A clinical study on fournier’s gangrene

Aims and objectives: Fournier’s gangrene is a life threatening condition Is a synergistic infectious disease with necrotizing fasciitis of perineum, scrotum and penis. This study was conducted to evaluate the risk factors, bacteriology of infection, extent of involvement, management and prognosis. Methods: Prospective cohort study conducted in Department of General surgery, Govt General Hospital, Ongole, during the period of October 2017 to September 2020 were evaluated . Results :Patients diagnosed as fournier ‘s gangrene were studied in Govt General Hospital Ongole. Diabetes and alcoholism are the common risk factors . Diagnosis is mainly by clinical examination. Most of the cases presented between 48 hrs to 1 week. Radical debridement, antibiotic therapy follow up debridements are needed. FGSI score is helpful in evaluating prognosis. Mortality is high

Dermatoses in the Elderly: Clinico-Demographic Profile at a Tertiary Care Center GEMS, Ragolu, Srikakulam, Andhra Pradesh

Background: Over the last few decades, the quality of life improved in different parts of the world and in our country. As a result of this, more number of older people as alive these days. By 2025, the world will host around 1.2 billion people aged 60 years aged 60 years and above and the number may rise up to 1.9 billion by the year 2050. The health problems in the elderly are usually multiple and are often masked by sensory and cognitive impairments, which may contribute to a worsening of mortality and morbidity. Methods: Our study was a Hospital-based Cross-sectional Observational study done in the Department of Dermatology, Venereology and Leprosy at Great Eastern Medical School and Hospital Ragolu,Srikakulam,Andhra Pradesh,India for a period of two years. In this study, a total of 150 patients were taken with age 65 years and above who attended to the OPD within a period of January 2019 to December 2020. Written informed consent was taken from all the patients included in the study. A complete history was taken followed by clinical examination, complete general, physical and systemic examinations. Results: Out of 150 patients studied, 114(76%) were males, and 36(24%) were females. In our study, the single most common symptom was Generalized pruritus, present in 86(57.33%) patients. The most common physiological change seen in the elderly was rhytides (wrinkling), seen in 121 (81%) patients. The most common hair change seen in our study was Greying of hair in 99(66%) patients and the most common nail finding seen in our study was ridging of nails, in 78 (52%) patients. The most common pathological change seen, in our study was Eczema(Dermatitis) which was noticed in 43 (28.6%) patients, of which photodermatitis being the most common eczematous condition.Conclusion: The present study reveals that skin problems are quite common among the elderly. They develop a wide variety of physiological and pathological skin changes. Thorough knowledge of physiologic and pathologic skin changes in the geriatric population can strengthen the dermatologist's hand in managing such cases

High burden of malaria and anemia among tribal pregnant women in a chronic conflict corridor in India

Abstract Background With more than 200 million cases a year, malaria is an important global health concern, especially among pregnant women. The forested tribal areas of Andhra Pradesh, Telangana and Chhattisgarh in India are affected by malaria and by an on-going chronic conflict which seriously limits access to health care. The burden of malaria and anemia among pregnant women in these areas is unknown; moreover there are no specific recommendations for pregnant women in the Indian national malaria policy. The aim of this study is to measure the burden of malaria and anemia among pregnant women presenting in mobile clinics for antenatal care in a conflict-affected corridor in India. Methods This is a descriptive study of routine programme data of women presenting at first visit for antenatal care in Médecins sans Frontières mobile clinics during 1 year (2015). Burden of malaria and anemia were estimated using rapid diagnostic tests (SD BIOLINE® and HemoCue® respectively). Results Among 575 pregnant women (median age: 26 years, interquartile range: 25-30) 29% and 22% were in their first and second pregnancies respectively. Mid-Upper Arm Circumference (MUAC) was below 230 mm in 74% of them. The prevalence of anemia was 92.4% (95% Confidence Intervals (CI): 89.9–94.3), while severe anemia was identified in 6.9% of the patients. The prevalence of malaria was 29.3% (95%CI: 25.7–33.2) with 64% caused by isolated P. falciparum, 35% by either P. falciparum or mixed malaria and 1% by either P. vivax, or P.malariae or P. ovale. Malaria test was positive in 20.8% of asymptomatic cases. Malaria was associated with severe anemia (prevalence ratio: 2.56, 95%CI: 1.40–4.66, p < 0.01). Conclusions Systematic screening for malaria and anemia should be integrated into maternal and child health services for conflict affected populations in highly endemic tribal areas. Interventions should include the use of rapid diagnostic test for all pregnant women at every visit, regardless of symptoms. Further studies should evaluate the impact of this intervention alone or in combination with intermittent malaria preventive treatment