Evaluation of 100 cases of ascites.

This has been a descriptive cross sectional study on 100 consecutive adult cases of ascites. They were studied regarding the incidence of underlying causes, variable clinical presentations and the co-relation of investigations with clinical features during the period of September, 2006 to August, 2007 in Sher-e-Bangla Medical College Hospital, Barisal, Bangladesh. Diagnosis of ascites was based on history, clinical examination & USG examination. Among the 100 cases, male were 68 & female were 32, age range was 13-61years. Causes of ascites were cirrhosis of liver 68%, tubercular peritonitis 9%, hepatocellular carcinoma 8%, congestive cardiac failure 6%, malignancy 4%, nephrotic syndrome 3%, lymphoma 2% and others 4%. Cirrhosis of liver is the major cause of ascites in our study. Many of the patients with cirrhosis & hepatocellular carcinoma were positive for HBsAg & anti HCV implying that hepatitis B & C viruses play a positive role in this condition.

Incidence of helminthic infections and comparative study of pyrantel pamoate with levamisole and mebendazole in hospital patients at Barisal, Bangladesh.

A study was carried out to find out the incidence of helminthic infections in hospitalized patients at Sher-e-Bangla Medical College, Barisal and to determine the comparative efficacy of pyrantel pamoate, levamisole, and mebendazole. It was observed that 76.2 per cent of total hospitalized patients were infected with intestinal helminths. Polyparasitism (52.6 per cent) was more frequent than single infection (21.8 per cent). Amongst these, 47.5 per cent was suffering from Asearis lumbricoides (AL), 42.5 per cent from Hookworm (H.W) and 65.8 per cent from trichuris trichura (TT). Out of 255 cases examined separately, 40 per cent was suffering from Enterobious vermicularis (EV) infection. The comparative study showed that mebendazole produced egg negative stool in 90.9 per cent of AL, 95.6 per cent of HW and 86.8 per cent of TT after eight days of treatment. On the other hand, pyrantel pamoate cured AL in 93.3 per cent, HW in 78.5 per cent and TT in 34.2 per cent eases. Levamisole cured 75 per cent AL, 4.1 per cent H.W. and 22.2 per cent TT within the same period.