Landouzy Sepsis (Atypical ARDS like Features) and Paradoxical Reaction of Tubercular Meningitis Complications, in a Case of Disseminated Extrapulmonary Tuberculosis

dc.contributor.authorPeettakkandy, Vijayanen_US
dc.contributor.authorSoren, Subrat Kumaren_US
dc.contributor.authorK.K., Vineethen_US
dc.contributor.authorCholakkal, Shanavasen_US
dc.date.accessioned2020-09-24T07:12:36Z
dc.date.available2020-09-24T07:12:36Z
dc.date.issued2020-04
dc.description.abstractIntroduction: Chronic Obstructive Pulmonary Disease(COPD) is a major health problem globally. Spirometry is theGold standard for the diagnosis of COPD and it also gradesit’s severity. 6MWT is a simple reproducible test to assess thepatient’s functional capacity. It is of help in management andprediction of prognosis. Objective: This study was done to findcorrelation between 6MWT results with patient’s clinical andspirometric parameters. The study also assessed if 6 minutewalk distance (6MWD) can be an alternative to spirometry inpredicting severity of COPD in resource poor setup.Material and methods: This was a hospital based crosssectional study. 60 consecutive confirmed patients of COPD(by GOLD guidelines) were included in the study afterapplying inclusion and exclusion criteria. Severity wasassessed by pre and post-bronchodilator spirometry test. Thiswas followed by 6MWT as per ATS guidelines. 6MWD wasrecorded and % predicted 6MWD was also calculated. Resultsof 6MWT were correlated with spirometric and clinicalparameters of the patients.Results: 6MWD had statistically significant (p <.05) positivecorrelation with following parameters: Height, FEV1, %predicted FEV1, FVC, FEV1/FVC and PEFR. Correlationwith age, weight and BMI was not significant. % 6MWDsignificantly correlated with Height, FEV1, % predictedFEV1, FVC and PEFR. Distances in meters walked bydifferent severity groups were as follows: Mild: 410 + 15;Moderate: 367.66 + 57.71; Severe: 364.60 + 62.91 and Verysevere: 281.21 + 55.99. On one way analysis of variance(ANOVA) these differences were found significant (p <.01)Conclusion: In this study 6MWD and percent 6MWD hadsignificant positive correlation with patients’ parameters(Height, FEV1, %FEV1, FVC and PEFR). The severity ofCOPD may be assessed with 6MWT.en_US
dc.identifier.affiliationsAssociate Professor, Department of Neurosurgery, Government. Medical College, Kozhikode, Keralaen_US
dc.identifier.affiliationsSenior Resident, Department of Neurosurgery, Government Medical College, Kozhikode, Keralaen_US
dc.identifier.affiliationsMch Trainee, Department of Neurosurgery, Government Medical College, Kozhikode, Keralaen_US
dc.identifier.affiliationsMch Trainee, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, Indiaen_US
dc.identifier.citationPeettakkandy Vijayan, Soren Subrat Kumar, K.K. Vineeth, Cholakkal Shanavas. Landouzy Sepsis (Atypical ARDS like Features) and Paradoxical Reaction of Tubercular Meningitis Complications, in a Case of Disseminated Extrapulmonary Tuberculosis. International Journal of Contemporary Medical Research . 2020 Apr; 7(4): d1-d5en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202893
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber4en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.21276/ijcmr.2020.7.4.6en_US
dc.subjectDisseminated TBen_US
dc.subjectParadoxical Reactionsen_US
dc.subjectARDSen_US
dc.subjectTubercular Meningitis.en_US
dc.titleLandouzy Sepsis (Atypical ARDS like Features) and Paradoxical Reaction of Tubercular Meningitis Complications, in a Case of Disseminated Extrapulmonary Tuberculosisen_US
dc.typeJournal Articleen_US
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