Spectrum of complications in childhood Enteric Fever as reported in a Tertiary Care Hospital.

Abstract:

Objective:To find out frequency of various complications in children admitted with Enteric Fever at a tertiary care hospital. Methods:This was prospective cross sectional study, carried out in the Pediatric Medicine department of The Children's Hospital Lahore from Dec 2014 to March 2017. Children of both genders with age range of 6 months to 16 years diagnosed as enteric fever on the basis of clinical features and positive Typhidot, or blood culture were included in the study. All 180 patients were scrutinized for all possible complications. Where ever required and feasible appropriate and relevant investigations were done to document complications. Data was analyzed by SPSS version 20. Results:Mean age of children was 7.2±3.38, majority 94 (52.2%) were 5-10 years old. Out of 180 patients, complications were noted in 58 (32.2%). Neurological complications 30.7% encompassed maximum complications followed by hepatobiliary 24.61%, abdominal 16.92% hematological 9.23%, bone and joints 7.69%, respiratory system 6.1% and cardiovascular system 4.41%. Mortality rate was 1.6%. Thrombocytopenia and leucopenia were significantly associated with complications with p value of 0.002 and 0.003 respectively. Conclusion:Enteric fever is causing our children to suffer by its numerous perplexing and fatal complications. The most vulnerable age for enteric fever and its complication is 5-10 years. To combat these issues large scale vaccination remains promising option at least in most susceptible age group.

journal_name

Pak J Med Sci

authors

Iftikhar A,Bari A,Jabeen U,Bano I

doi

10.12669/pjms.345.15262

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

1115-1119

issue

5

eissn

1682-024X

issn

1681-715X

pii

PJMS-34-1115

journal_volume

34

pub_type

杂志文章
  • Prevalence of Atherosclerosis in diabetic and non-diabetic patients with rheumatoid arthritis.

    abstract:OBJECTIVES:(1) To compare the prevalence of preclinical atherosclerosis in diabetic vs. non-diabetic rheumatoid arthritis (RA) patients; (2) to determine the influence of classical and RA-related factors on atherosclerosis; (3) to assess the usefulness of combined carotid and femoral ultrasonography in detecting athero...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.315.7620

    authors: Kisiel B,Kruszewski R,Juszkiewicz A,Kłos K,Tłustochowicz M,Tłustochowicz W

    更新日期:2015-09-01 00:00:00

  • Knowledge, Misconceptions and Motivations Towards Blood Donation Among University Students in KSA.

    abstract:OBJECTIVE:To determine the knowledge, misconceptions and motivations towards blood donation among university students in KSA. METHODS:This cross sectional study was carried out at the King Abdulaziz University, Rabigh campus, Jeddah, KSA. A total of 326 adult males were interviewed and each individual completed a ques...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.296.4137

    authors: Baig M,Habib H,H Haji A,T Alsharief F,M Noor A,G Makki R

    更新日期:2013-11-01 00:00:00

  • Bernard Soulier Syndrome: 10 years' experience at a tertiary care hospital.

    abstract:Objective:To determine clinical manifestations and laboratory findings in patients with BSS diagnosed through platelet aggregometry followed in a tertiary care hospital in Lahore, Pakistan. Methods:The retrospective study comprised patients who presented in Hematology and Transfusion Medicine Department of The Childre...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.35.3.980

    authors: Farhan S,Iqbal I,Ahmed N

    更新日期:2019-01-01 00:00:00

  • Impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals of Karachi.

    abstract:Background & Objectives:In the system related to health care, shifting duties are considered essential and obligatory to make sure the stability of care in hospitals. Scheduling and shifting are the key uniqueness of shift work and nurses are mostly bounded into different schedules that facilitate 24-hour care. Our obj...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.346.16187

    authors: Ali A,Rasheed A,Naz S

    更新日期:2018-11-01 00:00:00

  • Evaluation of kidney injury molecule-1 as a disease progression biomarker in diabetic nephropathy.

    abstract:Background & Objective:Kidney Injury Molecule-1 (KIM-1) is a peptide whose release into circulation is specific to tubular injury. This study aimed to estimate levels of kidney injury molecule-1 in diabetic patients with and without kidney disease. And evaluate the role of KIM-1 as an early screening marker of progress...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.35.4.154

    authors: Khan FA,Fatima SS,Khan GM,Shahid S

    更新日期:2019-07-01 00:00:00

  • Short term outcomes of three dimensional versus two-dimensional laparoscopic cholecystectomy.

    abstract:Objective:To compare the short-term outcomes of three dimensional (3D) versus two dimensional (2D) laparoscopic procedures used for cholecystectomy. Methods:This study was conducted at minimally invasive surgery center of Liaquat University of Medical Health and Sciences (LUMHS) Jamshoro Pakistan, between 15th May 201...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.37.1.3721

    authors: Shaikh AR,Shaikh AA,Abbasi M

    更新日期:2021-01-01 00:00:00

  • Assessment of increased risk of arrhythmia in advanced age pregnancies.

    abstract:Background and Objective:Cardiovascular deaths usually occur in older pregnancies and arrhythmia is the third most common cause. Our study aimed to determine whether the risk of arrhythmia increases in pregnancy with advanced age. Methods:In total, 280 pregnant women, of whom 98 were of advanced age and 182 were under...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.343.14313

    authors: Aslan MM,Atici A

    更新日期:2018-05-01 00:00:00

  • Intra-Operative Predictors of difficult cholecystectomy and Conversion to Open Cholecystectomy - A New Scoring System.

    abstract:Objective:To evaluate the intra-operative scoring system to predict difficult cholecystectomy and conversion to open surgery. Methods:This descriptive study was conducted from March 2016 to August, 2016 in the Department of Surgery, Shalimar Hospital. The study recruited 120 patients of either gender, age greater than...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.341.13302

    authors: Ahmed N,Hassan MU,Tahira M,Samad A,Rana HN

    更新日期:2018-01-01 00:00:00

  • Analysis of deep venous thrombosis after Gynecological surgery: A clinical study of 498 cases.

    abstract:OBJECTIVES:To find out the clinical characteristics and risk factors for deep venous thrombosis (DVT) after gynecological surgery. METHODS:Four hundred and ninety-eight patients treated surgically in the department of gynecology of our hospital from July 2012 to May 2014 were reviewed retrospectively. The data includi...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.312.6608

    authors: Zhang L,Liu X,Xue Y

    更新日期:2015-03-01 00:00:00

  • Study on risk factors (predisposing factors) for poor diabetes control during Hajj (1436/2015) in people with diabetes.

    abstract:BACKGROUND AND OBJECTIVE:Each year millions of Muslims perform pilgrimage to Makkah, Saudi Arabia. It is particularly stressful during the peak five days, when all rituals have to be performed at specific periods of time at different sites. Poor diabetes control in people with diabetes predisposes to morbidity and incr...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.325.11217

    authors: Hasan G,Moabber H,Alyamani A,Sayeed A,Altatar F

    更新日期:2016-09-01 00:00:00

  • The role of serum procalcitonin and C-reactive protein levels in predicting spontaneous bacterial peritonitis in patients with advanced liver cirrhosis.

    abstract:OBJECTIVE:To determine the role of serum procalcitonin (PCT) and C-reactive protein (CRP) in predicting spontaneous bacterial peritonitis (SBP) in patients with advanced liver cirrhosis. METHODS:A total of 88 patients with advanced liver cirrhosis were enrolled for this study, which included 40 cases with SBP and 48 c...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.326.10995

    authors: Wu H,Chen L,Sun Y,Meng C,Hou W

    更新日期:2016-11-01 00:00:00

  • Prevalence of Hepatitis B and C virus infection and their co-relation with hematological and hepatic parameters in subjects undergoing Premarital Screening in the Jazan Region, Kingdom of Saudi Arabia.

    abstract:Objective:Hepatitis is a serious health concern with a high rate of mortality and morbidity world over. Saudi Arabia also has its course of the disease incidence. The data on the prevalence of the disease is still limiting. This study aimed to estimate the prevalence of hepatitis B virus [HBV] and hepatitis C virus [HC...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.342.14278

    authors: Abdullah SM

    更新日期:2018-03-01 00:00:00

  • Predictors of frequent oral analgesic use in rheumatoid arthritis.

    abstract:OBJECTIVE:The main objective of this study was to determine the predictors of frequent oral analgesic use among Rheumatoid Arthritis (RA) patients who were prescribed with the above medication on an 'as-needed' basis. METHODS:Patients with RA were recruited consecutively from the Rheumatology outpatient clinics in thi...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.305.5112

    authors: Gupta Ed,Tee HS,Sakthiswary R

    更新日期:2014-09-01 00:00:00

  • Determinants of severe acute malnutrition among children under five years in a rural remote setting: A hospital based study from district Tharparkar-Sindh, Pakistan.

    abstract:Objectives:To understand and catalogue the specific determinants of this alarming rate of malnutrition among children of Tharparkar district, Sindh Pakistan. Methods:This was a hospital based analytical survey. Data was collected through a semi-structured questionnaire by interviewing mothers of the children (age 6-59...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.342.14977

    authors: Sand A,Kumar R,Shaikh BT,Somrongthong R,Hafeez A,Rai D

    更新日期:2018-03-01 00:00:00

  • Assessment of Risk Factors of Obesity and Diet on Breast Cancer in Ankara, Turkey.

    abstract:OBJECTIVE:To determine the risk factors of obesity and diet on breast cancer in Ankara, Turkey. METHODS:A case-controlled study was carried out on newly diagnosed 40 breast cancer patients [patient group (PC)] and 40 volunteer individuals [control group (CG)] with no diagnosis of cancer and history of cancer in the fa...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.326.11346

    authors: Alim NE,Kiziltan G

    更新日期:2016-11-01 00:00:00

  • Effects of letrozole in combination with low-dose intramuscular injection of human menopausal gonadotropin on ovulation and pregnancy of 156 patients with polycystic ovary syndrome.

    abstract:OBJECTIVE:To explore the effects of letrozole (LE) in combination with low-dose intramuscular injection of human menopausal gonadotropin (HMG) on the ovulation induction and pregnancy of patients with polycystic ovary syndrome (PCOS). METHODS:A total of 156 patients with PCOS infertility were randomly divided into an ...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.326.11391

    authors: Chen Z,Zhang M,Qiao Y,Yang J

    更新日期:2016-11-01 00:00:00

  • Medical Education in Iraq: The cradle of Civilisation.

    abstract::Medical education is in state of flux in Iraq. What used to be the best physicians and surgeons in the Arab world have fallen down to much lower status due to deliberate neglect and punishment of the intellectuals and professionals by the previous authorities. Once again medical educators and health professional are g...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.35.3.972

    authors: Zaidi SH,Abutiheen A

    更新日期:2019-01-01 00:00:00

  • Antibacterial effect of copper sulfate against multi-drug resistant nosocomial pathogens isolated from clinical samples.

    abstract:Background and Objective:With the emergence of antibiotic resistance and the hospital acquired infection, the interest for antimicrobial agents has recently increased again in public health. Copper is recommended as a supplementary method of increasing biological safety in the hospital environment. The objective of thi...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.35.5.336

    authors: Benhalima L,Amri S,Bensouilah M,Ouzrout R

    更新日期:2019-09-01 00:00:00

  • Association between codon 399 polymorphism in the X-ray repair cross-complementing group 1 gene and risk of prostate cancer in Asians: A study of 4,479 cases and 4,281 controls.

    abstract:OBJECTIVE:The polymorphism in codon 399 of the X-ray repair cross-complementing group 1 (XRCC1) gene may subtly alter structure of DNA repair enzymes and modulate the repair capacity. Impaired DNA repair can lead to the development of cancers such as prostate cancer (PCA). Although the association between the XRCC1 cod...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.315.7510

    authors: Yuanyuan M,Xiaoming Y,Lijie Z,Ninghan F

    更新日期:2015-09-01 00:00:00

  • A needs assessment for faculty development at two medical colleges of Dow University of Health Sciences, Karachi.

    abstract:Objective:To identify the perceptions of the faculty about their current level of pedagogical skills and their desire to improve these skills in future. Methods:This cross-sectional study was conducted at two medical colleges of Dow University of Health Sciences, Karachi from March 1, 2015 to April 30, 2015. A re-vali...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.346.16302

    authors: Shah N,Tabassum A,Shah N

    更新日期:2018-11-01 00:00:00

  • Frequency and outcome of treatment in polycystic ovaries related infertility.

    abstract:BACKGROUND:Infertility is defined as inability of couple to conceive after one year of unprotected intercourse. The prevalence of infertility in Pakistan is 21.9%. The most common cause of medically treatable infertility is polycystic ovarian syndrome (PCO). This study was conducted to see the frequency and outcome of ...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.313.8003

    authors: Arain F,Arif N,Halepota H

    更新日期:2015-01-01 00:00:00

  • Effect of energy drink consumption on baroreceptor sensitivity in young normal weight and overweight/obese males.

    abstract:Objectives:There is lack of evidence exploring sympathetic effect by baroreceptor sensitivity in obese consuming energy drink. The purpose of this study was to investigate the acute effect of energy drink on individuals baroreceptor sensitivity in young healthy normal weight and overweight/obese males. Methods:This cr...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.36.7.2419

    authors: Majeed F,Yar T,Alsunni AA,AlHawaj AF,AlRahim AA

    更新日期:2020-11-01 00:00:00

  • Increased frequencies of Th17 in the peripheral blood of patients with chronic lymphocytic leukemia: A one year follow-up.

    abstract:UNLABELLED:Objective : In this study, we aimed to investigate changes of peripheral Th17 and Treg cells frequencies in the newly-diagnosed Chronic Lymphocytic Leukemia (CLL) patients for 12 months. Methods : In this research, 50 CLL patients were enrolled. Circulating Th1, Th17 cells and CD4+CD25+Foxp3+Treg cells were ...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.305.5252

    authors: Tang D,Niu Q,Jiang N,Li J,Zheng Q,Jia Y

    更新日期:2014-09-01 00:00:00

  • The learning environment of four undergraduate health professional schools: Lessons learned.

    abstract:Background and Objectives:Learning is an interplay between cognition and environmental factors. Any learning environment, that fulfills the intrinsic and extrinsic needs of the students will probably lead to better and more promising learning outcomes. This study aimed to investigate the student perceptions of Learning...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.35.3.712

    authors: Irfan F,Faris EA,Maflehi NA,Karim SI,Ponnamperuma G,Saad H,Ahmed AM

    更新日期:2019-01-01 00:00:00

  • Role of Mitogen-Activated Protein Kinases in the Formation of Hypertrophic Scar with Model of Lipopolysaccharide Stimulated Skin Fibroblast Cells.

    abstract:Objective:Hypertrophic scar is common in burn patients, but treating result could not meet the expectation of the patients and doctors. We have found that certain concentration level of lipopolysaccharide (LPS) stimulated normal fibroblast cells have statistically similar with fibroblast cells from hypertrophic scar on...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.341.13636

    authors: Wang W,Li G,Yang H

    更新日期:2018-01-01 00:00:00

  • An 85-year-old woman with Miller Fisher syndrome.

    abstract::Miller Fisher's syndrome (MFS) commonly presents in the fourth and fifth decades and are rare in people over 70 years. An 85-year-old female with no significant medical history presented with upper extremity anesthesia, ptosis, and unsteady gait. The patient had a history of hypertension and diabetes mellitus. Physica...

    journal_title:Pakistan journal of medical sciences

    pub_type:

    doi:10.12669/pjms.295.3793

    authors: Wang SH,Zhang YB,Xie YC,Wang DX,Li JM

    更新日期:2013-09-01 00:00:00

  • Comparison of McGrath(®) Series 5 video laryngoscope with Macintosh laryngoscope: A prospective, randomised trial in patients with normal airways.

    abstract:OBJECTIVE:The McGrath Video laryngoscope is a newly developed video laryngoscope that significantly improves laryngeal view and facilitates endotracheal intubation in difficult airways. However in patients with normal airway that is not mentioned before. The aim of this study was to compare the McGrath video laryngosco...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.324.10037

    authors: Sargin M,Uluer MS

    更新日期:2016-07-01 00:00:00

  • Pattern of MRI brain in neuro-psychiatric SLE. Effect of anti-phospholipid antibodies: A study at a tertiary care teaching hospital.

    abstract:OBJECTIVE:To compare the neuro-radiologic findings in Systemic lupus erythematosus (SLE) patients with and without antiphospholipid antibodies (aPL) in different neuro-psychiatric manifestations. METHODS:This cross-sectional comparative study was carried out at King Khalid University Hospital, a tertiary care teaching...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.315.7975

    authors: Parvez K,Al-Arfaj AR,Hamdani MA,Naseeb F,Daif A,Hussain S

    更新日期:2015-09-01 00:00:00

  • Fetomaternal outcome in patients with placenta previa.

    abstract:Objectives:To assess maternal and fetal morbidity associated with placenta previa and morbidly adherent placenta (MAP). Methods:All patients with placenta previa who delivered in services hospital from April 1, 2017 to March 31, 2019 were included. Maternal and fetal outcomes were compared amongst patients with placen...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.36.5.1647

    authors: Wasim T,Bushra N,Riaz S,Iqbal HI

    更新日期:2020-07-01 00:00:00

  • Correlation of blood pressure and the ratio of S1 to S2 as measured by esophageal stethoscope and wireless bluetooth transmission.

    abstract:UNLABELLED:Objective : Esophageal stethoscope has the advantage of being non-invasive, easily placed and capability to monitor the heart sound. This study was designed to determine whether the ratio of S1 to S2 analyzed by esophageal stethoscope and wireless bluetooth transmission can be accurate indicator that express...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.294.3639

    authors: Hoon Lim K,Duck Shin Y,Hi Park S,Ho Bae J,Jae Lee H,Jung Kim S,Yun Shin J,Jin Choi Y

    更新日期:2013-07-01 00:00:00