Anuradhapura Medical Journal最新文献

Neonatal presentation of Niemann-Pick disease type C2- A rare case report. 新生儿尼曼-皮克病 C 型--罕见病例报告。

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7770

Vinaya Singh, Kailas Randad, Pushpa Yadav, Tejasi Sawant, Qudsiya Ansari

引用次数: 0

The wild boar Sus scrofa cristatus attacks in Sri Lanka: a case series and review of literature 斯里兰卡的野猪攻击事件：系列病例和文献综述

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7802

Sujeewa Thalgaspitiya, B. Wijerathne, Mahesh Madusanka

引用次数: 0

Granulomatosis with polyangiitis presenting as acute ischemic stroke- A case of an unusual presentation 肉芽肿伴多血管炎表现为急性缺血性中风--一例不寻常的病例

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7778

K. Maduranga, Wasantha Karunarathne, C. Sarathchandra, H. Senanayake

引用次数: 0

Severe rhabdomyolysis following a possible sea snake bite: A case report 可能被海蛇咬伤后出现严重横纹肌溶解症：病例报告

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7817

Pavithera Packiyarajah, Umakanth Maheshwaran, M. Nusair

引用次数: 0

Cerebellar stroke in a young female associated with elevated homocysteine levels and heterozygous MTHFR C677T gene: A case report. 一名年轻女性的小脑卒中与同型半胱氨酸水平升高和杂合子 MTHFR C677T 基因有关：病例报告。

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7792

Piyumali Nawarathne, Wasantha Karunaratne, P. Weerawansa, H. Senanayake

引用次数: 0

A rare case of Systemic Lupus Erythematosus presenting as acute myopericarditis with bilateral pleural effusions. 一例表现为急性心肌炎伴双侧胸腔积液的系统性红斑狼疮罕见病例。

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7765

Indika Wettasinghe, Arjunar Elanko, Shiran Puthra, Asanka Ratnayake, Rajananthini Thambippillai, C. Ponnamperuma, Aflah Sadeekin, Suresh Mendis

引用次数: 0

Factors associated with initiation of tobacco smoking among schooling adolescents in the age group of 13 – 15 years in the Kandy district, Sri Lanka 斯里兰卡康提地区 13-15 岁在校青少年开始吸烟的相关因素

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7816

Roshan Rambukwella, Devani Dissanayake

{"title":"Factors associated with initiation of tobacco smoking among schooling adolescents in the age group of 13 – 15 years in the Kandy district, Sri Lanka","authors":"Roshan Rambukwella, Devani Dissanayake","doi":"10.4038/amj.v17i3.7816","DOIUrl":"https://doi.org/10.4038/amj.v17i3.7816","url":null,"abstract":"Adolescent smoking problem has still remained a public health concern, but factors that contribute to the initiation of adolescent smoking are not well-known in Sri Lanka. The study aimed to determine the factors associated with the initiation of tobacco smoking among schooling adolescents in government schools in the age group of 13-15 years in the Kandy district. A cross-sectional study was conducted in selected government schools of Sinhala, Tamil, and English mediums in the Kandy district. The subjects were selected using a stratified multi-stage cluster sampling method. A pretested self-administered questionnaire was used. The factors associated with the initiation of smoking were determined by a multivariable analysis using logistic regression.A total of 1395 students (Male 52.9%) were included in the study. The initiation of tobacco smoking was significantly associated with being a male student (Adjusted Odds ratio (AOR)=26.24; 95% CI=7.49-91.44), the parent being a smoker (AOR=6.04; 95% CI=2.83-12.91), education level of a father below GCE O/L (AOR=5.65; 95% CI=2.20-14.49), education level of mother below GCE O/L (AOR=2.63; 95% CI=1.18-6.25), presence of household member who smokes (AOR=7.10; 95% CI=2.76-18.29), social network use (AOR=10.73; 95% CI=3.63-31.75) and the parent being a quitter (AOR=0.29; 95% CI=0.11-0.79). Factors identified for smoking initiation give a clue to intervene in the target population focusing family related and other modifiable factors.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134693","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}

引用次数: 0

Infective Endocarditis - An uncommon presentation of disseminated melioidosis: a case report 感染性心内膜炎--一种不常见的播散性髓鞘病表现：病例报告

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7786

M. Jazeer, Umakanth Maheswaran

{"title":"Infective Endocarditis - An uncommon presentation of disseminated melioidosis: a case report","authors":"M. Jazeer, Umakanth Maheswaran","doi":"10.4038/amj.v17i3.7786","DOIUrl":"https://doi.org/10.4038/amj.v17i3.7786","url":null,"abstract":"Melioidosis is a potentially fatal bacterial infection involving multiple organ systems and is increasingly being reported in Sri Lanka in recent times. The clinical presentation of the disease varies from localized cutaneous infections to sepsis and death. Involvement of the heart in melioidosis is rare and only a few cases have been described so far in the world literature.Herein we report a case of infective endocarditis in a 53-year-old man with poorly controlled type 2 diabetes mellitus for 5 years duration, who presented with intermittent low-grade fever along with loss of appetite, and malaise for 5 months duration. Examination revealed tachycardia, generalized abdominal tenderness, and coarse crackles on the left lower lobe of the lung. No peripheral stigmata of infective endocarditis or murmur were present. Blood cultures were positive for Burkholderia pseudomallei. 2D echocardiography was performed to exclude infective endocarditis as a cause of prolonged fever which showed a healed vegetation on the mitral valve and contrast-enhanced computerized tomography revealed renal, liver, and lung abscesses with splenic infarctions. A diagnosis of disseminated melioidosis was made. He was successfully treated with three weeks of initial intensive therapy with intravenous meropenem and oral sulfamethoxazole-trimethoprim (TMP-SMX) followed by subsequent three-month eradication therapy with TMP-SMX. Disseminated melioidosis can manifest as infective endocarditis hence a high index of clinical suspicion along with 2D echocardiography and other relevant investigations are crucial for the diagnosis. Initiation of intensive therapy with meropenem in combination with TMP-SMX as an adjunct can be lifesaving.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135644","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}

引用次数: 0

Disappearing diplopia - An unusual presentation of Tolosa-Hunt syndrome: A case report 消失性复视--托洛萨-亨特综合征的一种不寻常表现：病例报告

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7764

F. Nasim, M. Fasrina, Sunil Bowattage, Kierthie Kularatne

{"title":"Disappearing diplopia - An unusual presentation of Tolosa-Hunt syndrome: A case report","authors":"F. Nasim, M. Fasrina, Sunil Bowattage, Kierthie Kularatne","doi":"10.4038/amj.v17i3.7764","DOIUrl":"https://doi.org/10.4038/amj.v17i3.7764","url":null,"abstract":"Tolosa-Hunt syndrome (THS) is a rare benign treatable cause of painful ophthalmoplegia with frequent VI, III, IV cranial nerve (CN) involvement. Optic and trigeminal nerve involvement is rare but described. The disease is characterized by severe preceding or concomitant headache and remarkable response to steroids. Although labelled benign residual neurology is not uncommon in THS.We present a case of THS in a middle-aged Sri Lankan male who presented initially with vertical diplopia and normal contrast enhanced CT scan, treated as for idiopathic IV nerve palsy. A month henceforth he developed severe episodic headache with autonomic symptoms, right sided ptosis and progressive visual impairment with improved diplopia, normal fundoscopy, inflammatory and infective markers and autoimmune profile. MRI brain showed enhancing lesion of cavernous sinus extending to orbital apex consistent with THS. He showed dramatic improvement with steroids with complete resolution of neurology at the end of 4 weeks.THS should be considered in a patient presenting with disappearing painful diplopia. Headache may mimic primary headache syndromes and may not precede ophthalmoplegia. Imaging may be initially normal. MRI is mandatory for diagnosis as histology is not always feasible. Steroid responsiveness can be diagnostic if more sinister differentials are ruled out.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139136855","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}

引用次数: 0

Ectopic conundrum-A case series of unusual presentations of ruptured ectopic pregnancy in a low resource setting in northeast India 异位妊娠难题--印度东北部资源匮乏地区异位妊娠破裂异常表现的病例系列

Anuradhapura Medical Journal Pub Date : 2023-12-31 DOI: 10.4038/amj.v17i3.7758

Pushpal Chowdhury

引用次数: 0