ABSTRACT
Background: Ectopic spleen is a rare condition in which the spleen is not in its original location. Simultaneous occurrence of thrombocytopenia, enlarged spleen [splenomegaly] and ectopic spleen is very rare
Case Report: A 19 year- old married woman referred to To hid Hospital with symptoms of pain, pressure and heaviness in the right upper quadrant [RUQ]
On physical examination, a mass with firm consistency and a smooth wall in the right side of the abdomen around the navel, was palpated
Further investigations revealed, thrombocytopenia [Pit = 70000] and a large homogeneous mass with well defined wall, in the right upper quadrant [RUQ], in the anatomic site of left liver lobe
One week after splenectomy, platelet count increased to 250,000, and the symptoms disappeared
Conclusion: Diagnosis of ectopic spleen or wandering spleen was considered for this patient
We found simultaneous occurrence of thrombocytopenia, splenomegaly and ectopic spleen in our patient which is a very rare condition
ABSTRACT
This study evaluated the epidemiology of suspected cases of pandemic influenza A [HINI] virus infection in 2009-2010 in Kurdistan province, a frontier province of the Islamic Republic of Iran. A questionnaire covering demographic characteristics, clinical presentation and outcome, and history of exposure and travel was completed by patients attending health centres and hospitals in the province. Nasal and throat swabs were analysed by RT-PCR. A total of 1059 suspected cases were assessed; HI Nl influenza A was confirmed in 157 [14.8%]. The highest proportion of confirmed cases was 30,0%, among children aged <1 year. In multivariate analysis, previous contact with symptomatic influenza patients [OR - 2.17] and hospitalization [OR = 3.88] were the only significant risk factors for confirmed HINI infection. Age, sex, residency, presenting symptoms and history of national or international travel were not significant. Influenza A [HI Nl] virus has spread in Islamic Republic of Iran; probably transmitted by travellers to Kurdistan