Epidemic dropsy--a clinical study of the Delhi outbreak.
Article
Dans Anglais
| IMSEAR
| ID: sea-94786
ABSTRACT
BACKGROUND:
A major outbreak of epidemic dropsy occurred in Delhi, India, in August-September 1998, due to the consumption of contaminated mustard oil.METHODS:
The clinical data of 212 adult patients of epidemic dropsy who presented to our hospital is analysed.RESULTS:
Pitting pedal oedema (100%), skin erythema (75%), limb tenderness (63%), diarrhea (51%) and hepatomegaly (34%) were the prominent clinical manifestations observed in the patients. Superficial retinal haemorrhages and retinal venous dilatation was observed on fundus examination and 9% of patients developed an open angle glaucoma over a three month follow up period. Cardiac failure was present in 14% of patients. Most patients had mild disease which responded to cessation of mustard oil consumption, bed rest, diuretics and antioxidants. There were six deaths, all of whom had intractable cardiac failure. A unique feature of this outbreak was the documentation of acute renal failure in three patients, a phenomenon never described previously.CONCLUSIONS:
Strict law enforcement to prevent the contamination of edible oils is essential to avoid the occurrence of future similar outbreaks.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Huiles végétales
/
Femelle
/
Humains
/
Mâle
/
Extraits de plantes
/
Contamination des aliments
/
Enfant
/
Épidémies de maladies
/
Adolescent
/
Adulte
Pays comme sujet:
Asie
langue:
Anglais
Année:
2000
Type:
Article
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