BackgroundAs physicians in a referral hospital, we observed the association between history of enteric fever and somatic disorders associated with low mood. At the Al-Hussein University Hospital, Cairo and the National Liver Institute Hospital, Menoufia, we receive patients from all over Egypt, including rural areas where enteric fever is endemic.AimHere in, 60 Egyptian patients referred to us for evaluation of different somatic disorders are reported.MethodsAfter extensive evaluations, the patients’ symptoms were function-related. Also, their typhoid carrier states were documented, and the severity of depression using Hamilton-D (HAM-D) questionnaire was evaluated and recorded. All patients were treated with ceftriaxone, 2 gm, IV, daily for 15 days. The clinical evaluation and Hamilton score were reassessed at the end of the treatment and 6 weeks thereafter. The patients did not receive any anti-depressant nor anti-anxiety treatment during their course. Typhoid carrier was defined by documenting the history of typhoid fever that was diagnosed by culturing the Salmonella species, and not by serology, isolated from stool culture along with febrile condition, plus the absence of fever in the past 3 weeks. The Widal test was not accepted as a criterion for enrollment.ResultsPatients showed clinically significant improvement in the somatic complaints, and their HAM-D score immediately post-treatment that was consolidated for 6 weeks post-treatment completion.ConclusionIn this study, the typhoid carrier was associated with the psychosomatic depression that improved by antibiotic therapy.
Background: As physicians in a referral hospital, we observed the association between history of enteric fever and somatic disorders associated with low mood. At the Al-Hussein University Hospital, Cairo and the National Liver Institute Hospital, Menoufia, we receive patients from all over Egypt, including rural areas where enteric fever is endemic. Aim: Here in, 60 Egyptian patients referred to us for evaluation of different somatic disorders are reported. Methods: After extensive evaluations, the patients' symptoms were function-related. Also, their typhoid carrier states were documented, and the severity of depression using Hamilton-D (HAM-D) questionnaire was evaluated and recorded. All patients were treated with ceftriaxone, 2 gm, IV, daily for 15 days. The clinical evaluation and Hamilton score were reassessed at the end of the treatment and 6 weeks thereafter. The patients did not receive any anti-depressant nor anti-anxiety treatment during their course. Typhoid carrier was defined by documenting the history of typhoid fever that was diagnosed by culturing the Salmonella species, and not by serology, isolated from stool culture along with febrile condition, plus the absence of fever in the past 3 weeks. The Widal test was not accepted as a criterion for enrollment. Results: Patients showed clinically significant improvement in the somatic complaints, and their HAM-D score immediately post-treatment that was consolidated for 6 weeks posttreatment completion. Conclusion: In this study, the typhoid carrier was associated with the psychosomatic depression that improved by antibiotic therapy.
Background and aim: Coronavirus disease-2019 (COVID-19) is a new pandemic threatening people all over the world. This study assessed the prevalence of burnout, knowledge and attitude of Egyptian psychiatrists during COVID-19 pandemic and factors related. Methods: An online cross-sectional, descriptive study used an online questionnaire distributed through social media among a sample of Egyptian psychiatrists (the total number was 281 psychiatrists) work in different sectors of hospitals (general, governmental and private psychiatric hospitals). Results: Most of the participants were female (n = 182, n = 64.76%), age range: (27–66) years. One hundred sixty-five psychiatrists (58.71%) work in governmental psychiatric hospitals. The frequency of burnout was 31.07% (n=87) and associated with significant correlations of some sociodemographic data such as gender, place of work, years of experience, and other factors. Overall, 80.07% (n = 225) had sufficient knowledge, 75% (n = 212) had a positive attitude, no significant factor was associated with knowledge while gender, place of work and long of experience were significantly associated with positive attitude.
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