La Crosse encephalitis is a mosquito-borne disease that can be mistaken for herpes simplex encephalitis. It has been reported in 28 states but may underrecognized.We investigated the manifestations and clinical course of 127 patients hospitalized from 1987 through 1996. The diagnosis was established by serologic testing IgM IgG antibodies to virus. Data were collected chart review.Most school-aged children (mean [+/-SD] age, 7.8+/-3.5 years; range, 0.5 15.0). Symptoms included headache,...

In this study we aimed to determine, in pediatric patients, whether norovirus infection could be associated with exacerbations of inflammatory bowel disease (IBD) and ascertain the clinical expression gastroenteritis was similar patients IBD compared non-IBD controls.We performed a case-control retrospective chart review, over 10-month interval, an exacerbation their disease. The presence stool and/or rectal swab samples, as determined by enzyme-linked immunoassay, assessed. addition, sex,...

Experience and Reason| February 01 1997 Treatment of Severe La Crosse Encephalitis With Intravenous Ribavirin Following Diagnosis by Brain Biopsy James E. McJunkin, MD; MD Search for other works this author on: This Site PubMed Google Scholar Raheel Khan, Emily C. de los Reyes, Debra L. Parsons, Linda Minnich, SM(AAM); SM(AAM) Rebecca G. Ashley, MT; MT Theodore F. Tsai, Address correspondence to: MD, Robert Byrd Health Sciences Center, 830 Pennsylvania Avenue, Suite 104, Charleston, WV...

Background: La Crosse viral encephalitis (LACVE) is associated with residual epilepsy and neurocognitive deficits in survivors. This report summarizes 3 phases of clinical studies children treated intravenous (IV) ribavirin (RBV), each one exploring a different phase (I, IIA, IIB) trial development. Methods: In I, 7 life-threatening LACVE were emergency use RBV using moderate IV dose (8.33 mg/kg/dose q 8 hours day 1, 5 days 2–10). 12 severe enrolled: (same as I) 4 placebo. IIB an escalated...

Paraphenylene diamine (PPD) ingestion is manifesting as one of the more common ways committing suicide in Southern Punjab, Pakistan, especially Bahawalpur. PPD an ingredient a compound commonly known "Kala Pathar" which means "Black Stone" Urdu. It readily available market at low cost and used to dye hair fur. Its intoxication inhibits cellular oxidation affects muscles causing rhabdomyolysis. This leads myoglobinuria followed by renal failure edema face throat resulting respiratory...

Irritable bowel syndrome (IBS) is a benign condition of the gastrointestinal tract causing abdominal pain, bloating, diarrhea, and/or constipation. Symptoms IBS usually improve on passing flatus and defecation. There no known identifiable underlying pathology; however, several risk factors are to contribute development IBS, which include stressful lifestyle certain foods such as bread, coffee, alcohol, pasta, chocolates. Intestinal bacteria may also symptoms IBS. diagnosed clinically treated...

Left-sided omental infarction (OI) is rare in both the adult and pediatric patients. To our knowledge, only 2 cases of a left-sided OI have been reported literature. We report case an obese 13-year-old male who presented with 6-day history intermittent, colicky, left upper quadrant abdominal pain.

Multiple studies have investigated the role of biomarkers in predicting pneumonia severity adults but minimal conclusive research exists for children. This study aimed to determine if following biomarker levels, collected within 72 hours hospital arrival: white blood cell count (WBC), platelet count, C-reactive protein (CRP), procalcitonin (PCT), neutrophil-lymphocyte ratio, neutrophil or band associated with community-associated (CAP) Methods: A retrospective chart review was conducted on...

Background Dengue is the most common vector-borne disease worldwide. It poses a significant health burden in tropical and subtropical countries. Common clinical presentations include retro-orbital pain, fever, headache, nausea, vomiting aches pains body. A severe form of dengue fever known as hemorrhagic (DHF) that includes signs hemorrhage. Besides typical symptoms, atypical myositis, hepatitis encephalitis. Hepatic involvement has varied presentations. This study aims to highlight...

Objective: To evaluate the structural abnormalities of uterus and fallopian tubes in women diagnosed with primary Secondary Sub-fertility using hysterosalpingogram. Study Design: Cross-sectional study. Place Duration Study: Armed Forces Institute Radiology Imaging, Rawalpindi Pakistan, from Jul to Nov 2019. Methodology: This study investigated potential anatomical causes secondary subfertility reproductive age. A total 500 participants, referred Gynecology Obstetrics Departments, underwent...

Pulmonary hypertension (PH) is a deadly cardiovascular disease that follows progressive and symptomatic course. This presents in approximately 15 cases per million each year categorized into five different groups based on established or presumed etiology.

Introduction: Right subclavian artery (RSA) normally originates from brachiocephalic artery, but in 0.4-1.8% of the general population it may arise directly aortic arch distal to left artery. We present a case acute limb ischemia due dissection and thrombosis anomalous right (ARSA) following transradial PCI. Case: A 60-year-old female presented with anterior STEMI. Coronary angiogram was performed via approach. During procedure noted be exceedingly tortuous coronary catheterization...

Background Accurate estimation of the donor's glomerular filtration rate (GFR) is crucial for not only ensuring medical appropriateness donor but also prediction future allograft performance. The aim this study was to compare GFR formulas and 24-hour urine creatinine clearance with diethylene triamine pentaacetic acid (DTPA) renal scan GFR. Methods This cross-sectional done at Department Nephro Urology Dialysis & Renal Transplantation, Bahawal Victoria Hospital, Quaid e Azam Medical College,...

Objective: To determine the frequency of medical complications after renal transplantation in recipients. Study Design: Prospective Cohort study. Setting: Nephrology Unit, Bahawal Victoria Hospital, Bahawalpur. Period: December 2018 to March 2022. Material & Methods: All patients undergoing transplant during study period were included. Patients unwilling be part this or losing follow-ups excluded. At time enrollment, all underwent pre-transplant work-up and routine investigations....

Objective: To compare the efficacy of 5-days Nitrofurantoin therapy versus Fosfomycin stat dose in clinical resolution uncomplicated urinary tract infections females reproductive age group.
 Study Design: Comparative prospective study.
 Place and Duration Study: Department Medicine, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Apr 2019 to Mar 2020.
 Methodology: A total 498 (18 years 40 years) with lower infection symptoms(increased hesitancy, frequent...

Objective: To see the spectrum of prostatic lesions at a tertiary care hospital Southern Punjab. Study Design: Retrospective study. Setting: Department Histopathology, Quaid-e-Azam Medical College, Bahawalpur. Period: 2nd June, 2021 till 31st December, 2021. Material & Methods: descriptive study was conducted in The data collected from histopathological files and already diagnosed June December Statistical analysis done using SPSS with confidence interval 95% p-value ≤0.05 considered as...

Objective: To determine the frequency of depression among dialysis dependent end-stage renal disease patients, associated factors and effect on patients’ compliance clinical performance parameters. Study Design: Cross-sectional study Place Duration Study: Department Nephrology, Bahawal Victoria Hospital, Bahawalpur Pakistan, from Apr 2017 to Mar 2018. Methodology: End-stage patients above 16 years age who were maintenance haemodialysis for more than 6 months requested complete questionnaire...

Purpose: Omental infarction (OI) is an uncommon but increasingly recognized cause of acute abdominal pain in children, with the great majority cases presenting as significant right sided pain. To our knowledge there are only two a left OI reported pediatric literature. We report case previously healthy obese 13-year-old male who presented to emergency room 6-day history intermittent colicky located upper quadrant (LUQ). There was no trauma, anorexia, nausea, vomiting, or diarrhea. Physical...

Objective: To identify the prevalence of modifiable risk factors ischemic stroke. Study Design: Cross Sectional Study. Setting: Department Medicine, Bahawal Victoria Hospital, Bahawalpur. Period: July 2019 to December 2019. Material & Methods: Detailed history, clinical examination and CT scan (plain) brain was performed data collected on pre-designed questionnaires. Results: Out a total 97 patients, there were 69.1% female 30.1% male. Majority 51.5% aged more than 60 years. Hypertension...