ABSTRACT
Crimean-Congo hemorrhagic fever [CCHF] is a viral disease and causing approximately 30% fatality rate. Recent studies have been reported that hepatitis in CCHF patients is with high mortality. The aim of this study was to determine the prevalence of hepatitis in the CCHF cases and also detect the mortality rate among patients with hepatitis. The present study was conducted in patients with CCHF who were hospitalized in Boo-Ali hospital in Zahedan between Oct 2009 to Feb 2012. Liver function tests including aminotransferase enzymes and prothrombin time and mortality rate were evaluated. Among 53 patients with CCHF, hepatitis was seen in 19 patients [45%]. Nine patients died [21%]. All dead patients had a serum aminotransaminase level >/=10 times the upper normal limit. Our study showed that hepatitis is prevalent in CCHF patients and a serum aminotransaminase level >/=5 times the upper normal limit [UNL] is a risk factor for severe disease and high mortality
ABSTRACT
According to unpublished reports that there have been cases of relapsing fever in the years ago. We decided to determine prevalence of ticks-born relapsing fever in Chabahar. This study conducted from March 2011 to February 2012, on all individuals suspected of malaria in Chabahar. The peripheral blood smears examined using a dark field microscope. A total of 12, 203 smears evaluated, of which, 5.7% of the patients confirmed to have malaria, but spirochetemia were not seen in any of the samples. Our study showed that TBRF is not common in Chabahar city
ABSTRACT
We have described four patients with Crimean- Congo hemorrhagic fever which acquired the illness following consumption of uncooked sheep liver. Three patients admitted to hospital nearly 36 hours after eating the liver with acute fever and with quick treatment they respond to therapy. Unfortunately, one patient who was referred late to hospital and treatment was after 5 days of the beginning of the first sign, died. Here in, we described four patients who consumed uncooked liver together in a party and apparently there were no other routes for transmission. Three of them were members of a family [one sister and two brothers] and the fourth was their friend who invited to their party
ABSTRACT
Cigarettes smoking is a risk factor for tuberculosis [TB]. Associations between smoking and TB disease have been reported, but there are few reports on the influence of smoking on the sputum smear and culture conversion time. This study surveyed the possible association between smoking and sputum smear conversion time among new smear-positive pulmonary tuberculosis patients, Between May 2005 and December 2006, we evaluated smokers and non-smokers patients with pulmonary TB referred to Zahedan Tuberculosis Center [Southeastern Iran]. Patients were not immunosuppressed or infected by human immunodeficiency virus [HIV]. Drug resistant cases were also excluded. A total of 200 TB patients, including 100 smokers, were evaluated. There was a significant delay in sputum smear conversion time between smokers and non-smokers 2 [53% vs. 10%, respectively, p<0.001] and 3 months following the treatment [19% vs. 2%, respectively, p<0.001]. However, there was no significant difference in failure rate [a positive smear at the end of the 5[th] month of treatment] between two groups [95% vs. 97%]. Our results revealed that smoking is significantly associated with a delay in sputum smear conversion time, hence, pulmonary TB cases must be strongly encouraged to cease smoking
Subject(s)
Humans , Male , Female , Adult , Tuberculosis, Pulmonary , Sputum/microbiology , Case-Control Studies , Smoking/adverse effectsABSTRACT
A 48-year-old man referred with pain and swelling at the upper and middle third of left tibia with a history of previous osseous hydatid disease three years ago. Despite surgical procedure which was performed in this case, recurrence was observed and repeated exploration with wide resection and oral medical therapy were recommended. Bone hydatid cyst is an uncommon disease with difficult response to treatment. Hydatid disease should be included in the differential diagnosis of cystic lesions of bone in endemic regions