JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Feb 2023
Case ReportsCecal Perforation Following Intraperitoneal Abscess after Anti-tubercular Therapy: A Case Report.
Abdominal tuberculosis is defined as infection of gastrointestinal tract, peritoneum, abdominal solid organs, and/or abdominal lymphatics constituting approximately 12% of extra-pulmonary tuberculosis cases. Intestinal perforation is an acute presentation of abdominal tuberculosis. Intestinal perforation can occur before or at the beginning of anti-tubercular therapy. It is considered to be a paradoxical reaction if it occurs during or after treatment. Intestinal perforation is uncommon but serious and life-threatening as complication-mortality rate secondary to perforation are estimated to be >30%. We present a case of an 18-year-old female who developed cecal perforation following an intraperitoneal abscess after completion of anti-tubercular therapy for intestinal tuberculosis. She was a known case of intestinal tuberculosis. She had undergone pigtail catheterisation for an intraperitoneal abscess and completed 18 months of anti-tubercular therapy after which she developed cecal perforation. A paradoxical response was observed following the completion of anti-tubercular therapy. Early diagnosis and treatment reduce the complications and mortality rates of cecal perforation due to abdominal tuberculosis. ⋯ case reports; cecum; intestinal perforation; tuberculosis.
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JNMA J Nepal Med Assoc · Feb 2023
Case ReportsBilateral Iridochorioretinal Coloboma Managed with Low Vision Rehabilitation: A Case Report.
Ocular coloboma is a rare congenital disability. If involving the macula, it affects the patient's vision and subsequently affects childhood development and quality of life in the future. Appropriate low vision aid and timely rehabilitation can provide the best possible quality of life for visually impaired children. We report a 9-year-old boy who presented with a diminution of vision in both eyes, and who was just enrolled in pre-school. He was diagnosed with bilateral iridochorioretinal coloboma associated with nystagmus and unilateral cataract. After all the necessary evaluation, a telescope was prescribed for distance and a dome magnifier for near. Furthermore, a peaked cap and photo grey lens were given for outdoor activities. This case highlights the importance of low vision intervention in a visually impaired child. Appropriate low vision aid and rehabilitation can improve patients' lifestyle and academic performance who are diagnosed with iridochorioretinal coloboma. ⋯ case reports; coloboma; ocular; rehabilitation; training.
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JNMA J Nepal Med Assoc · Feb 2023
Dengue among Suspected Patients Admitted to Department of Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Dengue virus incidence has been increasing trends in every year due to the expansion of the vectors Aedes aegypti and Aedes albopictus. The objective of this study was to find out the prevalence of dengue among suspected patients admitted to the department of medicine of a tertiary care centre. ⋯ dengue virus; public health; tertiary care centre.
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JNMA J Nepal Med Assoc · Feb 2023
Edentulousness among Patients Visiting a Dental Unit of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Edentulousness (partial or complete) is a sequel of tooth loss and is an indicator of the oral health status of a population. Edentulousness has a series of deleterious consequences for oral and general health. The aim of this study was to find out the prevalence of edentulousness among patients visiting the dental unit of a tertiary care centre. ⋯ dental health service; edentulous mouth; Nepal; prevalence.
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JNMA J Nepal Med Assoc · Feb 2023
Lumbosacral Transitional Vertebra among Patients Visiting the Department of Orthopaedics in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Lumbosacral transitional vertebra is a normal anatomical variant at the L5-S1 junction with an incidence as high as 4-36%. This alteration results in incorrect identification of vertebral segments leading to wrong surgery. The aim of the study was to find out the prevalence of lumbosacral transitional vertebra among patients visiting the department of orthopaedics in a tertiary care centre. ⋯ lumbar vertebrae; orthopedics; prevalence.