Background: This study was done to describe the clinical and epidemiological profile of neurocysticercosis in children of Rohilkhand region.Methods: The study was carried out in the Paediatric Department (Paediatric Intensive Care Unit and General Ward) of Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh. It was a prospective clinical observational study. After IEC approval and written informed consent, all children between the age group of one month to sixteen years, who fulfilled the inclusion criteria, that is, presented with unprovoked seizure and had evidence of active and ring enhancing lesion or mixed lesion on CT Scan/MRI of brain were enrolled in the study. Detailed history and clinical examination were carried out. Seizures due to any other CNS pathology were excluded. Simple tests for measures of dispersion were the statistical tests that were used.Results: Statistically forty children fulfilled the inclusion criteria. Of the total children enrolled in the study, 63% were males. Male to female ratio was 1.7. Almost three fourths of the population belonged to rural backgrounds. The mean age of studied children was 10.5 years. More than half of the affected children belonged to the school going age group. Generalised tonic clonic seizures were more common in all age groups than partial seizures. Headache (52.6%), loss of consciousness (42.1%), vomiting (31.5%) and focal neurological deficit (15.7%) were the most common presenting complaints in order of decreasing frequency.Conclusions: There should be a high index of suspicion of NCC in any child presenting with unprovoked seizures.
Introduction: The Indian Council of Medical Research (ICMR) has given clinical criteria for suspecting COVID-19 in the Indian population and admissions to hospitals have been based on the above criteria. Aim-To study the clinical profile and outcomes of children suspected to have COVID-19 infection (based on ICMR criteria) admitted to a designated COVID hospital of North India. Methods: This was an observational study done in a COVID hospital of North India from April to June 2020. All children = 18 years of age (including newborns), fulfilling the ICMR criteria and suspected to be COVID infected, from the screening area, were enrolled in the study. Demographic, clinical, laboratory, treatment details, and the final outcome were recorded on a pre-designed data collection proforma. Data was later entered into an MS-EXCEL 2013 spreadsheet and was analyzed using the Epi-info software version 7.2.2. Results: Of the 21 admissions (7 newborns and 14 children>1 month of age) occurring in the COVID suspect ward during the study period, only 1 patient with a positive history of contact, was found to be COVID positive. The mean age of presentation was 10.27 years (Range 0.8-17; SD 7.83). Four children (4/14 = 28.5%) children were admitted on the basis of having symptoms of SARI (Severe Acute Respiratory infection). One patient took leave against medical advice (LAMA) after his RT-PCR report came negative. Conclusion: The majority of children admitted as per the testing criteria were found to be COVID negative.
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