Introduction: Neurologic disorders are very common. Data on the type and burden of neurological cases either in the outpatient and inpatient settings in our country are not available. This research has been done to perform a descriptive analysis of the spectrum of neurological cases which were admitted over a period of one fiscal year in Tribhuvan University Teaching Hospital (TUTH), Maharajgunj, KathmanduMethods: This retrospective study included all patients who were admitted with any neurological complaints over a period of one fiscal year (Shrawan 2067 B.S. to Asar 2068 B.S).
Results:The total number of patients admitted was 1165. Out of these, 693 cases were due to neurological disorders (59.48%). The most common disorders were stroke, seizure disorder and central nervous system infections.
Conclusion:A variety of neurological disorders, from very common to very rare, were admitted.
Introduction: Neurologic disorders are very common. Data on the type and burden of neurological cases either in the outpatient and inpatient settings in our country are not available. This research has been done to perform a descriptive analysis of the spectrum of neurological cases which were admitted over a period of one fiscal year in Tribhuvan University Teaching Hospital (TUTH), Maharajgunj, Kathmandu Methods: This retrospective study included all patients who were admitted with any neurological complaints over a period of one fiscal year (Shrawan 2067 B.S. to Asar 2068 B.S). Results: The total number of patients admitted was 1165. Out of these, 693 cases were due to neurological disorders (59.48%). The most common disorders were stroke, seizure disorder and central nervous system infections. Conclusion: A variety of neurological disorders, from very common to very rare, were admitted. DOI: http://dx.doi.org/10.3126/joim.v34i3.8918 Journal of Institute of Medicine, December, 2012; 34:50-53
Leptospirosis, an underreported disease, is a highly prevalent spirochaetal zoonotic disease in both tropical and temperate climates. Symptoms can range from mild illness to potentially life-threatening infection. Laboratory tests are nonspecific. Microbiological confirmation is not widely available in endemic developing countries like Nepal. We need to rely on the serologic test, which has its own pitfalls in the initial days of illness. Here, we report a case of 56 years old female from the western region of Nepal who presented with fever, jaundice and anuria. She initially tested negative for leptospirosis but was later found to be positive in the second week of illness. Unlike the usual non-oliguric renal failure in leptospirosis, she presented with anuria requiring haemodialysis and subsequently had a good recovery with treatment. We highlight the importance of clinical suspicion and logical interpretation of serologic tests based on its timing from the onset of illness.
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