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Şalālah, Oman

Dhinakar M.,Sultan Qaboos Hospital | Al Mashini S.,Deprament of Surgery | Golash V.,Deprament of Surgery
Oman Medical Journal | Year: 2011

Splenic artery aneurysm (SAA) is a rare clinical entity that carries the risk of rupture and fatal hemorrhage. Ruptured SAA, especially during pregnancy has fateful consequences for the mother, foetus or both. The role of the Radiologist is very important in preventing mortality. A diagnosis of ruptured SAA should be considered in any pregnant patient who complains of sudden epigastric or upper abdominal pain, with or without shock. This is a report of two cases where the mothers were saved but the foetuses were lost. © OMSB, 2011.

Kutty N.,Sultan Qaboos Hospital
Oman Medical Journal | Year: 2011

The overuse of antibiotics in children is becoming a major public health problem. Although most of the common childhood infections such as diarrhea and upper respiratory tract infections are caused by viruses, large volumes of antibiotics are prescribed for these infections in children in the primary care settings. Excessive use of antibiotics is the fundamental risk factor for the development of antibiotic resistance. It is estimated that 90% of upper respiratory tract infections are self limiting viral illnesses and even bacterial infections like acute otitis media often run a self limiting course. Clinical trials have shown that antibiotic use to treat common upper respiratory tract infections like sore throat, nasopharyngitis and otitis media has no or minimal benefit on the clinical outcome. This report discusses two strategies considered to reduce the use of antibiotic in these conditions: i) No prescription, and ii) Delayed prescription of antibiotics for common upper respiratory tract infections. Moreover, this report calls for a significant modification of the prescribing habits of physicians, and to also extend community awareness on the harms of the misuse and overuse of antibiotics. It is imperative to educate health workers as well as the Community in a coordinated and sustainable manner about the growing public health problem of antibiotic resistance.

Al-Kathiri L.,Sultan Qaboos Hospital | Al-Asmaili A.,Al Nahdha Hospital
Oman Medical Journal | Year: 2016

Onycholysis is the detachment of the nail plate from the nail bed. If drug-induced, it can be an isolated phenomenon, but it may also accompany or follow a cutaneous phototoxicity reaction due to drug intake and exposure to ultraviolet irradiation. Photo-onycholysis is a rare photosensitivity reaction due to exposure to either a natural or artificial source of light. Many drugs are responsible for this phototoxic reaction, especially tetracyclines, psoralens, chloramphenicol, non-steroidal anti-inflammatory drugs, fluoroquinolones, and, rarely, doxycycline. Any patient given enough of a therapeutic dose of an inducing drug and sufficient light irradiation can develop phototoxic reactions. While there is no need to avoid these drugs completely, precautions should be taken. Here we have reported the case of a patient who developed onycholysis of his fingernails with sparing of the toenails following administration of diclofenac therapy for lower back pain. The onycholysis was associated with a phototoxic reaction. The swellings resolved totally within two days, and the patient started to notice the separation of all fingernail plates from their nail beds. The patient was treated symptomatically. On follow-up, onycholysis had regressed slowly, and the condition recovered totally within three months without any sequelae. © 2016, Oman Medical Specialty Board. All rights reserved.

Chohan T.A.,Sultan Qaboos Hospital | Mudasser S.,Sultan Qaboos Hospital | Sarwar M.,Sultan Qaboos Hospital
Journal of the College of Physicians and Surgeons Pakistan | Year: 2010

Caecal and right sided colonic cancers mostly present with fatigue, weakness and iron deficiency anemia. Such tumours rarely perforate posteriorly and involve the retroperitoneum. We report a case of an old Omani lady who came with insidious sign and symptoms of perforated caecum leading to retroperitoneal collection and necrotizing fasciitis of abdominal wall due to carcinoma of caecum. She underwent surgery but despite active intervention, she died because of septicemic shock.

Nanda A.,Sultan Qaboos Hospital | Gokhale U.A.,Sultan Qaboos Hospital | Pillai G.R.,Sultan Qaboos Hospital
Oman Medical Journal | Year: 2014

Pregnancy luteoma is a non-neoplastic lesion of the ovary occurring during pregnancy and is usually discovered incidentally at the time of a cesarean section or during postpartum tubal ligation. An accurate diagnosis is important for the mother and the fetus as it can be confused with ovarian malignancy leading to unnecessary surgery. We report a case of a pregnant female who was discovered to have bilateral enlarged ovaries at the time of emergency cesarean section. © OMSB, 2014.

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