The Compound of Ruptured Splenic Abscess and Severe Anemia: The Potential Life-Threatening Twins Requiring Specialized Care in Limited Resourced Rural Areas in Kilombero, Morogoro Tanzania | Chapter 9 | Medical Research and Its Applications Vol. 7

The ruptured splenic abscess is usually uncommon but associated with significant life-threatening. Concurrence of ruptured splenic abscess and severe anemia may lead to death if not treated effectively, especially in limited health care. We present the 43-year-old who presented with generalized peritonitis due to a ruptured spleen. Also, she had severe anemia with hb of 4.3 g/dl. The cause of anemia was not immediately identified. However, tests for bacterial sensitivity revealed Klebsiella pneumoniae which was resistant to Ceftriaxone, Amoxiclav, Ceftizine and Cotrimoxazole but sensitive to Meropenem, Ciprofloxacin and Vancomycin. After the result, the treatment shifted to Meropenem1 Gm tds for 5/7. After seven days in the ward, the patient fully recovered and she was discharged in good condition.

 

Author (s) Details

 

Fassil Tekie

Department of Surgery, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania and Department of Surgery, Saint Francis Regional Referral Hospital, P.O.BOX 73, Ifakara, Morogoro, Tanzania.

 

Theresia Andrea Karuhanga
Department of Surgery, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania and Department of Surgery, Saint Francis Regional Referral Hospital, P.O.BOX 73, Ifakara, Morogoro, Tanzania.

 

Wilfred Gingo
Department of Surgery, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania and Department of Surgery, Saint Francis Regional Referral Hospital, P.O.BOX 73, Ifakara, Morogoro, Tanzania.

 

Sadikiel Kaale

Department of Biochemistry, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania.

 

Philbert Madoshi
Department of Microbiology, Faculty of Medicine, Saint Francis University College of Health and Allied Sciences, P.O.BOX 175, Ifakara, Morogoro, Tanzania.

 

Please see the book here:- https://doi.org/10.9734/bpi/mria/v7/849

Typhoid Intestinal Perforation: A Management Perspective | Chapter 3 | Advanced Concepts in Medicine and Medical Research Vol. 5

 Despite solid advances in global experimental study, typhoid fever and its consequences remain a important public health concern, specifically in underdeveloped nations. The mode of broadcast for this pathogen is usually through the faecal-oral route, and it repeatedly exhibits endemic characteristics. This phase aims to find out that operative process (either single-layer or double-coating closure) bear be planned in pertaining to the stomach perforation by comparing these, in conditions of morbidity, humanness and cost-effectiveness.  The present investigation was attended on 50 patients of either sexuality in the Department of General Surgery JLN Medical College, Ajmer, Rajasthan, India. They were split into two groups:  Group --A (conventional double-tier repair in 25 patients) and Group -B (single-tier interrupted sutures in 25 subjects). Based on the findings concerning this study, it is possible to conclude that sole-layer repair for pertaining to the stomach perforation maybe constructed in less time and accompanying fewer obstacles than the conventional two-tier repair technique; it also recovers the patient former and causes earlier bowel project than two-layer repair.  The judgments favoured the single-layer group because the time necessary for perforation repair and overall surgical earlier shorter in this group. Furthermore, alone-layer repair acquired immune deficiency syndrome in early bowel activity and curative for the patient more than the double-layer approach. There is no clear benefit to double-tier closure of an pertaining to the stomach perforation over distinct-layer repair in terms of the happening of faecal fistulas, length of abscission, resumption of bowel shifts, and other complications to a degree wound abscess composition, wound dehiscence, respiratory questions, etc. Single-layer repair is the treatment of choice for most surgeons on account of its smaller operating time and other benefits.

Author(s) Details:

Dharmendra Kumar Pipal,
Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, India.

Vijay Verma,
Department of General Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.

Saurabh Kothari,
Department of General Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.

Vibha R. Pipal,
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Gorakhpur, India.

Latika Sharma,
Department of General Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.

Please see the link here: https://stm.bookpi.org/ACMMR-V5/article/view/12548