JNMA; journal of the Nepal Medical Association
-
JNMA J Nepal Med Assoc · Feb 2024
Sepsis among Neonates Admitted to a Neonatal Intensive Care Unit in a Tertiary Care Centre.
Neonatal sepsis is a condition that carries a high risk for mortality as neonates rapidly transition to extra-uterine life and are subjected to various risk factors. Sepsis prevalence can be reduced by good antenatal care, early detection and treatment of risk factors. The study aimed to find out the prevalence of sepsis among neonates admitted to a neonatal intensive care unit in a tertiary care centre. ⋯ neonate; neonatal sepsis; prematurity; prevalence.
-
JNMA J Nepal Med Assoc · Feb 2024
Benign Breast Disease among Patients Visiting the Breast and Endocrine Clinic of a Tertiary Care Centre.
Breast diseases encompass a wide range of conditions, including benign and malignant disorders. Given the significant burden of breast-related health issues in the community, there is a critical need to understand the prevalence. This study aimed to find the prevalence of benign breast diseases among patients visiting the breast and endocrine clinic of a tertiary care centre. ⋯ benign; breast diseases; mastalgia; prevalence.
-
JNMA J Nepal Med Assoc · Feb 2024
Sepsis among Adults Admitted to Intensive Care Unit of a Tertiary Care Centre.
Sepsis is a syndrome that starts with an infection, causes organ dysfunction, and leads to death is a global health issue in critically ill patients. While its epidemiology is well-known in high-income countries, it is poorly understood in low- and middle-income countries, including Nepal. This study aimed to find out the prevalence of sepsis among adults admitted to the intensive care unit of a tertiary care centre. ⋯ intensive care units; prevalence; sepsis.
-
JNMA J Nepal Med Assoc · Feb 2024
Case ReportsRecurrent Idiopathic Granulomatous Mastitis: A Case Report.
Idiopathic granulomatous mastitis is a rare benign breast disease of unknown aetiology mostly presenting as a breast abscess but not responding to usual conservative management with incision and drainage and frequently mimics breast cancer. We present a case 31-year-old female presented with complaints of right breast pain and redness who was initially diagnosed and treated as a case of breast abscess with repeated incision and drainage and antibiotics but did not improve. Later histopathology revealed granuloma with giant cell reaction and the patient was given a trial of steroids which showed no improvement. Wide local excision with a long course of broad-spectrum antibiotics was performed which led into remission. This case report highlights the importance of considering idiopathic granulomatous mastitis as differentials in non-responding breast abscesses. Histopathology for diagnosis and trial of wide local excision with a long course of broad-spectrum antibiotics as treatment may be done for management. ⋯ antibiotics; case reports; granuloma; mastitis.