Time filter

Source Type

Al Jahrā’, Kuwait

Abdullah Z.S.,Al Jahra Hospital
Hellenic journal of nuclear medicine | Year: 2010

Pyomyositis is a relatively infrequent, sub-acute primary bacterial muscle infection, which due to its non specific clinical findings is unlikely to be early diagnosed especially in diabetic patients. This diagnostic delay may be fatal. Therefore, early diagnosis and prompt treatment are imperative. We present a poorly-controlled diabetic patient who was referred to our Nuclear Medicine department for a bone scan to evaluate osteomyelitis. Routine three-phase-planar-scintigraphy was falsely positive for osteomyelitis in the left fibula, however, single photon emission tomography (SPET/CT) images clearly showed abnormal uptake in the calf muscles rather than the bone with evidence of low-attenuation lesions in these muscles. SPET/CT and magnetic resonance imaging (MRI) provided essential information to the clinicians to consider other diagnoses rather than osteomyelitis. MRI showed inter and intra-muscular collections consistent with multiple abscesses. Based on medical history, SPET/CT and MRI findings, the diagnosis of pyomyositis was established. The patient underwent successfully multiple incision-drainage procedures with subsequent intravenous antibiotic treatment and was discharged after complete recovery. In conclusion we advocate the use of SPET/CT for the detection of pyomyositis. Source

Torsion of undescended testis, although not uncommon, causes diagnostic difficulties. We here present testicular scintigraphy images of a typical case of torsion of an undescended inguinal testis with disparity between clinical and ultrasonography (USG) findings in the contralateral retractile testis. Source

El-Menyar A.,Hamad General Hospital HMC | Zubaid M.,Kuwait University | Sulaiman K.,Royal Hospital | Singh R.,Hamad Medical Corporation | And 6 more authors.
Mayo Clinic Proceedings | Year: 2010

OBJECTIVE: To assess the impact of chronic renal insufficiency (CRI) on in-hospital major adverse cardiac events across the acute coronary syndrome (ACS) spectrum. PATIENTS AND METHODS: From January 29, 2007, through July 29, 2007, 6 adjacent Middle Eastern countries participated in the Gulf Registry of Acute Coronary Events, a prospective, observational registry of 8176 patients. Patients were categorized according to estimated glomerular filtration rate into 4 groups: normal (≥90 mL/min), mild (60-89 mL/min), moderate (30-59 mL/min), and severe CRI (<30 mL/min). Patients' characteristics and in-hospital major adverse cardiac events in the 4 groups were analyzed. RESULTS: Of 6518 consecutive patients with ACS, 2828 (43%) had mild CRI, 1304 (20%) had moderate CRI, and 345 (5%) had severe CRI. In CRI groups, patients were older and had a higher prevalence of hypertension, diabetes mellitus, and dyslipidemia. On admission, these patients had a higher resting heart rate and frequently had atypical and delayed presentations. Compared with the normal estimated glomerular filtration group, CRI groups were less likely to receive antiplatelet drugs, β-blockers, angiotensinconverting enzyme inhibitors, and statins and were less likely to undergo coronary angiography. In-hospital heart failure, cardiogenic shock, and major bleeding episodes were significantly higher in all CRI groups. In multivariate analysis, mild, moderate, and severe CRI were associated with a higher adjusted odds ratio (OR) of death (mild: OR, 2.1; 95% confidence interval [CI], 1.2-3.7; moderate: OR, 6.7; 95% CI, 3.9-11.5; and severe: OR, 12.0; 95% CI, 6.6-21.7). CONCLUSION: Across the ACS spectrum, patients with CRI had a worse risk profile, had more atypical and delayed presentations, and were less likely to receive evidence-based therapy. Chronic renal insufficiency of varying stages is an independent predictor of in-hospital morbidity and mortality. © 2010 Mayo Foundation for Medical Education and Research. Source

Mannan A.A.,Al Jahra Hospital | Kahvic M.,Al Jahra Hospital
The gulf journal of oncology | Year: 2010

Idiopathic Ibn Sina, popularly known in the west as Avicenna;(980-1037 A.D.) was one of the foremost physicians and Islamic philosophers of his time. His chief medical work, Al-Qanun fi'l-tibb (The Canon of Medicine), is considered to be the most comprehensive medical encyclopedia ever written by an Arab physician. The book served as the final authority on medical matters in Europe for several centuries. It described some of the most illuminating medical thoughts that are relevant to modern medicine. In this article, we pay tribute to this great medieval Arab physician by providing a brief overview of his life and works, with special reference to his contribution to the advancement of medical science. Source

Malek V.A.E.,Al Jahra Hospital | Alexander S.,Al Jahra Hospital | Anezi F.A.,Al Jahra Hospital
Kuwait Medical Journal | Year: 2014

Objective: To determine the prevalence of pediatric discharge against medical advice (DAMA) in our society, reasons if present, common diagnosis and severity of illness of patients availing DAMA Design: Retrospective study Setting: Department of Pediatrics, Al-Jahra Hospital, Kuwait Subjects: Children aged one day to 12 years who were subjected to DAMA from the pediatric wards during the period, January to June 2012 Intervention: The relevant required data from these children's files were collected and analyzed Main Outcome Measure: The frequency of DAMA in our community and the factors responsible Results: The prevalence of DAMA was 8.49%. 56% out of them left the hospital within 24 hours of admission. There was no seasonal variation and no significant difference between general and subspecialty wards. Infants constituted the largest group of DAMA cases (55.5%). Male Kuwaiti children represent the biggest group among DAMA cases. The reasons for DAMA, as reported in the patient's files were: dissatisfaction with the treatment (38%), domestic obligations and inconvenience of hospitalization (31%), perception that the child was well enough to leave hospital (21%), inadequate facilities in the hospital for their children (8%), extended length of stay(2%). The most common diagnosis among our DAMA cases was respiratory and gastro-intestinal illnesses (31% and 25% respectively). Conclusions: We had a high prevalence of DAMA. There was increased prevalence of DAMA cases among Kuwaiti nationality, infants and male patients. Improvement of parent-pediatrician relationship, health awareness and provision of day care services may decrease the overall incidence of DAMA. Source

Discover hidden collaborations