RESUMO
Purpose: The recent pattern of the COVID19 have hit hard to the entire world engulfing many lives within it. We intended to portray the association between the hospital resources such as Hospital beds, Intensive care unit beds (ICU beds), percentage of Gross Domestic Products (GDP) on health with total confirmed cases and total deaths among different countries. Methods: The data of these available health resources in 45 countries were collected from the secondary data sources. The mortality data were collected from situation report by World Health Organization (WHO). Results: The overall mortality rate was 7.29% across 45 countries. The average number of available Hospital beds, ICU beds, GDP on health was 4.30�66, 11.43�03 and 8.31�56 respectively. Moreover, the country that spend highest on health face maximum number of confirmed cases (r2 = 0.538) and mortality (r2 = 0.516). Conclusion: There was found that those countries spent more percentage of GDP on health having a greater number of confirmed cases and deaths, but not found any statistical significance with other health resources.
RESUMO
A 31-year-old male presented with decreased vision in the right eye associated with an active plaque-like serpiginoid choroiditis. The lesion showed a unique feature of dual margins of hyperautofluorescence of the lesion on fundus autofluoresence (FAF) imaging. Systemic investigations suggested a tubercular etiology. He was started on antitubercular treatment and a conventional dose of oral corticosteroids (1mg/kg body weight). However, the lesions showed paradoxical worsening and required increased immunosuppression in the form of local steroids and oral immunomodulators. The presence of dual margins of hyperautofluorescence could suggest increased inflammatory activity leading to paradoxical worsening on treatment requiring increased immunosuppression.