ABSTRACT
Mushrooms have been dietary source in hilly and ethnic tribes of India. More than 5000 mushroom species are known worldwide and nearly 100 species are known to be poisonous for humans. Mushroom poisoning occurs due to unintentional and accidental ingestionof poisonous mushroom due to misidentification of poisonous variety as edible one. There has been increasingly incidence of reporting of mushroom poisoning cases nowadays. Here we are reporting case series of 4 patients admitted hailing from same village with accidental ingestion of poisonous mushrooms with clinical-laboratory profile and outcome at our institution. Mushroom Poisoning is an emerging healthcare concern nowadays. Education and mass awareness for identification of poisonous mushrooms is an important preventive measure. Early hospitalization, proper hydration, gastric decontamination, silibinin and N-acetyl cysteine therapy with hepato-renal support constitutes mainstay of treatment. Delay in treatment and complications results in poor prognosis and mortality.
ABSTRACT
Background: Burden of chronic respiratory disease is alarming. International studies suggest that chronic respiratory disease are under surveyed & under diagnosed worldwide. The purpose of the study is to investigate the sociodemographic profile of patient with COPD and bronchial asthma patients presenting to tertiary care centre of Uttarakhand. Objective: To study the sociodemographic profile of patients with COPD and bronchial asthma attending the Sushila Tiwari hospital Haldwani, Uttarakhand. Methods: All patients with respiratory complaints meeting the inclusion criteria & willing to undergo spirometry were recruited from outpatient department and emergency department of government college Haldwani and associated Sushila Tiwari hospital Haldwani. Results: 154 patients (70 females and 84 males) were evaluated by spirometry. Male dominance was seen in COPD that is 47(59.5%), while female dominance was seen in bronchial asthma that is 17(54.8%). Bidi smoking was common in male, smoking and exposure to smoke from biofuel was responsible for COPD in female patients. Maximum number of patient presented in stage 2 COPD (moderate) 45(56.9%) followed by 23(29.11%) patient of severe COPD (stage 3). Conclusion: In our study tobacco product most frequently used was bidi both in man and women. Contrary to popular belief in developing countries, women exposed to tobacco smoke, whether active or passive, whether by bidi or hukka, like men are at increased risk for the development of COPD. Asthmatic subjects showed more reversibility than COPD subject. In evaluation of obstructive lung disease spirometry remained an investigative tool.