Background: Pleural effusion is an excess fluid that accumulates between two pleural layers. Pleural fluid analysis and cytology are the mainstays for diagnosing various pulmonary diseases. Levels of adenosine deaminase (ADA) are particularly useful in areas where the prevalence of tuberculosis is high. Objectives: To find the clinical profile and various etiology of pleural effusion in respect of age and sex and level of adenosine deaminase in the different causes of pleural effusion. Materials and Methods: This was an observational study carried out in the Department of Laboratory Medicine of a tertiary level teaching hospital, Khwaja Yunus Ali Medical College & Hospital (KYAMCH), Enayetpur, Sirajganj, Bangladesh. Biochemical analysis was done by Olympus AU-400 and cytology was done by Papanicolaou stain. Result: A total of 173 cases of diagnosed pleural effusion was taken in the present study. Tuberculosis was the primary etiology of the total 82 cases (47.39%), followed by malignancy accounting to 30 cases (17.34%). These two were followed by parapneumonic effusion (10.40%). ADA level is highest in TB (167U/L) in comparison with malignancy, transudative cause and other causes. Conclusion: Most common cause of pleural effusion in the tertiary hospital setting is tuberculosis, followed by malignant pleural effusion and ADA level is highest in TB than any other cause. KYAMC Journal Vol. 13, No. 02, July 2022: 98-101
Background: Febrile neutropenia (FN) is a serious event in children with cancer; associated with various complications and mentionable adverse outcome.Objective: To identify the outcome of febrile neutropenia in children with cancer.Materials and methods: This prospective observational study was conducted from October 2017 to November 2018 in the Department of Pediatric Hematology and Oncology, BSMMU. Children (age<18years) with malignancy who were admitted with febrile neutropenia or admitted patients who had developed febrile neutropenia onward were enrolled in this study. Finally, the outcome of each episode of FN was analyzed.Results: Total of 61 patients with 68 febrile neutropenic episodes were studied. Male patients were 62.29% and female patients were 37.70% with a mean age of 7 years. Majority were ALL (50.8%) followed by AML (29.5%), NHL (11.4 %) and solid tumor (8.1%). Bacterial infection was confirmed by culture in 14.7% episodes, 11.7% episodes had positive blood culture. Most of the isolated organisms were gram-negative (90%). Cough (39.7%), bleeding (19%) and diarrhea (17.64%) were the common clinical manifestations in those febrile neutropenic episodes. The mean duration of neutropenia was 9 days, 55.88% of episodes had prolonged neutropenia. Profound neutropenia was recorded in 47 % episodes and significantly associated with adverse outcome. Age ≥10 years also significantly associated with adverse outcome. The treatment success rate was achieved in76.4 % of episodes. A composite adverse event was observed in 23.52% of episodes; with mortality in 11.76%.Conclusion: Febrile neutropenia was a common complication in hematological malignancy. Although 76.4% episodes of febrile neutropenia had been treated successfully, mortality was significantly higher 11.76%. Profound neutropenia and age ≥10 were significant risk factors for dreadful outcome. KYAMC Journal Vol. 14, No. 01, April 2023: 07-10
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