Diphtheria continues to be reported from many parts of the world. Complete heart block is rare but often fatal complication of diphtheric myocarditis. We report six children with diphtheric myocarditis who presented with complete heart block. Three patients survived, one with persistent complete heart block. Aggressive supportive management including transvenous pacing may result in complete…
Tuberculous meningitis (TBM) is the most severe form of infection caused by Mycobacterium tuberculosis, causing death or disability in more than half of those affected. The aim of this review is to examine recent advances in our understanding of TBM, focussing on the diagnosis and treatment of this devastating condition.
Neurologists are often the first medical providers to evaluate patients with possible infectious meningitis. Knowledge of the clinical presentations and cerebrospinal fluid, microbiologic, and neuroimaging findings for different etiologies is essential to make a prompt diagnosis and initiate appropriate treatment
Central nervous system (CNS) infections caused by Mycobacterium tuberculosis (MTB) are the most severe forms of extrapulmonary TB (EPTB) due to high levels of mortality and neurological morbidity. Limited studies are available on CNS-TB animal-model development, despite the steady rise in cerebral-TB cases in India over the past decade. This study describes the development of a murine model…
To detail the physiology, pathophysiology and recent advances in diagnostic analysis of cerebrospinal fluid (CSF) in critical illness, and briefly review the pharmacokinetics and pharmaco-dynamics of drugs in the CSF when administered by the intravenous and intrathecal route.
The natural history of cirrhosis can be described as a continuum from a compensated phase to decompensation and liver failure, marked by the development of ascites, overt hepatic encephalopathy, or variceal haemorrhage, occurring at a rate of 5–7% per year.
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To investigate the role and significance of serum IL-6, IL-10, IL-17 in the occurrence and development of chronic hepatitis B. Methods: Enzyme-linked immunosorbent assay (ELISA) was used to detect serum IL-6, IL-10, IL-17 levels and liver function in patients with hepatitis B and relationship between serum viral load in 70 cases of CHB patients and 20 healthy subjects (control group)
Indonesia memiliki jumlah penduduk yang sangat banyak, yaitu 238.452.952 jiwa. Dari jumlah populasi tersebut, terdapat 274.396 kasus gastritis. Namun, psikosomatis gastritis hanya dilaporkan dari sangat sedikit pasien. Karena kasus gastritis banyak di Indonesia dan dengan berjalannya BPJS kesehatan, maka pelayanan kesehatan primer harus melakukan diagnosa dan menangani kasus tersebut. Studi ini…
Di buku ini kita bertemu dengan seorang perempuan berusia 27 tahun dan juga seorang ibu. Perempuan di buku itu bernama Awan. Nama itu dipilih karena “awan selalu punya cara untuk menjaga dan menghibur bumi serta isinya,” ujar sang ibu. Namun tak mudah menjadi awan seperti harapan ibunya. Baginya, jadi bohlam saja lebih dari cukup, untuk menerangi dan memberi kehangatan sebuah ruang yang …