Bengal Physician Journal最新文献

{"title":"Strongyloidiasis: A Presentation of an Unusual Case of Adult Malnutrition","authors":"Swathi Hadagali, Aine Sanjay, B. Pradip","doi":"10.5005/jp-journals-10070-7071","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7071","url":null,"abstract":"Malnutrition is a pathological state due to either excess or deficient intake of one or more essential nutrient. It can be undernutrition or overnutrition (obesity). Adult undernutrition is often underestimated and undertreated. There are many causes of undernutrition in adults like poverty, malabsorption syndrome, chronicinfection, immunocompromised state, and worm infestation in adults. This is a case report of immunocompetent adult malnutrition due to worm infestation. Strongyloidiasis is often underestimated due to its subclinical presentation. It may present as acute respiratory distress syndrome (ARDS), AGE, and hyperinfection syndrome based on different phases; it acquires in the host. This patient was presented with hyperinfection syndrome and diagnosed with Strongyloides stercoralis infestation by upper gastrointestinal endoscopic biopsy and histology and stool examination. Patient was treated with specific antihelminthic and supportive therapy and recovered substantially.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"15 3-4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120990538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unusual Case of Painful Swelling in the Neck","authors":"S. Sarkar, Nirmalya Roy, Ankan Pathak, Nikhil Sonthalia, Anindita Bhar, Atrayee Dasgupta","doi":"10.5005/jp-journals-10070-7063","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7063","url":null,"abstract":"Ab s t r Ac t Lemierre’s syndrome: More than a historic curiosa, a prepenicillin era illness characterized by disseminated abscess and thrombophlebitis of internal jugular vein after infection of the oropharynx. The predominant pathogen is a gram-negative anaerobic bacillus Fusobacterium necrophorum. A prompt clinical diagnosis is of utmost importance for a favorable prognosis in the management of this patient. Here we present a case of Lemierre’s syndrome in a middle-aged uncontrolled diabetic male where the unusual and atypical clinical manifestation posed a mounting challenge in the diagnosis of this case. And, the peculiarity in this case was that the causative organism was Klebsiella pneumoniae that is not known to cause Lemierre’s syndrome typically. To date, only a few other cases have been reported where the organism was K. pneumoniae.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125150046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eight-and-a-half Syndrome—A Rare Pontine Neuro-ophthalmological Syndrome","authors":"K. Mugundhan, Kamatchi Sundaramoorthy, M. Kamalakannan, Swamy Kondapalli, Sakthivelayutham Saravanan, S. Raman, M. Krishnamoorthy, Sathish Kumar Mallikarjuna, V. Raju","doi":"10.5005/jp-journals-10070-7062","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7062","url":null,"abstract":"org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. PICTORIAL CME","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114684117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reigniting an Old Debate: Does Substance Abuse Exist among Medical Students in a Tertiary Care Center of Kolkata during COVID-19 Pandemic? A Cross-sectional Descriptive Study","authors":"N. Chatterjee, Debasmita De, K. Mukhopadhyay, Bikramjit Barkondaj","doi":"10.5005/jp-journals-10070-7067","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7067","url":null,"abstract":"Ab s t r Ac t Background: Substance abuse and its associated problems are a global concern. Substances, such as tobacco, alcohol, cannabis, and various allopathic drugs have been widely abused by students for various reasons despite their known ill effects. Aim and objective: Prevalence and pattern of substance abuse among the medical students in a medical college of Kolkata during coronavirus disease (COVID-19) pandemic. Material and methods: It is a hospital-based, cross-sectional study. This is carried out in ESI-PGIMSR, ESIC Medical College and Hospital, Joka, Kolkata. Data were collected after obtaining due consent from the Institutional Ethics Committee of our institute. Students pursuing MBBS constitute the study population. A structured questionnaire created by Google forms, designed, and validated in-house was circulated online to obtain the information. Results: Details of the demographic pattern showed 72 of them were female students and the rest were male and their age group varied between 21 and 23 years. Thirty-four of them were staying in the rural area whereas the rest were urban pupils. Most of the participation came from 1st-year students (83) and the least came from final year (4th or 3rd Prof Part 2) students. The number of participants was only 10. A significant statistical association was found between male gender and marijuana abuse (p = 0.043), and male gender with smoking (p = 0.002). The association of the status of being a hostelite with marijuana abuse (p = 0.015), alcohol abuse (p = 0.065), and with smoking (p = 0.012) was also found to be statistically significant. The prevalence of smoking and marijuana abuse was observed to progressively increase from the 1st year (3.61%) to the final year (smoking = 40%, marijuana = 50%). Conclusion: Further research is needed from Eastern India to understand patterns of substance use among medical students, to identify important determinants, and reinforce protective factors.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133687966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Simple Mnemonic for Differential Diagnosis of Prolonged Oxygen or Respiratory Support Dependence in COVID-19 Patients","authors":"S. Dasgupta, Atanu Chandra","doi":"10.5005/jp-journals-10070-7060","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7060","url":null,"abstract":"The second wave of the novel coronavirus disease-2019 (COVID-19) in India has been more devastating than the first, in terms of a large number of caseloads, spread of infections in the younger population, and increased severity, thereby creating a huge pressure on the healthcare systems. The disease pattern is also different with quite a few patients needing prolonged oxygen or respiratory support.1 Some are getting into this prolonged support-dependent phase even after showing initial signs of improvement. Due to huge caseloads, both primary care physicians and doctors across all specialties (including residents) have to deal with such patients, even in resource-limited areas, where immediate investigations are not always possible. Moreover, transport of support-dependent patients to radiology suits for computer tomography (CT) is also being impossible even in good setups. In this scenario, we would like to propose a simple mnemonic (PE IF AF: pneumonia: non-resolved/ organizing; embolus; infection; fibrosis; airspaces; fluid and failure), so that even junior doctors and doctors across specialties with no formal training in acute medicine (but who have been deployed in acute care due to the pressure exerted by the pandemic on the healthcare system) can approach prolonged oxygen or respiratory support-dependent patients easily in a systematic way, without missing anything (Box 1).","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127529162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Oncoxin, a Food Supplement, on Terminal-stage Hepatocellular Carcinoma Patients","authors":"Mamun Al Mahtab, S. M. Noor-E-Alam, Faysal Ahmed, D. C. Das","doi":"10.5005/jp-journals-10070-7061","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7061","url":null,"abstract":"Background: Liver cancer is currently the second-most common cause of cancer-related deaths worldwide and hepatocellular carcinoma (HCC) accounts for more than 90% of liver cancers. Patients with terminal HCC are those presenting with very poor Eastern Cooperative Oncology Group (ECOG) Performance Status 3–4 with tumors beyond the transplantation threshold. Their management of terminal HCC is only palliative support. Oncoxin is a nutritional supplement that is used as an over-the-counter nutritional prophylaxis for cancers. Our aim was to evaluate the effect of Oncoxin in terminal HCC patients along with the best supportive care (BSC), comparing that to the terminal-stage HCC patient only treated with BSC to determine the survival outcome as well as performance status, assessed by the ECOG Performance Status Scale. Materials and methods: This was a randomized control trial conducted at the Hepatology Department, Bangabandhu Sheikh Mujib Medical University (BSMMU) from December 2019 to February 2021. A total of 60 patients were included (30 patients for Oncoxin with BSC and 30 patients for BSC only) and randomized into two groups. They were followed up for 3 months. Results: In this study, it was observed that at 60 days, eight (26.7%) patients survived in the Oncoxin group and one (3.3%) patient survived in the BSC group. The difference was statistically significant ( p < 0.05). However, the Oncoxin administration had no survival benefit at 30 and 90 days follow up. After 30 days of treatment, a comparison of ECOG Performance Status between groups showed that all 12 (100%) patients in the Oncoxin group were in grade 3, while in the BSC group, four (44.4%) patients were in grade 3 and five (55.6%) patients were in grade 4. These differences were statistically significant. Conclusion: The study shows that Oncoxin appears to increase the survival of some, but not all, patients with terminal-stage HCC. The improvement of ECOG Performance Status was also observed.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129525827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Path to Salvation","authors":"Nandini Chatterjee","doi":"10.5005/jp-journals-10070-7068","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7068","url":null,"abstract":"Temporal and spiritual journeys were a shared characteristic of life for mendicant friars and the laity in medieval and early modern times. This book reflects the objective approach of trained historians in its skilled deployment of source documents. Throughout these pages, we meet with wandering friars and the lay faithful, some for the first time. The contributors are international scholars. Each enquires into a specific area of study from the fourteenth to the eighteenth century. In particular, this reveals that travel in its various forms represented an intrinsic link between the four great mendicant orders: Augustinians, Carmelites, Dominicans and Franciscans. Until recently, mendicant historiography was written by and for members of each respective order.\u0000The contents are grouped thematically into three sections. The first considers the significance of travel in mendicant writings about the Eastern Mediterranean and Europe. The opening chapter examines the Old Testament traditions of the Carmelites, followed by two essays on fifteenth-century Italian Franciscans. These emphasise how travel was essential for Observant renewal to succeed. The second section of the book concentrates on early modern Spain. Travel was not limited to the outward journey. The humanist poetry of the Augustinian friar, Luis de León, attended to the inner journey of the soul during this life. The next chapter draws attention to interrelations between laity and clergy. This provides insights into the soul’s journey into death according to the behaviour of the lay faithful. In the third section, we find the fact-finding journeys of Bartolomé de las Casas on land and sea, in defence of native peoples in the New World. The volume closes with a study of a Dominican friar who followed his own path rather than the accepted routine of travel for friars. By exploring a wide range of experiences over five centuries, this book shows that travel contributed to religious development in many parts of the world.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121894200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resurgence of Scrub Typhus: An Overview","authors":"S. Jana, Poulami Karmakar, P. Karmakar","doi":"10.5005/jp-journals-10070-7051","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7051","url":null,"abstract":"Scrub typhus is a widely neglected disease, which is gaining global momentum because of its resurgence patterns. The disease is now being reported in newer regions as well aspreviously endemic areas, being called as “tsutsugamushi triangle.” Typhus is a Greek word meaning fever with stupor.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124083953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Images","authors":"Atanu Chandra, Manali Chandra","doi":"10.1097/opx.0b013e31827f4023","DOIUrl":"https://doi.org/10.1097/opx.0b013e31827f4023","url":null,"abstract":"","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116460775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Different Presentations of Expanded Dengue Syndrome: A Case Series and Review of Literature","authors":"A. Saha, T. Bandyopadhyay, Madhusha Mukhopadhyay, Samiul Akhtar, Rohitaswa Mandal, Ankur Poddar, Samsuddin Ahmed","doi":"10.5005/jp-journals-10070-7054","DOIUrl":"https://doi.org/10.5005/jp-journals-10070-7054","url":null,"abstract":"A bstrAct Expanded dengue syndrome (EDS) is an atypical presentation of dengue fever with the involvement of various organ systems. We present five cases of EDS with varying features. The first and second patients had concurrent infection with falciparum malaria and vivax malaria, respectively, which made the diagnosis and treatment challenging. The third patient had coinfection with scrub typhus. The fourth patient was diagnosed with long-segment myelitis of the brain stem. The final patient in this series had a rare presentation consistent with post dengue hemophagocytic lymphohistocytosis (secondary HLH). There is no direct correlation between the severity of dengue and the type of organ involvement, and even without the classical features of dengue, serious complications can arise. In conclusion, it is of utmost importance to have a high index of suspicion and be well-informed of the different presentations and coinfections associated with EDS.","PeriodicalId":207875,"journal":{"name":"Bengal Physician Journal","volume":"22 13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134387519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}