ABSTRACT
Of the 253 neonates admitted to a neonate intensive care unit during the period Jan 91 to Sep 93, 43 neonates died. Autopsy was done in 23 of these (53%). The mean duration of stay of the neonates in the intensive care unit prior to death was 5.6 days (range 2 hours to 10 days). Antemortem diagnoses included asphyxia neonatorum (4), meconium aspiration syndrome (2), septicemia (5), prematurity (3), birth trauma (2), congenital anomalies (2), hypoxic ischemic encephalopathy (1), and non-specific diagnosis (4). There were 6 major autopsy findings that, if known prior to death, would have altered clinical management and might have resulted in cure or prolonged survival. There were 8 additional major findings that, if known prior to death, would not have altered management There were 14 minor findings related to major diagnoses but unrelated to the primary cause of death.
Subject(s)
Leishmaniasis, Visceral/diagnosis , Ampicillin/administration & dosage , Ampicillin/therapeutic use , Animals , Antimony Sodium Gluconate/administration & dosage , Antimony Sodium Gluconate/therapeutic use , Bone Marrow/drug effects , Bone Marrow/microbiology , Child , Child, Preschool , Female , Gentamicins/administration & dosage , Gentamicins/therapeutic use , Hepatomegaly/drug therapy , Hepatomegaly/etiology , Hepatomegaly/physiopathology , Humans , Injections, Intramuscular , Leishmania donovani/isolation & purification , Leishmania donovani/pathogenicity , Leishmaniasis, Visceral/blood , Leishmaniasis, Visceral/drug therapy , Male , Splenomegaly/drug therapy , Splenomegaly/etiology , Splenomegaly/physiopathologySubject(s)
Peritonitis, Tuberculous/diagnosis , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/classification , Anti-Bacterial Agents/therapeutic use , Blood Chemical Analysis , Child , Female , Humans , Laparotomy , Peritonitis, Tuberculous/drug therapy , Peritonitis, Tuberculous/microbiology , Staphylococcus aureus/isolation & purification , Staphylococcus aureus/pathogenicityABSTRACT
Eighty Six adult males presented with central cyanosis and constitutional symptoms 2 to 4 hours following ingestion of meal from a common kitchen. On spectrometry methaemoglobin was detected. All recovered fully in 12 to 36 hours on symptomatic treatment. Epidemiological study and toxicological examination revealed that metanil yellow used for colouring the rice was responsible.
