VIMS Health Science Journal (VIMSHSJ)

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https://imsear.searo.who.int/handle/123456789/170453

Editor-in-Chief: Dr. Sunil Natha Mhaske
ISSN: 2348-523X (Print); 2454-1982 (Online)

Frequency: Quarterly

Language: English

Open Access Peer-reviewed journal

Web site: https://www.vimshsj.edu.in/

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Now showing 1 - 20 of 53

Calcifying Aponeurotic Fibroma in the left pectoral region in an adult: A Case report.
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-09) Patel, Dr. Dhananjay; Kachewar, Dr. Sushil
Calcified aponeurotic fibroma is a rare benign fibroblastic tumor. The lesion has property of local invasion and high recurrence. Because of this property, tumor should be accurately diagnosed pre-operatively. We report a case of 29 years old male, with a palpable painful mass on the anterior chest wall near left pectoral region, describes radiographic and MR findings. No skin defect was detected but patient feels discomfort. An excision procedure was done. The excised tissue was sent for biopsy and calcified aponeurotic fibroma was diagnosed
Retinal Hamartomas in a case of Tuberous Sclerosis
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2021-03) Bhatt, Ruchita
A 21-year-old male patient suffering from epilepsy came for fundoscopic evaluation. Right eye showed a ?at, smooth surfaced well circumscribed, non-calci?ed translucent lesion of 1 disc dioptre size, inferior to the optic disc, obscuring underlying vessels & an opaque, calci?ed, yellow white lesion having irregular surface & margins with mulberry appearance, elevated, supero-nasal to the disc, obscuring the underlying vessels. Adenoma sebaceum, periungual ?bromas, Ash leaf macules were seen on general physical examination suggestive of tuberous sclerosis. MRI brain revealed subependymal nodules & subcortical tubers. OCT showed an optically hyper re?ective mass with retinal disorganization and moth-eaten spaces. 2D echo showed mild Left Ventricular Hypertrophy, diastolic dysfunction, trivial mitral and tricuspid regurgitation. Ultrasonography of abdomen & pelvis showed fatty liver and renal angiomyolipoma. It was interesting to note cardiac & hepatic involvement in addition to the standard tuberous sclerosis complex (TSC) major & minor diagnostic criteria
Pterygium management and comparison of different surgical approaches with supportive treatment in Rural Maharashtra
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-09) Parekh, Dr. Valay C; Singh, Dr. A. K; Divate, Dr. Ms. S. A; Parekh, Mr. Yash C.
Background:Numerous surgical procedures and changes have been ineffective in preventing the recurrence of pterygium. Aprospective clinical observational analysis of 205 individuals with primary pterygium was conducted where patients were treated with various surgical procedures. The patients were observed for two to five years in order to examine the frequency of recurrences and consequences. Result: Patients were divided into four groups and treated using a variety of surgical methods. Straightforward excision of pterygium was the treatment of choice in group 1. Excision with conjunctival rotation pedicle graft was used on patients in Group 2. Excision and conjunctival autograft were used to treat Group 3 patients. Patients in Group 4 received excision and a 0.02 percent solution of mitomycin c drops as a postoperative treatment. Age varied from 22 to 58, with a median of 34. All four groups had an equal number of men and women. Hemorrhage, astigmatism, symblepheron, foreign body feeling, and a corneo-scleral ulcer were among complications that were reported. There were 12 percent complications in group 1, 16 percent complications in group 2, 6 percent complications in group 3, and 8 percent complications in group 4. Criteria for recurrence was defined as the regrowth of fibrovascular tissue or the appearance of an aesthetic flaw. It's 30 percent for group 1; 14 percent for group 2, 9 per cent for group 3, and 8 per cent for group 4. Conclusion: The least rate of recurrence was noted in patients of Group 4 who had pterygium excision with postoperative mitomycin c instillation, and complications were least common in patients in Group 3 who had pterygium resection with conjunctival autograft
Sirenomelia
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-09) Shinde, Dr. Mahesh; Shinde, Dr. Abhijit; Kumar, Dr. Sushrut; Mhaske, Dr. Sunil Natha; Waydande, Dr. Suresh
Sirenomelia is a rare and fatal congenital defect characterized by varying degrees of lower limb fusion, thoracolumbar spinal anomalies, sacrococcygeal agenesis, genitourinary, and anorectal atresia. We report a case of baby, born with narrow chest, bilateral hypoplastic thumb, fused lower limbs with a single foot and 5 toes, absent external genitalia, imperforate anus and umbilical cord with single umbilical artery. When diagnosed antenatally, termination should be offered
A Comparative Study To Evaluate The Outcome Of Sutures Versus Fibrin Glue In Conjunctival Autograft Technique For Primary Pterygium Excision
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2021-03) Biradar, Dr. Sonali; Tammewar, Dr. Ajay; Naik, Dr. Roopa
Background:Pterygium is degenerative condition of the subconjunctival tissue which proliferates as vascularized granulation tissue and is characterized by formation of a triangular fold of conjunctiva encroaching on the cornea leading to visual impairment, restriction of ocular motility, chronic in?ammation and cosmetic concerns. Surgical removal is the treatment of choice, but recurrence can be a problem. Now, Fibrin glue is being tried since few years to secure grafts in place of the sutures. The objective of this study was to compare duration of surgery, immediate postoperative complications which includes an in?ammation, subconjunctival haemorrhage, patient comfort, graft stability between the uses of ?brin glue versus sutures. Methods:A total of 40 patients having primary pterygium were included in the study. 20 patients were underwent pterygium excision surgery and conjunctival autografting using absorbable vicryl 8-0 suture and 20 patients underwent pterygium excision surgery and conjunctival autografting using ?brin glue. These 2 groups were compared in terms of duration of the surgery, in?ammation, degree of postoperative discomfort, subconjunctival haemorrhage and graft stability at postoperative day 1. Results:The mean surgery time in ?brin glue group was 15 minutes and mean surgery time in suture group was 28 minutes (p=0.000). Fibrin glue group had signi?cantly lesser in?ammation (p=0.001) as well as postoperative discomfort (p=0.000) compared to suture group at postoperative day 1. There was no signi?cant difference found in the degree of subconjunctival haemorrhage between the ?brin glue versus sutures groups (p=0.887 and p=0.797 at day 1). The grafts secured with ?brin glue were as stable as those secured with the sutures (p=0.745, 0.644 at day 1). Conclusion:The ?brin glue group in conjunctival autografting had signi?cantly less surgery time, which also produces signi?cantly less postoperative discomfort as well as in?ammation with grafts being as stable as those secured with sutures. Fibrin glue can be used regularly if patients can be pooled together and operated on, by making it cost effective procedure
Clinical Study of Risk Factors for Diabetic Maculopathy
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2021-03) Bangal, Dr. Surekha V; Patil, Dr. Bhushan; Sharma, Dr. Akshita
Aim:To determine the association between various systemic risk factors with diabetic maculopathy. Methodology:A prospective observational study was conducted on 50 patients having diabetic maculopathy. Patients with maculopathies secondary to Vitreous Haemorrhage, Ocular disorders like Glaucoma, Uveitis, Advanced Diabetic Eye Disease, Vitreo-macular traction, maculopathy along with proliferative diabetic retinopathy, ischemic maculopathy, and history of laser treatment in last six months were excluded from the study. Data was collected using a structured proforma that included name, age, sex, occupation, height, weight, history of other systemic diseases like hypertension, investigations and treatment taken in past, family history, duration of DM, smoking, hyperlipidemia, hyperglycemia and nephropathy. Results:Out of 50 patients, 38 (76%) were males and 12 (24%) were females suggestive of male predominance. Mean age of the patient was 57.36±11.65 years in males and 56.67±10.17 years in females. Among 50 patients, 19 patients had diabetes mellitus for 6-10 years duration, 14 patients had diabetes mellitus for 1-5 years, in 12 patients for 11-15 years, in 2 patients for 16-20 years, in 2 patients for 21-25 years and only 1 patient more than 25 years. Mean duration of DM was 12.2±6.1 years. Majority of patients having maculopathy had duration of DM up to 20 years. Among 50 patients, 27 patients (54%) had systemic hypertension, 37 patients (74%) had uncontrolled blood sugar level, 29 patients (58%) were found to have hyperlipidemia and 20 patients (40%) had nephropathy. Among 50 patients, pseudophakia was noted in 7 patients (14%), obesity was noted in 21patients (42%). Eleven patients (22%) were found to have anemia, 6 patients (12%) had family history of DM and 13 patients (26%) had history of smoking. Conclusion: Hyperglycemia, hypertension, duration of DM, hyperlipidemia are the major risk factors for the development and progression of diabetic maculopathy. While anemia, smoking, obesity and family history of DM is the less signi?cant risk factors
Newer Therapies In Management of Neonatal Birth Asphyxia
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2021-03) Shinde, Dr. Abhijit; Mhaske, Prof. Dr. Sunil Natha; Kumar, Dr. Sushrut
Asphyxia is an insult to the fetus or newborn due to lack 1 of oxygen or lack of perfusion to various organs.National Neonatology Forum of India has de?ned asphyxia as gasping or ineffective breathing or lack of 2breathing at 1 min of life.Birth asphyxia is one of the most important causes of neonatal brain injury whose incidence ranges from 3.7 to 9/1000 deliveries in the 3west.With the advent of therapeutic hypothermia (TH), improved outcomes are being reported in moderate HIE. TH, however, has not demonstrated improvement in outcomes related to severe HIE. . This has led clinicians and researchers to continue evaluating complementary and/or alternative therapies for infants with HIE. In this review, we will discuss current and emerging therapies in the management of HIE, other than hypothermia. With issues of access to health care and the burden of birth asphyxia shifting to developing and least developed nations, there is a need for alternative and supplementary neuroprotective agents. Low cost and easy availability along with ease of use would assist in ensuring that these therapies have global applicability. So global efforts must be taken to increase such studies as birth asphyxia is causing more morbidity & mortality globally
Caesarian Vs Vaginal Delivery: From A Human Microbiota Perspective
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-09) Shinde, Dr. Mahesh; Shinde, Dr. Abhijit; Mhaske, Prof. Dr. Sunil Natha
The route of the birth delivery influences new born's health. Children born via Cesarean section are at increased risk of developing asthma, systemic connective tissue disorders, juvenile arthritis, inflammatory bowel disease, immune deficiencies and leukemia. Part of these diseases is believed to be related to maturation of neonatal immune system. During vaginal delivery, the contact with the maternal vaginal and intestinal flora is an important source for the start of the infant's colonisation. During Caesarean delivery, this direct contact is absent, and non-maternally derived environmental bacteria plays an important role for infant's gastro-intestinal colonisation. The primary function of microbial colonisation during the foetal period, intrapartum and after the birth is crucial in maturation and development of new-bornimmune system. This review supports the choice of the route of birth delivery and consequently favours a decrease in unnecessary Cesarean sections. It is crucial to provide this information to pregnant women and/or couples and health workers to make informed and educated decisions
Multi System Inflammatory Syndrome In Neonates (MIS-N): A Case Report
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-09) Shinde, Dr. Mahesh; Bhate, Dr. Shreya; Misal, Dr. Ganesh; Mhaske, Dr. Sunil Natha
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy may increase the risk of stillbirth, neonatal death, preterm birth, low birth weight, fetal distress, and neonatal asphyxia. Vertical transmission of SARS-CoV-2 is under investigation. Afew reports suggest the possibility of SARS-CoV-2 transmission from mothers to their neonates. The SARS-CoV-2 virus was reported as one of the rare causes of fetal inflammatory response syndrome (FIRS) and is associated with multisystem inflammatory syndrome in children (MIS-C).
Hysterectomies and bodily autonomy in female migratory farm laborers in the unorganized labor sector in Beed district of Maharashtra: A Review Article
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-06) Swami, Dr. Amrut Arun; Rane, Sakshi; Kumar, Dr. Sanjay; Netragaonkar, Dr. Rahul; Jha, Dr. Ashish Kumar
Seasonal labor migration is a vital aspect of livelihood in rural and tribal regions of India. Females are paid less than males for the same amount of work. Contractors are unwilling to hire female menstruating laborers as menstruation and pregnancy are considered as roadblocks. The worry of hefty fines for absence pushes girls to get their uterus removed as menstruation & pregnancy may require them to pass work opportunities. This review aims to summarize the prevalence of hysterectomies among these women, and tries to understand the mindset behind the same. In 2018, 36% of female sugarcane laborers in the State had undergone a hysterectomy. While the rate of hysterectomies among women aged between 15- 49 years at the all-India level is 3.2%, the hysterectomy rate in the state of Maharashtra is 2.6%. Our findings revealed several studies and newspaper articles showing the prevalence of irrational hysterectomies among the unorganized migratory farm laborers as a result of work-related pressures, a grossly unregulated private medical sector and exploitative contractors who hire them
Demographic Evaluation of Pediatric Medico-Legal Cases in Casualty
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-09) Reddy, Dr. Naveen; Shinde, Dr. Abhijit; Waydande, Dr. Suresh; Mhaske, Dr. Sunil Natha
Introduction: Paediatric medico-legal cases are important public health problems in the paediatric casualty in India. These cases are among the leading causes of paediatric disabilities and deaths. We conducted a study to evaluate the demographic features of the medico-legal cases who presented to our paediatric casualty. Methodology: In a total of two-year study period, 120 patients were presented in casualty as medico-legal cases. Information about the patients was obtained from hospital records and analysed by us from casualty. Results: 70 male (58.3%) and 50 female (41.6%) patients were included in our study. The majority of the patients were between 10- 14 years of age (n=30; 25.0%). Fall from height was the major complaint (n= 60; 50%) of our patients. Winter was the most common season (n= 37; 30.6%) and January (n=13; 11%) was the most common month for medico-legal admissions. The majority of the patients (n=42; 35%) presented to our emergency room between 18-24 hours. 78 cases (65%) had health risks at the time of presentation. Conclusion: Developing effective & preventive strategies is essential to prevent child injuries. Majority of cases were males and adolescents. There is an urgent need to focus more on this vulnerable age group i.e., adolescent age group. There should be increased awareness among paediatricians about these medico legal cases and improving counselling skills to handle relatives of patients
Correlation between D-dimer and HRCT in Covid-19
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-09) Patel, Dr. Dhananjay; Kachewar, Dr. Sushil
Background: To retrospectively determine the correlation between CTseverity score & D-dimer. Methodology: This is retrospective original research of 227 patients (IPD & OPD) during April 1 to May 31, 2021 for Covid-19. Patients CTseverity scores, HRCTThorax findings, D-dimer, Platelet count and Demographic variables were recorded. The correlation between CTseverity score & D-dimer were determined. Results:Between the mentioned dates, 227 patients are taken into study which includes 146 Males & 81 Females. Mean of CTseverity score was 6.7, D-dimer was 0.46mg/l. Higher CTscore is seen in males (mean -7.1) as compare to females (mean -6.12). D-dimer are seen higher in males (mean =0.52mg/l) as compare to females (median=0.37mg/l). The study of 227 patients has shown positive correlation between CTscore & D-dimer (r=0.38, p<0.05). Males showed relatively stronger positive correlation (r=0.4, p<0 .05) than females (r=0.3, p<0.05). Patients with age less than equal to 45 has shown relatively stronger positive correlation between CTscore & D-dimer (r=0.4, p<0.05) than patients with age more than 45 (r=0.35, p<0.05). Conclusion:Pulmonary lesion induced by SARS-CoV-2 infection was associated with raised inflammatory response, impairment in exchange of gases, and end organ damage. In study, we can conclude that lung lesion may exert important role in COVID-19 pathogenesis & clinical presentation
Unstable trochanteric Fracture Fixation with P.F.N. augmented by T.B.W.
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2021-03) Patil, Dr. Vijay; Daule, Dr. Pandurang; Naikwade, Dr. Deepak
For inter trochanteric fracture Proximal Femoral Nail (PFN) is a better choice of implant biomechanically. But in communicated inter trochanteric fractures it is associated with screw breakage, cut out through femoral head, ”Z” & reverse “Z” effect and lateral migration of screws. The purpose of this study is to evaluate the results of PFN in terms of post-operative complication and failure rates in unstable trochanteric fracture with addition of 1 or 2 tension band wires. Material & Method:We did study of 21 unstable trochanteric fractures from January 2016 to November .2020. 14 patients were males & 7 patients were females. Age group between 25 to 80 was included in this group. There were 15 A0 A2 (2.2, 2.3) and 6 were A0 A3 (3.1, 3.2, 3.3). All fractures were ?xed with 25cm, 0135PFN mainly 11 mm, 12mm in diameter with addition of one or two 16 gauge tension band wire, strengthening lateral trochanteric wall and holding either communiated fragments or lesser trochanteric fracture. Results:The fracture was united in all cases with mean period of 16 weeks. Two patients developed complication of TBW (Tension Band Wire) breakage; one developed lateral migration of screws. Patients were followed till bone was united. At the end of follow up hip function were 30 (out of 40) in 80% patients by using Salvati and Wilson hip score. Conclusion: The stabilization of lateral trochanteric wall fracture and communiated fragments of inter trochanteric fractures, additional one or two TBW increases the stability of construct enhancing bony union & better results.
Generalised Pustular Psoriasis Masquerading as Lepromatous Leprosy: A Case Report
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-06) Kitture, Dr. Aishwarya; Indurkar, Dr. Vishal; Wagh, Dr. Anamika; Gosavi, Dr. Ramesh
The relationship between psoriasis and leprosy is debatable since ages. The varied clinical manifestations of leprosy may resemble other skin diseases, but there is no documented literature of skin lesions of psoriasis mimicking leprosy. We report a case of generalised pustular psoriasis (GPP) presented with the lepromatous leprosy like clinical features in a 60 year old male. The histopathological examination confirmed the diagnosis. Patient was then treated with Methotrexate 7.5mg weekly and showed improvement in subsequent visits. We report this rare possibility to raise awareness among clinicians to allow accurate diagnosis since leprosy still carries stigma in society
Comparative outcome study between simple closure and flap technique in Pilonidal sinus disease
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-03) Magar, Dr. Ram; Magar, Dr. Rupali
Introduction:Pilonidal sinus disease (PSD) is a disease of natal cleft in sacrococcygeal region. The main goal of treatment is low recurrence rate, short hospital stays, early return to work and decrease post-operative work. Present study was undertaken to compare and find clinical outcome between simple closure and flap techniques. Methodology:30 patients of Pilonidal sinus disease (PSD) which were fit to undergo surgery were included. 15 patients undergone simple closure and 15 undergone flap technique (Limberg). Result: Wound Infection, Post-operative discharge and Recurrence rate was found higher in group I patients (20 %, 23.33 %, 30 % and 26.66 % respectively) compared to Group II cases. Difference is statistically significant (p Value 0.03, 0.04, 0.008 and 0.02 respectively). Discussion:Recurrence of the sinus probably depend mainly on the ability of the procedure to obliterate the depth of natal cleft. In the present study we found flap procedures superior in combating the disease recurrence than excision with simple closure. Conclusion: It is recommended that Limberg flap method should be used in the treatment of pilonidal sinus disease over other modalities
Awareness and perception of Cradiovascular Physiotherapy in patients having Cardiac Condition residing in Pune city.
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-06) Gavate, Vaishnavi; Nagarwala, Dr. Raziya; Dabadghav, Dr. Rachana
Background:Cardiovascular diseases are the number one cause of death worldwide. As we know Cardiovascular Physiotherapy has undisputable role in management of these Cardiac Diseases. Yet evidences suggests that we can see lot of non- adherence of these patients towards therapy. Therefore, this study helps us to understand the awareness and perception of Cardiac Patients towards Cardiovascular physiotherapy as this will tell us patient's level of understanding about the importance and implications of it on their condition and what are their perceptions regarding this therapy.Method: Aself-made questionnaire was administered to people who are diagnosed of Cardiac Condition in various hospitals in Pune City and Descriptive data analysis was done using Microsoft Excel Software. Results:Only 35% subjects were aware of Cardiovascular Physiotherapy, 65% agreed that Cardiovascular Physiotherapy is important for their recovery, 55% thought it has positive effect on their Cardiac Condition yet 87.5% never consulted a Cardio physiotherapist, 25% thought there are no barriers where other considered barriers as follow- 28% were of opinion that PTis high cost, according to 14% it is time consuming, 17.5% says commute is difficult, and 10% gave barrier as Fear. Conclusion: This study concludes that the awareness is poor in patients having cardiac condition from Pune city. However, there is positive perception regarding Cardio physiotherapy most of them never consulted physiotherapist for their cardiac condition. Some of the factors were identified for this low adherence like high cost, commute, fear, time.
Chemical injury to eye- A case report
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2021-12) Murade, Dr. Sneha; Biradar, Dr. Sonali; Waghmare, Dr. Pooja
Chemical burns represent blinding ocular injuries and constitute an ocular emergency requiring immediate assessment and initiation of treatment. The majority of patients are of young age groups and exposure will occur anywhere as an accident and in association with criminal assaults too. Alkali injuries occur more frequently. Chemical injuries of the eye produce extensive damage to the conjunctiva, cornea, anterior segment and limbal stem cells resulting in unilateral or bilateral visual impairment. This article reviews the emergency management to improve the prognosis of patients with chemical injuries
An analytical study of Comparison between Ketamine - Dexmedetomidine versus Ketamine - Propofol for Sedation in Children Undergoing Minor Cardiac Procedures in a Cardiac Catheterization Laboratory
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2021-03) Mamde, Dr. Rahul; Mamde, Dr. Ambika
Background: The management of children with heart diseases has been a major challenge for cardiac anesthesiologist. The anesthetic technique to be used should be easy, safer and provide cardiac stability throughout the operation. So interventional cardiologist prefer deep sedation with the patient breathing spontaneously and painlessly in the room. Propofol, Ketamine along with other combinations drugs have been used worldwide by cardiac anesthesiologist to achieve these goals. We carried out this study to evaluate the combination drugs for pediatric cardiac procedures which are Ketamine – Dexmedetomidine (KD) and Ketamine – Propofol (KP). Methodology:This study was conducted in the Department of Cardiology. A total number of 80 cases were selected, 40 from each comparative groups of Ketamine – Dexmedetomidine (KD) and Ketamine – Propofol (KP). Patient data was categorized into age, sex, procedure done and recovery time, analgesic boluses required and hemodynamic parameters during the surgery. Results: Mean age in KD group was 5.24 ± 1.25 years and in KP group was 4.95 ± 1.86 years. There were total 24 males (60%) and 16 females (40%) in KD group and total 22 males (55%) and 18 females (45%) in KP group. Most common procedures done in both the groups was ASD for device closure done in 12 patients (30%) in KD group and 13 patients (32.5%) in KP group. There was signi?cant difference between the mean recovery time and number of ketamine boluses consumption in both the groups. (p<0.05) Heart rate was signi?cantly lower in KD group at 5, 10, 15 and 20 min post induction when compared to KP group. No statistically signi?cance was found in difference between the Mean Respiratory rate and MAP. Conclusion:Our study concludes that the use of KD combination is relatively safe, practical alternative, we did not ?nd any hemodynamic or respiratory effects during the cardiac procedures but there was some delayed recovery.
Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-03) Tambe, Dr. Pranita; Misal, Dr. Ganesh; Waydande, Dr. Suresh
We are in the midst of an unprecedented global pandemic of coronavirus disease (COVID-19), caused by the novel coronavirus SARS-CoV-2. Although, initially thought to affect children less severely, SARS-CoV-2 infection has recently been associated with a novel set of clinical manifestations presently called multisystem inflammatory syndrome in children (MIS-C), which shown a rapid increment in cases across the world among the pediatric population. Here, we bring a case report, followed up in the rural tertiary care hospital.
Neonatal Facial Subcutaneous Abscess: A Case Report
(Dr. Vithalrao Vikhe Patil Foundation Ahmednagar, 2022-06) Shinde, Dr. Mahesh; Shinde, Dr. Abhijit; Kumar, Dr. Sushrut; Mhaske, Dr. Sunil Natha; Waydande, Dr. Suresh
Skin and soft-tissue infections (SSTIs) are common diagnosis in both the pediatric and adult populations and include abscesses and cellulitis. An abscess is a focal, contained, purulent infection with a clearly defined “cavity” and surrounding inflammation involving the deep subcutaneous tissues. There has been overall increase in SSTIs, with a concomitant rise in the incidence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). We here report a case of facial subcutaneous abscess in neonate, a 20-days-old male full term baby born to a G2P1D1 mother via LSCS in view of non-progression of labor with birth weight of 2.8 kgs presented in our hospital with subcutaneous abscess diffusely present on the left side of the scalp & face. Informant was father with good reliability. All relevant investigations sent & IVantibiotics like meropenem & vancomycin started. Incision & drainage done by pediatric surgeon & 100 ml pus removed. IVantibiotics given for 14 days. In summary, though upper & lower limb skin abscesses are more common, but one should not miss the facial subcutaneous abscess for their prompt and effective management.

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