A Case Report of a Patient with Leptospirosis

Abstract Background & aim: Leptospirosis is a zoonosis of worldwide distribution. One of the most important diseases common to man and animals. The aim of this study was to report a case of a patient with leptospirosis. Case Report: A 32 year old man from the southern tropical city of Kangan due to high fever, muscle pain, eye redness, enlarged liver and spleen voltage and the physical examination, slight yellowing of the conjunctiva was referred to Shahid Beheshti Hospital of Yasuj. Initial treatment of the patient's fever and flu-like symptoms before the test was ordered by physicians with antibiotics and patients' vital signs such as fever were controlled. After testing many different diseases and suspect cases, leptospirosis was confirmed. Conclusion: There is a risk of leptospirosis in presence of rodents in tropical vector and also the ecological conditions. When flu-like symptoms, enlarged liver and spleen, jaundice and symptoms of kidney involvement disease and failure to respond to conventional treatments exist, suspected cases of leptospirosis should not be missed and therefore better diagnostic tests should be conducted. Keywords: Leptospirosis, Animal, Febrile, Fl

Seroprevalence of HIV Infection Among High-Risk Groups in Kohgiloyeh and Boyerahmad Province in 2009

Introduction & Objective: According to WHO report, there are more than 40.3 million people infected with HIV worldwide. Detection of HIV-infected people in each community helps to control and prevent the infection. This study aimed to evaluate the prevalence of HIV infection among high-risk groups in Kohgiloyeh and Boyerahmad province in Iran. Materials & Methods: This was a cross-sectional study which was conducted in 2009 in Kohgiloyeh and Boyerahmad province in Iran. High-risk groups for HIV were the subjects of this study. Blood samples were taken from 2009 people from Boyerahmad, Gachsaran, and Dehdasht and tested by ELISA for anti-HIV1/2 antibodies. Demographic features of participants were recorded using a questionnaire during sample collecting. Collected data were analyzed by SPSS version 13 software. Results: From 2009 subjects, HIV antibody was detected in 36 (1.8%) of cases. High prevalence of infection (3.2%) was seen in 31-40 years age group. The rate of infection was higher in males compared to females. Unemployed people were found to be the main victim of the disease. The highest rate of infection was seen in Gachsaran in comparison to other townships. Conclusion: Findings of this study demonstrated that HIV infection is prevalent in high-risk groups in Kohgiloyeh and Boyerahmad province and control measurements should be implemented to prevent the distribution of the infection

The Consistency Rate of Drug Record Information between Cardex and Patients Medical Cards in Teaching Hospitals of Yasuj, Iran

Background & aim: Drug misuse is defined as inappropriate administration or usage of drug which can be preventable. The aim of study was to identify the consistency rate of drug record information between cardex and patients medical cards in teaching hospitals of Yasuj, Iran Methods: The present descriptive sectional study was conducted in teaching hospitals of Yasuj in 2012. Case Sampling was convenience sampling. A number of 400 patient’s charts were selected and drug orders were compared with cardex and drug patient’s cards. Statistical analysis was performed by SPSS software and descriptive tests. Results: Of 400 charts, only 1670 charts had drug orders and there were a total 337 of drug errors in cardex and drug cards. The highest rate of inconsistency of drug details was related to entering drug routes into cradex and drug cards that were reported 41% and 43.2 % respectively. In addition about 5% and 23.4% of administrated drugs were not recorded in cardex and drug cards. It is also indicated that 1% and 2.5 % of deleted drug orders in the chart were not deleted in cardex and drug cards. Conclusions: There are relatively large numbers of inconsistency cases of drug details between cardex, drug cards and patient’s charts. It is necessary to clarify the issue, and also performed new methods of drug registration in the hospitals

Seroprevalance Determination of Cytomegalovirus Infection in Women in Their Reproductive Age Referred to Shahid Mofateh Clinic of Yasuj, Iran, in 2013

Background & Aim: According to the maternal health, and the fact that cytomegalovirus infection is associated with abortion and the incidence of fetal malformations, the aim of this study was to determine the seroprevalance of cytomegalovirus infection of women in the reproductive age. Methods: The present cross-sectional study was conducted on women of childbearing referred to Yasuj Mofatteh clinic in 2013. Ninety-four eligible women (married women aged 17 to 45 years) were selected by random-stratified sampling. After completing the questionnaire which included demographic and clinical characteristics, blood samples were collected and IgG & IgM antibodies titers against CMV were measured by ELISA. The collected data was analyzed by SPSS and statistical tests and independent T-test & chi-square. Results: 98.9% of the participants (93 eligible women) were positive for anti-CMV IgG antibody, whereas the IgM antibody in only one patient (1.1 %) was border line. Also no significant association was observed between the IgG and IgM antibodies and clinical manifestations with demographic variables. Moreover, the titer of IgG and IgM antibodies and clinical manifestations associated with demographic variables was not significant (p>0.05). Conclusion: The results indicated that exposure to cytomegalovirus in women at childbearing age was significant in Yasuj and need serious care in order to prevent complications and congenital malformation felt in this group