Shree Krishna Hospital and Pramukhswami Medical College

Anand Gujarat, India

Shree Krishna Hospital and Pramukhswami Medical College

Anand Gujarat, India

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Buttazzoni E.,San Daniele del Friuli Hospital | Gregori D.,University of Padua | Paoli B.,Hospital Of Clinicas Jose Of San Martin | Paoli B.,Instituto Superior Of Otorrinolaringologi A | And 144 more authors.
International Journal of Pediatric Otorhinolaryngology | Year: 2015

Objectives: To provide an epidemiological framework of symptoms related to Foreign Body (FB) injuries due to Button Battery (BB). Methods: Data on BB ingestion/inhalation have been obtained from the ButtonBatteryDB. The ButtonBatteryDB is a database collecting information on BB injuries in children (0-18 years of age). Data on 348 BB injures have been derived from the Registry of Foreign Body Injuries "Susy Safe" (269 cases) and from published scientific literature reporting case reports of FB injuries (79 cases). Results: Most of injured children were male and BBs were found more often in the mouth/esophagus/stomach (ICD935) and in the nose (ICD932). Analyzing symptoms related to BB located in the esophagus/mouth/stomach, we found that children had higher probability of experiencing dysphagia (30.19%, 95% C.I. 17.83-42.55), fever and cough (26.42%, 95% C.I. 14.55-38.28), compared to the other symptoms. Referring to the probability that symptoms occurred simultaneously, fever and cough are more likely (3.72%, 95% C.I. 1.0-6-43) to jointly showing up in children with BB in mouth/esophagus/stomach (ICD935), followed by fever and dysphagia (2.66%, 95% C.I. 0.36-4.96) and by fever and irritability/crying, fever and drooling, dysphagia and irritability/crying (2.13% C.I. 0.00-4.19, 95% C.I.). Conclusions: These findings provide new insight in clinical presentation of BB injuries: the identification of unique patterns of symptoms related to BB injuries is useful to perform an early diagnosis (and to guarantee a prompt medical reaction), also when the injury is un-witnessed. © 2015 Elsevier Ireland Ltd.


Mishra G.,Ashwini Medical Hospital | Panchal N.,Ashwini Medical Hospital | Mehta-Karamsad K.,Shree Krishna Hospital and Pramukhswami Medical College
Gujarat Journal of Otorhinolaryngology and Head and Neck Surgery | Year: 2012

Objectives: To help raise the level of awareness amongst otolaryngologists regarding unusual behavior of Tuberculosis inimmune-competent patients and in those patients who are not present in the tuberculosis endemic areas. Emphasis is placed onmode of presentation and diagnostic issues as early detection is crucial and confers favorable prognosis.Case Report: We present an unusual case of healthy immune-competent, 52 year old female patient presenting with disseminatedtuberculosis (TB) sequentially affecting cervical Lymph nodes, mastoid and ear along with cervical spine.Conclusion: Multi-organ tuberculosis is a well known disease in the immune-compromised individuals but it is rare in the currentscenario. Disseminated tuberculosis in an immune-competent patient mimics a wide variety of common local pathologies and result in diagnostic delay and inadequate containment of the disease.

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