Background and Aims
Central nervous system (CNS) infection is one of the most common causes of morbidity, mortality, and hospital admission worldwide. The natural history of CNS infection is quite fatal. Early diagnosis and treatment have been proven to have a crucial role in patients' survival. The aim of this study was to identify the epidemiological and clinical patterns of patients diagnosed with CNS infections.
Methods
This study is a retrospective study conducted in a tertiary level hospital in Nepal in which patient diagnosed with CNS infections (September 2019 to 2021) were included. Data were collected and analyzed in SPSS.
Results
The mean age of the 95 patients included in the study was 45.18 ± 19.56. Meningoencephalitis (
n
= 44, 46.30%) was the most common infection diagnosed. Patients belonging to the age group 30−60 years had a higher frequency of focal neurological deficit, and other classical clinical features. All the patients who died during the treatment had associated comorbidities but no concurrent infections. Altered sensorium, fever, and headache were the common presenting symptoms in all the recovered patients.
Conclusion
To ensure optimum disease outcome, early diagnosis and prompt management are crucial. For this, recognizing the local disease patterns in terms of disease distribution, commonly implicated aetiologies, presenting symptoms, and prognostic factors is of utmost importance.
Ischemic heart disease, also known as coronary heart disease (CHD) refers to a heart condition that is characterized by narrowing of arteries, which supply blood to the heart muscles. This narrowing can cause irreversible damage or death of the cardiac muscles due to severe deprivation of blood flow to a specific area of the heart, thus called myocardial infarction. 1 Myocardial infarction is a pathological condition caused by disruption of the blood supply to a region of the heart to an extent that limits adequate oxygenation, even with an extended period of rest. 2 According to the Global Burden Disease, the burden of IHD-related deaths was 8.9 million in 2017, which is a 52.3% increase from 5.9 million in 1990, 3 and acute myocardial infarction (AMI) is the leading cause of death among ischemic heart
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