Abstract:Computed tomography (CT) is the gold standard for exact delineation of paranasal sinus (PNS)
Nephrotic Syndrome (NS) is a common childhood illness. It is a disease of relapse and remission with major concern to manage the cases with relapse. Helminthiasis also a common problem in our subcontinent. So, it is very important to find out any relation with helminthiasis and relapse in children. In our study, 88 patients, clinically diagnosed as minimal change nephrotic syndrome, were studied to find out any relationship with helminthiasis and frequent relapse. 36 patients (40.9%) had no helminthic infection, 34 patients (38.6%) had helminthiasis and 18 patients (20.5%) had atopic disorders. 62 patients were successfully followed up for 6 months. Relapses occurred 47.8% (11/23) patients in non-helminthiasis group. 88.5% (23/26) in helminthiasis group and 84.6% (11/13) in atopic group, patients who completed follow up. Thirteen percent (3) patients in non-helminthiasis group, 50% (13) in helminthiasis group and 38.5% (5) in atopic group were found to be frequent relapser. The differences were statistically significant. Pulse Volume 12-14 2020-2022 p.10-12
Background: The clinical features are nonspecific, vary by community, and can be difficult to distinguish clinically from other febrile illnesses. Objective: The purpose of this study was to present the socio-demographic factors and clinical features of enteric fever in children. Methodology: This hospital-based cross-sectional study was conducted at the Department of Pediatrics in Evercare Hospital, Dhaka, Bangladesh from January 2014 to July 2018. It included 260 hospitalized children aged 2 months to 15 years with either positive blood culture (Salmonella typhi or paratyphi) or fourfold titre in Widal test. Results: Majority were under 5 with Female to male ratio of 1:0.9. About 65% household purified water by both boiling and filter; 32.7% children took outside food. Above 94% children did not receive typhoid vaccine while 90% parents lack knowledge about the vaccination. Highest prevalence of enteric fever recorded in the month of May- October. The commonest symptoms were fever, diarrhea, abdominal pain and anorexia; coated tongue and hepatomegaly were prominent signs. Conclusion: Enteric fever mostly affects under-5 children and lacks specific symptoms and signs with peak prevalence in May to October. Bangladesh Journal of Infectious Diseases December 2021;8(2):75-81
Background: Dengue infection is endemic in Bangladesh and presents with varying degrees of severity of illness in children. Objective: The purpose of the present study was to assess the common clinical profile, biochemical findings and outcome of severe dengue fever in children. Methodology: This prospective cohot study was conducted on dengue NS1 or IgM or RT-PCR positive admitted children up to 14 years of age from April 2019 to October 2019 for a period of 6 months at the Pediatrics Department of Evercare Hospital, Dhaka. Data were analyzed after collection of demographic variables, presenting complaints and examination findings of 75 enrolled children. Results: A total of 75 cases were classified as severe dengue fever. The most common age of presentation was 4 to 7 years. The most common presenting symptom of severe dengue cases were fever (97.3%), abdominal pain and vomiting (77.3%) and shock (62.7%). Pleural effusion was the most common physical findings seen in 35 cases (46.6%) followed by ascites in 26 cases (34.7%). Elevation in aspartate amino transaminase AST (IU/L) was found in 82.6%, low albumin was found in 78.7% of the cases. Hypernatremia was the most common electrolyte abnormality found in 35 cases (46.7%). Regarding coagulation profile, raised D-dimer & low fibrinogen were found in 53 (70.7%) & 42 cases (56.0%) respectively. Activated partial thromboplastin time (aPTT) was prolonged in 37.3%. Case fatality rate (CFR) was 5.3%. Conclusion: In conclusion, raised AST and D-dimer, low fibrinogen & albumin level as well as hyponatremia are significant laboratory findings indicating severity of the disease. Shock is a common presentation of severe dengue in children. Bangladesh Journal of Infectious Diseases, December 2022;9(2):40-46
Background: Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has spread around the world and reports of children with COVID-19 are increasing. This study was conducted to assess clinical features and outcome of COVID-19 in children at Evercare hospital Dhaka. Materials & Method: This observational study was conducted on RT-PCR positive COVID-19 admitted children up to 14 years of age from May 2020 to November 2020 at the Pediatric Department of Evercare hospital Dhaka. Data were analyzed after collection of demographic and clinical data of 14 enrolled children. Results: The mean age of the study population was 2.8±3.8 years with male female ratio was 1:1. Two (14.3%) patients had H/O fever in family member & the mean duration between contact & appearance of symptom was 12.5±12.56 days. The major clinical symptom was fever (85.7%). Next most common presenting symptoms were loose stool, vomiting & abdominal pain (42.9%), and convulsion (28.6%). Cough and breathing difficulty were present in 21.4% & 14.3% of the patients respectively. Most of the cases diagnosed as AGE (42.8%) followed by febrile convulsion (28.5%) then pneumonia (21.4%). Conclusion: The symptoms of COVID-19 in children are mild and most of the patients may present with gastrointestinal symptoms such as loose stool, abdominal pain and febrile convulsion. The findings from this study might help to make early appropriate diagnosis and thus control the epidemic. BANGLADESH J CHILD HEALTH 2021; VOL 45 (1) : 15-18
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