RESUMEN
Febrile thrombocytopenia is one of the unrecognized complication which may be missed if platelet count is not done routinely. Increased awareness and early recognition of thrombocytopenia can avoid catastrophes like fatal bleed. The aim of study is to find clinical presentation of patients with febrile thrombocytopenia and find causes and complications associated with febrile thrombocytopenia. Methods: In the present study 107 patients who presented to Shri B. M. Patil Hospital with fever with thrombocytopenia who fulfil inclusion criteria are included in study, a detailed history general physical examination, investigations were performed and patients were treated symptomatically and specifically after diagnosis. Results: In the present study subjects were in the age group of 18-80 years. Youngest was 18 years old and oldest 80 years. In the present study out of 107 cases of fever with thrombocytopenia, 79 were males and 28 were females. Out of 107 patients of fever with thrombocytopenia, 102 had definitive diagnosis with Dengue 54 cases as the commonest cause, followed by Malaria which constituted 40 cases, Mixed infections 3 cases(Dengue fever with enteric fever, Vivax malaria, falciparum malaria), Acute Gastroenteritis 2 cases, Urinary tract infections 1 case, Leptospirosis 2 cases and Enteric fever 2 cases and Unknown causes accounted for 5 cases. In our study 61 patients had platelet count less than 60,000 cells/cumm, whereas 46 had above 60,000 cells/cumm. Common range of platelet count was from 41,000 – 60,000 cells/cumm in 27 cases.Of 107 patients 104 of them recovered and 3 expired with mortality of 2.8% with All 3 patients had MODS. Conclusion: In all cases of Febrile thrombocytopenia, thrombocytopenia led to various bleeding manifestations and influenced the clinical profile of these illnesses. Petechiae were the most common bleeding manifestation. The spectrum varied from mild self-limiting disease to severe fatal disease. This highlights the need for rapid diagnosis and appropriate management of patients to prevent complications.
RESUMEN
Background:Diabetes mellitus (DM) is multisystem disease involving many organs of the body. It affects kidneys, eyes, nerves, vessels and heart due to its microvascular and macrovascular complications. It has been reported in previous studies, most of which are from western world that lung capacities are reduced in DM. We tried to evaluate the involvement of lungs in DM in Indian population in present study. Aims and Objective: To record and evaluate the impact of pulmonary function tests in type 2 diabetes mellitus patients and their matched control group. Methods: This study was undertaken in patients admitted to Shri B.M.Patil Medical College Hospital and Research Centre, Vijayapura between November 2015 to July 2017. A total of 73 cases each of type 2 diabetes mellitus cases and normal controls were selected and compared with duration of type 2 diabetes mellitus. Results & Conclusion: Total of 60 females and 86 males were included in study. Comparison of Forced vital capacity (FVC), Forced expiratory volume during first second (FEV1) and Forced expiratory volume during first second / Forced vital capacity (FEV1/FVC) was done and concluded that restrictive pattern with reduced spirometry values was seen in diabetic cases compared to age, gender and BMI matched controls. Mean Also type 2 DM patients with duration more than 10 years were more affected than those with duration less than 10 years. In females, there was more restriction in lung volumes when compared to males of type 2 diabetes of same duration.