Klippel-Trenaunay syndrome (KTS) is a rare disorder characterized by abnormal development of soft tissues, lymphatic system, and blood vessels. Major features include tissue and bone overgrowth, vein malformation, and port-wine stains with or without lymphatic abnormalities. It is crucial to review this rare syndrome to avoid any diagnostic delay. In addition, it is also vital to follow disease courses with symptomatic treatment for rare complex diseases, which would help clinicians understand and implement a better treatment plan in the future. We present the case of a 19-year-old male eventually diagnosed with KTS who initially presented with swelling of his feet and skin erosion with bloody discharge. Associated findings were bluish skin discoloration, nodularity, and bleeding per rectum, leading to anemia and subsequent heart failure. Colonoscopy/sigmoidoscopy showed vascular malformation and an active bleeding site. Our patient manifested most of the clinical attributes of KTS, with an interesting clinical course of arteriovenous, soft tissue, capillary, lymphatic, and vascular malformations. However, in our case, the patient is receiving only symptomatic treatment (blood transfusion) without any limb amputation or reconstruction surgery, leading to no further deterioration of the quality of life.
Background : COVID 19 pandemic had taken away lots of human life prematurely worldwide and death laid its icy hands also on Bangladesh. So, objectives of this study were to explore the monthly distributions, age, sex, comorbidities, localities and duration of hospital stay among the COVID 19 death cases. Materials and methods: In this observational study six months hospital death registries were collected and explored for monthly distributions, age, sex, comorbidities, localities and hospital stay. RT-PCR positive confirmed 113 COVID deaths were enrolled and suspected COVID deaths were excluded. Ethical clearance from the hospital authority was taken before hand. Data was compiled and analyzed by SPSS-20. Results: There was a low frequency of death in the months May-2021 and October-2021(7.1% and 2.7% respectively) but more during June -2021 to September 2021 (12.4%, 16.8%, 42.5% and 18.6% respectively). Female deaths were more than male deaths (53.1% vs 46.9%, p<0.05). Age more than 51 years were the most vulnerable where 26(23%) deaths were at age group 51- 60 years, 39(34.5%) deaths were at 61-70 years and 22(19.4%) deaths were more than 71 years. Mean age of death was found 60.66 years and mean duration of hospital stay was found 9.45 days. Maximum duration of hospital stay was 45 days for one patient. Co-morbidities of death cases revealed 52(46.00%) patients had DM and HTN both, 17(15.0%) patients had HTN, 16(14.1%) had DM, 3(2.6%) had BA and COPD, 4(3.5%) had CKD, 2(1.7%) had cancer, 3(2.6%) had CVD, 19(16.8%) had IHD and 16(14.1%) patients had no co-morbidities. Locality of the death cases revealed 44(38.9%) patients came from rural areas and 69(61.1%) came from urban areas. Conclusion: Higher age group and multiple comorbidities specially DM, HTN and IHD were related with COVID deaths mostly found in our study. JCMCTA 2022 ; 33 (1) : 46-49
Background COVID 19 pandemic had taken away lots of human life prematurely worldwide and death laid its icy hands also on Bangladesh. So, objectives of this study were to review the death cases in terms of monthly distributions, age, sex, co-morbidities, localities and duration of hospital due to the COVID 19 infection. Results There was a low frequency of death in the months May-2021 and October-2021(7.1% and 2.7% respectively) but more during June − 2021 to September 2021 (12.4%, 16.8%, 42.5% and 18.6% respectively). Female deaths were more than male deaths(53.1% vs 46.9%, p < 0.05). Age more than 51 years were the most vulnerable where 26(23%) deaths were at age group 51–60 years, 39(34.5%) deaths were at 61–70 years and 22(19.4%) deaths were more than 71 years. Mean age of death was found 60.66 years and mean duration of hospital stay was found 9.45 days. Maximum duration of hospital stay was 45 days for one patient. Co-morbidities of death cases revealed 52(46.00%) patients had DM and HTN both, 17(15.0%) patients had HTN, 16(14.1%) had DM, 3(2.6%) had BA and COPD, 4(3.5%) had CKD, 2(1.7%) had cancer, 3(2.6%) had CVD, 19(16.8%) had IHD and 16(14.1%) patients had no co-morbidities. Locality of the death cases revealed 44(38.9%) patients came from rural areas and 69(61.1%) came from urban areas. Conclusions Higher age group and multiple co-morbidities specially DM, HTN and IHD were related with COVID deaths mostly found in our study.
This review article focuses on critical analyses of the approach towards the management of older adults suffering from urinary tract infections. The article sheds light on the better scopes of management for these patients beyond the conventional treatment strategies to deal with the disease complexities with a goal to achieve patient satisfaction as well as fulfilling their psychosocial needs. Medline (1946) Scopus, Embase,CINAHL and PsycINFO were searched for articles published from 1980 to 2015 using the keywords Urinary Tract Infection, Older Adults, Elderly, Aged and Aged Care Facilities. The reference lists of the selected publications were also reviewed. Articles published only in English have been chosen.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 3-6
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