions. Study Design: Prospective interventional study. Setting: Academic tertiary care medical centre. Materials and Methods: 50 patients with complaints of hoarseness of voice were clinically evaluated and diagnosis was made using Rigid Videolaryngoscopy, Flexible Videolaryngoscopy and Videostroboscopy. Patients underwent microlaryngeal surgery and a final diagnosis made with histopathological examination. The intra-operative findings and the final histopathological diagnosis were compared with the diagnosis made with rigid, flexible videolaryngoscopy and stroboscopy. Results: Intra-operative findings correlated with stroboscopic findings in 84% of patients, with fibreopticlaryngo-pharyngoscopic diagnosis in 54% of patients and with rigid video-laryngoscopy in 46% of patients. Videostroboscopy showed the highest diagnostic co-relation on histopathology (80%) as compared to rigid videoendoscopy (56%) and flexible videolaryngoscopy (58%). Videostroboscopy also elucidated vocal fold abnormalities that were missed on rigid or flexible laryngoscopic examinations. Conclusion: Videostroboscopy is a valuable complement to a thorough vocal history and physical examination. Videostroboscopy is superior to constant light laryngeal examination in diagnosis of vocal cord lesions.

关键词： Stroboscoby Video Laryngoscopy Fibreopticlaryngo-Pharyngoscopy Histology

Osteomyelitis of the Skull Base—A Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2018年第4期7卷 139-142页

作者： D. S. Deenadayal B. Naveen Kumar B. Vyshanavi Department of ENT Yashoda Hospital Secunderabad India

Here we report a patient with uncontrolled diabetes, who presented with giddiness and fall due to an episode of seizure. On evaluation with CT and MRI scans, he was found to have pan sinusitis with erosions of the skull base in the floor of sphenoid near lateral recess. PET-CT showed evidence of increased metabolism. He was operated upon by functional endoscopic sinus surgery and debridement of lesion near skull base. The histopathological examination revealed evidence of inflammation with no granulomas or fungal elements or tubercle bacilli. No organisms were grown in microbiological cultures. He started on empirical antibiotics for 3 months and showed improvement. We are reporting this case due to rarity to skull base osteomyelitis.

关键词： Skull Base Osteomyelitis Infection Cranial Neuropathy

Role of Fibreoptic Endoscopy in Evaluating Swallowing Disorders

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2016年第4期5卷 145-152页

作者： D. S. Deenadayal Vyshanavi Bommakanti Bashetty Naveen Kumar Nabeelah Naeem Department of ENT and HNS Yashoda Hospital Secunderabad India

Objective: The objective is to assess patients complaining of dysphagia with fibreoptic endoscopic evaluation of swallowing [FEES]. Study design: It is a prospective study. Setting: The study is conducted at Tertiary referral hospital. Methods: In our study, twenty patients with complaints of dysphagia were evaluated with fibreoptic endoscopic evaluation of swallowing. Patients with pharyngeal cause of dysphagia were identified and recommended dietary modifications or positional manoeuvre. Results: A total of twenty patients were evaluated with FEES. Patients were categorised into two groups based on the etiological factor: neurological and non-neurological patients. In eleven of the neurological patients, premature spillage was seen in four patients. Pooling for solids was seen in one patient and for liquids in four patients, pooling for both solids and liquids was seen in six patients, penetration was seen in 1 patient and aspiration in one patient. All these patients were diagnosed to have a pharyngeal cause of dysphagia. In the nine of the non-neurological group, pooling of liquids was seen in four patients, and aspiration was seen in one patient. None of the patients of this group had spillage. One patent had penetration. Five patients had pharyngeal cause of dysphagia. Remaining four patients had normal study. These patients with pharyngeal cause were advised dietary modification or positional manoeuvre or a combination of both. Conclusion: FEES is an effective and valuable tool for evaluating pharyngeal dysphagia, and is helpful in guiding the patients for diet and rehabilitation. It is essential to assess the safety of swallowing in patients to prevent silent aspiration and aspiration pneumonia.

关键词： Fibreoptic Endoscopic Evaluation of Swallowing Dysphagia

Granular Cell Tumour of Larynx— A Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Otolaryngology and Head & Neck Surgery 2016年第4期5卷 153-156页

作者： D. S. Deenadayal B. Naveen Kumar Nabeelah Naeem Vyshanavi Bommakanti HOD Department of ENT and HNS Yashoda Hospital Secunderabad India

Granular cell tumors, also called Abrikossoff tumors, are benign, slowly growing neoplasms. They may occur anywhere in the body, but head and neck accounts to 45% - 65% of these cases. The most common site is the tongue. Larynx is relatively an uncommon location for these tumours, accounting for approximately three to 10 per cent of the reported cases. Laryngeal granular cell tumour is extremely rare accounting for only 19 reported cases under the age of 17 years. As many as 10% of patients experience multifocal synchronous or metachronous tumors. We present a rare case report of granular cell tumour of the larynx.

关键词： Granular Cell Tumour of Larynx