During a one-year period between January to December 2002, a total of 84 cases were clinically diagnosed as dengue in the medical unit I of BIRDEM. They were classified into 4 groups: dengue fever (28), DHF-I (31), DHF-II (17), and DHF-III (8). Amongst the patients, 52 (61.9%) were males and 32 (38.1%) were females. SGPT and SGOT were above normal cutoff (40 IU) points in 64 (76.2%) and 73(86.9%) cases respectively. SGOT was higher than SGPT in most cases. S. Bilirubin was almost normal in all cases. S. Calcium level was low in a significant number of cases. Mean S. Ca was 8.69 ± 0.68 in case of DF and lower, i.e. 7.83 ± 0.66 in DHF-III. Mean Hb% also correlated with severity, i.e. 13.3 (SD ± 1.6) in DF and 14.8 ± 1.3 in DHF-III. ESR was lowest in DHF-III. Anti dengue IgM and IgG were done on 58 cases; 41 (70.7%) were IgM positive while 37 were positive for IgG.
Recent studies suggest that there is strong relationship between serum magnesium and diabetes. Low serum magnesium is one of the risk factors of diabetes mellitus and its complications, at the same time diabetes is one of the common causes of hypomagnesemia. Hypokalemia is also quite common in diabetic patient. When hypokalemia coexists with hypomagnesemia, the chance of ‘complications of hypokalemia' increase significantly. In addition, the correction of hypokalemia becomes difficult. However, the exact frequency of hypomagnesemia in diabetic hypokalemic patient is not yet defined. Therefore, the objective of the current study was to find out the frequency of hypomagnesemia in hospitalized diabetic hypokalemic patient. Thirty consecutive diabetic patients with hypokalemia admitted under medical unit 1 BIRDEM were included in this study. There were 20 Female; and 10 male, mean age was 52.33±12.97 years, duration of diabetes was 1 - 20 years, mean serum potassium was 2.37± .36m mol/l, The mean ± SD of serum magnesium was 0.67 ±0.26 m mol/l. Hypomagnesemia was present in 19 patients (63.3%). Fifteen normokalemic diabetic patients were taken as control. Only one subject had Hypomagnesemia in control. Sample mean of serum magnesium has been found significantly lower than general population (P=.001) and control (P=.034) Key words: Hypokalemia, hypomagnesemia, diabetes, frequency DOI: 10.3329/jbcps.v26i1.4227 J Bangladesh Coll Phys Surg 2008; 26: 10-13
Bilimbi/belembu fruit belongs to the family of Oxalidacae, species Averrhoa bilimbi. Freshly prepared concentrated juice of bilimbi has very high oxalic acid content and consumption carries a high risk of developing acute kidney injury (AKI) by deposition of calcium oxalate crystals in renal tubules. AKI due to Averrhoa bilimbi juice injestion is very rare. We report the case history of a 60-year-old hypertensive, dyslipidemic patient, with normal renal function, who ingested around 600ml of juice in fasting state for treating dyslipidemia. The patient developed AKI and required three sessions of hemodialysis. Her renal function returned to normal after five weeks.Bangladesh Crit Care J September 2015; 3 (2): 71-73
Immune system, which is an obligatory component of bodys defense mechanism, is the main barrier for allogenic transplantation. Perfect selection of donor on the basis of human leucocyte antigen (HLA) compatibility and cross-matching are the key components of successful transplantation. Cross-match eliminates the chance of hyper-acute rejection and also ensures the long term graft survival. In 1960s, T-cell complement-dependent cytotoxicity cross-match was firstintroduced; since then it is mandatory component of transplantation workup process. With the advances of time different newer cross-match technics are evolved for determining the likelihood of donor-specific antibody-mediated responses, including flow cytometric cross-match and virtual cross-match using luminous microbead assay. Flow cytometric cross-match and luminous microbead assay are more sensitive and specific than the previous one, however all are complimentary to each other for final selection of donor recipient couple. This article builds an understanding of modern day cross-match interpretation using a complicated case-based approach.Birdem Med J 2016; 6(2): 118-126
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