Chronic kidney disease (CKD) is associated with a higher risk for stroke in studies from developed countries. This prospective study was conducted to study the clinical profile, management, and outcome of stroke in patients of chronic kidney disease who had been admitted in our institute during the period from December 2004 to December 2006. A higher incidence of stroke was found in men and in the fifth decade of life. Hypertension and diabetes were found in 88.8 and 48.1% of the patients respectively. CKD was detected for the first time during stroke evaluation in 55.5% of the patients. Stroke was due to cerebral infarction in 48.14% and due to cerebral hemorrhage in 40.7% of the patients. Surgical intervention was needed in 14.8% of all patients while stroke was managed medically in the rest. Over 70% of the patients were discharged after they showed improvement in the symptoms.
Introduction:The selection of a prophylactic regimen involves a balance between efficacy and safety. Surgeons are particularly concerned about bleeding because it can lead to hematoma formation, infection, a reoperation, and a prolonged hospital stay. The selection of a prophylactic agent is also influenced by the more frequent use of regional anesthesia. Methodology: The total cases include 51 cases of total hip arthroplasties, 40 cases of knee arthroplasties and 10 cases of hip hemiarthroplasty. The indications for hip arthroplasties in this study include fracture proximal femur, avascular necrosis, secondary or primary osteoarthritis. Knee arthroplasties had been performed for either primary osteoarthritis or rheumatoid arthritis patients. A thorough detailed history regarding factors that influence DVT incidence had been elicited from all patients. Results: One hundred and one patients who underwent joint replacement surgery for various indications have been included in our study. There were 58 women and 43 men in our study. Eight patients in our study had sonographically proven deep vein thrombosis. Two among those had developed pulmonary embolism as a sequel to DVT. One patient had a fatal pulmonary embolism and died on the 6 th postoperative day Conclusion: Deep vein thrombosis is no longer to be considered a rarity among Indian patients.
Mucormycosis also termed as phycomycosis or zygomycosis is less commonly seen in oral cavity. However, it is an invasive, life-threatening and aggressive fungal infection. It mostly targets individuals with altered immunological system and diabetes. In this recent pandemic situation, the individuals affected with coronavirus disease 2019 (COVID-19) are also affected with this fungal infection which commonly involves the maxilla. In this case report, we present a case of a 45-year-old female affected with mucormycosis in post-COVID scenario involving mandible which is quite rare situation. The case report covers clinical findings, radiographic investigations and histopathological details with brief on literature review. Since mucormycosis is aggressive fungal infection, it should be handled with multimodal approach to reduce the systemic damage of an individual, morbidity and mortality.
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