Background: The emergence and fast spread of coronavirus disease 2019 (COVID-19) threatens the world as a new public health crisis. Little is known about its effects during pregnancy. This study aimed to investigate the clinical manifestations of COVID-19 on maternal and neonatal outcomes. Methods: In this systematic review, PubMed, Scopus, Web of Science, and Google Scholar databases were searched focusing on pregnancy and perinatal outcomes of COVID-19. Results: The initial search yielded 1236 articles, from which finally 21 unique studies, involving 151 pregnant women and 17 neonates, met the criteria. Mean ± SD age of included mothers and mean ± SD gestational age at admission were 30.6 ± 6.2 years and 30.8 ± 8.9 weeks, respectively. The common symptoms were fever, cough, fatigue, dyspnea and myalgia. The mortality rates of pregnant women and neonates were 28 out of 151 (18.5%) and 4 out of 17 (23.5%), respectively. Most of the neonates were preterm at the time of delivery. Three neonates had positive RT-PCR test on the first day after birth and three others on day two. On the average, neonate’s PCR became positive on day 4 for the first time. Conclusion: Early diagnosis of COVID-19 is crucial due to the possibility of the prenatal complications. Strict prevention strategies may reduce the risk of mother to infant transmission.
A school survey of 4461 primary-school children was carried out. The epidemiological, clinical and mycological features of tinea capitis were recorded. Of 204 clinically diagnosed cases, mycological examination of hair and scalp scrapings gave positive results in 120, a prevalence of 2.7%. Of these 120, 56 were from urban schools and 64 from rural schools. The male to female ratio was 2: 1. The prevalence of tinea capitis was higher in children with a low socioeconomic profile, i. e. low standard of living, poor hygiene, low level of parental education and overcrowded living conditions. Intrafamilial infection was found in 27.5% of cases and new settlers to the area accounted for 23.3% of total cases
A school survey of 4461 primary-school children was carried out in which 204 cases of tinea capitis were clinically diagnosed. All cases were cultured and examined microscopically in order to compare the validity of the two methods. Microscopy detected 92 positive cases [45.1%], whereas culture detected 105 cases [51.4%]. We also isolated and identified the species causing tinea capitis in our sample. These included Trichophyton verrucosum [38 cases], T: rubrum [22 cases], T mentagrophytes var. mentagrophytes [12 cases]and T: tonsurans [11 cases]. Our results are compared with other studies
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