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Satish K.V.,Medical College and Research Institute | Shivakumar P.,BGS Global Institute of Medical science | Mugadlimath A.,Ashwini Rural Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

Study fatal and non-fatal paediatric poisoning cases was conducted in Department of Forensic Medicine and Toxicology in Victoria Hospital collaboration with the Department of Pediatrics, VaniVilas Hospital and, attached to Bangalore Medical College and Research Institute, Bangalore, India. In our study- 79.7% were ingested poisons and 20.3%were poisoning due to snake bites and scorpion stings. 44% of the total poisoning cases were due to insecticides. Among these snake bites were most common accounting for 84.6%. Most of the pediatric poisoning occurred inside home (69.5%), and least occurred outside home (30.5%). Maximum cases were seen at evening time (36.7%), followed by morning time (25%). In most of the cases the manner of poisoning was accidental (68.8%), followed by suicidal attempts (29.7%). 4 cases (3.1%) cases were succumbed to death. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

Kala Yadhav M.L.,Medical College and Research Institute
Journal of Clinical and Diagnostic Research | Year: 2014

Context: Bacterial meningitis is one of the most serious infections seen in infants and children, which is associated with acute complications and chronic morbidity. Infections of Central Nervous System (CNS) still dominate the scene of childhood neurological disorders in most of the developing tropical countries. Aims: To isolate, identify and determine the antibiotic susceptibility patterns of pathogens associated with bacterial meningitis. We also aimed to comparatively evaluate of Gram staining, culture and bacterial antigen detection in cerebrospinal fluid samples. Materials and Methods: Present comparative study included 100 CSF samples of children below the age of 5 years, who were clinically suspected meningitis cases. The samples were subjected to Gram staining, culture and Latex agglutination test (LAT). The organisms isolated in the study were characterized and antibiotic susceptibility test was done according to standard guidelines. Statistical Analysis: It was done by using Gaussian test. Results: Of the 100 cases, 24 were diagnosed as Acute bacterial meningitis (ABM) cases by. Gram staining, culture and latex agglutination test. 21 (87.5%) cases were culture positive, with 2 cases being positive for polymicrobial isolates. Gram staining was positive in 17 (70.53%) cases and LAT was positive in 18 (33.33%) cases. Streptococcus pneumoniae was the predominant organism which was isolated and it was sensitive to antibiotics. Conclusion: In the present study, male to female ratio was 1.27:1, which showed a male preponderance. With the combination of Gram staining, culture, and LAT, 100% sensitivity and specificity can be achieved (p < 0.001). Gram staining and LAT can detect 85% of cases of ABM. Bacterial meningitis is a medical emergency and making an early diagnosis and providing treatment early are life saving and they reduce chronic morbidity.

Ramareddy R.S.,Medical College and Research Institute | Alladi A.,Medical College and Research Institute | Siddapa O.S.,Medical College and Research Institute | Deepti V.,Medical College and Research Institute | And 2 more authors.
Journal of Indian Association of Pediatric Surgeons | Year: 2012

Aim : To report the surgical complications of Ascaris lumbricoides infestation in children. Materials and Methods : This is a retrospective study and cases of intestinal ascariasis managed conservatively were excluded. Results : Sixteen children presented with Ascariasis sequelae, which included ileal volvulus (n=5), perforations (n=4), intussusception (n=1), biliary ascariasis (n-1) and impacted multiple worm boluses (n=5). Plain abdominal radiographs showed pneumoperitoneum (3), cigar bundle appearance (3) and multiple air and fluid levels (13). Sonography showed floating worms with free fluid (2), sluggish peristalsis and moderate free fluid (7) and intestinal worm bolus (11). The surgical procedures included milking of worms (in all), bowel resection (6), closure of perforation (3) and manual reduction of intussusception (1). Biliary ascariasis was managed conservatively and the progress monitored with sonography. There were 3 deaths all of whom had intestinal volvulus, bowel necrosis and toxemia. Conclusion : Sonography can be helpful in diagnosing the presence of worms, its complications and in evaluating response to treatment. Early surgical intervention in those with worm bolus, peritonism, and volvulus may salvage bowel and reduce mortality.

Hemalatha A.L.,Medical College and Research Institute | Sumana Sindhuram V.,Medical College and Research Institute | Sushma S.,Medical College and Research Institute | Suma J.K.,Medical College and Research Institute | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2013

Introduction: Fine Needle Aspiration(FNA) which is used for making a cytologic diagnosis has become an indispensable component of the work-up of many abnormalities. The objec-tives of this study were to adopt USG guided fine needle aspi-ration in the diagnosis of abdomino-pelvic masses, to assess its efficacy and to study the cytological features of abdomino-pelvic masses. Materials and Methods: Hundred patients with clinically or sonologically diagnosed abdomino-pelvic masses were taken up for the study. FNAC was performed under real time USG guidance. The aspirates were smeared onto a minimum of 2 slides and they were routinely stained with H&E, MGG and Pa-panicolaou stains. Observations: The diagnostic accuracy rates of USG guided FNAC for benign, malignant and non-neoplastic lesions were 100%, 96% and 94. 4% respectively. The overall accuracy rate was 96. 3%. Conclusion: USG guided FNAC is a rapid, economical, non-in-vasive, highly accurate and a safe diagnostic procedure which can pre-empt a lengthy and expensive workup in various ab-domino-pelviv masses.

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