Tetanus; still cannot be prevented, a three year retrospective study in DHQ hospital, Faisalabad

Tetanus still remains a major public health problem in Pakistan like in most other developing countries, with a high morbidity and mortality. To study the demographic profile the clinical profile, the outcome of the tetanus patients and effectiveness of tetanus immunization coverage in district Faisalabad. Retrospective record based study. Surgical unit-5 DHQ Hospital, Faisalabad from January 2010 to December 2012. All data of 198 patients of tetanus of any age and sex, diagnosed clinically was collected, compiled and analyzed from the Medical Records Department of the Hospital. Out of 198 patients of tetanus,138[69.7%] were males and 60[30.3%] were females. Their ages ranged from 1 to 85 years with a mean and a standard deviation respectively of 29.36 and 17.48 years.162 [81.8%] were from rural and36[18.2%] were from urban areas. 47[23.7%] patients were having prior immunization and151[76.3%] were not immunized. The most common presenting symptoms were trismus [47.5%], body stiffness [24.2%],fits[19.2%] and respiratory distress[9.1%]. 23[11.6%] patients were having mild disease,71[35.9%] patients were having moderate disease,71[35.9%] patients were having severe disease and 33[16.7%] were having very severe disease. Overall mortality rate was 41.4%. Respiratory failure was the most common cause of death and there was statistically significant association between mortality and increasing grades of disease. By making expanded programme of immunization [EPI] more effective and removing flaws from out-dated vaccination through incomplete vaccination. By improving awareness in public and complete vaccination through EPI program, we can reduce the incidence of tetanus

Splenic lymphoma in HCV positive patient; a case report

Splenic Lymphoma is a marginal zone lymphoma [MZL's] that is a type of Non-Hodgkin's Lymphoma. It is characterized by a lymphocytic tumor of marginal zone of spleen that may involve splenic hilar lymph nodes and may spill the abnormal BLymphocytes in the blood. A38 years old male, known HCV, presented with pain in left hypochondrium and an abdominal mass in left hypochondriac region. He was diagnosed clinically as a case of splenic hematoma which turned to be splenic lymphoma after investigations and was treated

Splenic lymphoma in HCV positive patient; a case report

Splenic Lymphoma is a marginal zone lymphoma [MZL's] that is a type of Non-Hodgkirf s Lymphoma. It is characterized by a lymphocytic tumor of marginal zone of spleen that may involve splenic hilar lymph nodes and may spill the abnormal B-Lymphocytes in the blood. A 3 8 years old male, known HCV, presented with pain in left hypochondrium and an abdominal mass in left hypochondriac region

He was diagnosed clinically as a case of splenic hematoma which turned to be splenic lymphoma after investigations and was treated