ABSTRACT
Meningitis or meningoencephalitis is a known complication of scrub typhus. Focal neurological deficits are rarely reported including hemiparesis, quadriparesis and isolated cranial nerve palsies. Here we are reporting a 24 years female who presented with fever, headache, ptosis, diplopia, facial deviation and unsteadiness of gait due to scrub typhus. Scrub typhus can present as acute or subacute meningitis complicated by multiple cranial palsies and cerebellitis. Hence it needs to be differentiated from acute bacterial meningitis and tubercular meningitis as delay in diagnosis and treatment will affect the morbidity and mortality.
Subject(s)
Cranial Nerve Diseases/diagnosis , Adult , Female , Fever , Humans , Meningitis, Bacterial/diagnosis , Scrub Typhus/diagnosis , Tuberculosis, Meningeal/diagnosis , Young AdultSubject(s)
Electrocardiography/methods , Heart Septal Defects, Atrial/diagnosis , Pregnancy Complications, Cardiovascular/diagnosis , Adult , Diagnosis, Differential , Female , Heart Septal Defects, Atrial/physiopathology , Humans , Pregnancy , Pregnancy Complications, Cardiovascular/physiopathologyABSTRACT
AIM AND OBJECTIVE: To evaluate rheumatological profile among Indian women above 40 years. MATERIALS AND METHODS: A cross-sectional survey was carried out for a period of one year using pre-validated questionnaire of COPCORD/WHO-ILAR. Those who complain of pain, tenderness, stiffness or swelling were subjected to clinical evaluation and diagnosis was established using the ACR's criteria for various RDs. RESULTS: Mean age of the patients was 55.06 ± 6.82 years, mean age at menopause was 47.30 ± 2.50 years and the mean time since menopause was 9.077 ± 5.43 years. Among the total population evaluated (N = 130), 37.69% women presented with RD and 37.06% women among the menopausal women had RD with the most common being low backache (16.92%), followed by osteoarthritis (12.30%), fibromyalgia (3.84%) and rheumatoid arthritis (2.30%). The most common site involved was knee (9.23%) followed by lumbar spine (8.46%), hip (3.07%) and other sites (16.92%) such as neck, upper back, hand joints, shoulder, thighs, etc. Study failed to show any statistical correlation with any socio-demographic or other parameters of interest with RD. HAQ-DI (Health Assessment Questionnaire Disability Index) was found to be highly significant (P < 0.000) in 13.84% women when correlated with RD. CONCLUSION: The prevalence of RD is substantially high among Indian women above 40 years demanding attention of health care providers.
