Trends of Diphtheria, Pertussis and Tetanus Cases in Nepal

Jha, N; Niraula, Surya Raj; Biral, DD; Bohara, Rajendra

doi:10.3126/hren.v11i1.7602

Cited by 2 publications

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“…There is a paucity of evidence on the prevalence of diphtheria in Nepal. A study published by Jha et al 5 in 2013, where they surveyed 20 major pediatric hospitals in Nepal, found a documented 774 cases of diphtheria with 13.4% mortality between 1983 and 2003. This disease caused by toxins, affects multiple body systems, with cardiovascular involvement being a major contributor to illness and death.…”

Section: Discussionmentioning

confidence: 99%

High mortality diphtheritic myocarditis with conduction disturbance, case series, and review of literature

Poudel¹,

Lamsal

Poudel

2023

Annals of Medicine &Amp; Surgery

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Introduction: Diphtheria cases are still being reported in various parts of the globe. Although complete heart block resulting from diphtheric myocarditis is infrequent, it can lead to fatality. Awareness and recognition of this help strengthen the importance of vaccines and their proper management. Case presentation: The authors report two young patients who presented in the interval of a month, to the emergency department with signs and symptoms of diphtheria. Both developed diphtheric myocarditis with complete heart block and severe left ventricular systolic dysfunction, which did not respond to temporary pacing. Discussion: Diphtheria remains rare but few cases continue to emerge, especially in developing countries. Those who develop it have high mortality, particularly from cardiomyopathy, airway compromise, and organ failure. Conduction abnormalities are diagnostic of diphtheric myocarditis and have a grim prognosis and treatment options are limited. Conclusion: Diphtheric myocarditis has a poor prognosis and is an independent predictor of mortality. Since aggressive invasive treatment has not been shown to improve survival, early recognition along with antitoxin at the earliest suspicion and proper supportive care are the current best available options.

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Section: Discussionmentioning

confidence: 99%

High mortality diphtheritic myocarditis with conduction disturbance, case series, and review of literature

Poudel¹,

Lamsal

Poudel

2023

Annals of Medicine &Amp; Surgery

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Localized Tetanus: Rare and Elusive

Chaudhary

Karki

Bhatta

et al. 2013

Med. J. Shree Birendra Hosp.

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Tetanus is acute and fatal infectious disease which is acquired due to contamination of wound with soil or animal feces containing spores of Clostridium tetani. In this case, 24 old male, serving personnel of Nepalese Army, developed localized tetanus, a rare form of tetanus nearly 3 weeks following crocodile bite in his left thigh. It was painful with involvement of only local flexor muscles at the site of injury. The aim is to incite awareness of the rare form of the Tetanus in adult which is often overlooked in clinical practice.Medical Journal of Shree Birendra Hospital; January-June 2013/vol.12/Issue1/47-49DOI: http://dx.doi.org/10.3126/mjsbh.v12i1.9095

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Trends of Diphtheria, Pertussis and Tetanus Cases in Nepal

Abstract: Health Renaissance, January-April 2013; Vol. 11 No.1; 47-53 DOI: http://dx.doi.org/10.3126/hren.v11i1.7602

Cited by 2 publications

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High mortality diphtheritic myocarditis with conduction disturbance, case series, and review of literature

High mortality diphtheritic myocarditis with conduction disturbance, case series, and review of literature

Localized Tetanus: Rare and Elusive

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