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Article
Mycoplasma Pneumonia in Hospitalized Patients in Baghdad Teaching Hospital :Clinical, Radiological and Cold Agglutinin Assessment

Author: Salman H. AL-Nuami *,Adnan M. AL-Jubouri**
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 3 Pages: 354-357
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Mycoplasmapneumonia is a cause of community-acquired pneumonia. The disease usually is of a gradual onset, with almost equal gender distribution between male & female.OBJECTIVE: Assessment of the clinical, radiological & laboratory characteristics of mycoplasma pneumonia in Baghdad teaching hospital.MATERIALS AND METHODS: 30 patients were collected from Baghdad teaching hospital between 1st of November 2003 till 30th of October 2004 having pneumonia with positive cold agglutinin titer. They were studied regarding their clinical presentation & features including seasonal incidence, radiological assessment, & testing blood for cold agglutinin titer.RESULTS: The study showed almost equal gender distribution (14 patients were male & 16 patients were female), with ratio of male: female equal to 1:1.1.The most common symptoms were dry cough76.7%, headache (6.77%) &fever(70%). Other symptoms are less frequent. Seasonal variation showing more incidence during spring time. Radiological finding showed patchy infiltration in 18 patient (60%), lobar consolidation in 7 patient (23.3%), & pleural effusion in 4patient (13.3%).CONCLUSION: There is almost equal gender distribution between male & female.The most common symptom was dry cough, headache, while fever is more common in old age groups than other age groups.


Article
Studying the Factors Associated With Relapse Of Pulmonary Tuberculosis in Baghdad
دراســة العــوامـل المــتعلـقـة بالتـدرن الـــرئوي الناكس فــــي العــــــراق

Author: Adnan M. AL-Jubouri * MRCP,(UK), FRCP (EDIN) د. عدنان الجبوري
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2012 Volume: 54 Issue: 4 Pages: 269-272
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:Background: Relapse is defined as recurrent tuberculosis at any time after completion of treatment and apparent cure Recurrence of tuberculosis may occur as a result of relapsed infection due to the same Mycobacterium tuberculosis strain, or due to exogenous reinfection with a new strain.Objective: To study the factors associated with relapse of pulmonary tuberculosis. Methods:. Across sectional study had been done in the chest and respiratory diseases teaching specialized center in Baghdad during the period from the 1st of January 2010 to the 30th of July 2011. A total of 58 patients with relapsed pulmonary tuberculosis were included in this study. For each patient.the fallowing variables were collected age, gender, marital status, regularity of treatment, diabetes mellitus, smoking, alcohol intake and prisonment have been studied.Results: Mean age for all relapsed cases was 47.4years.A 53patients(91.4%) of relapse cases were married. There was only 30 patients(51.7%)of relapse cases regular on treatment. It was 15 patients (25.9%) contribute to about one forth (25.9%) of relapsed cases was diabetic. There was 28 patients (48.3%)of relapsed cases was smokers. A17 patients (29.3)% of them was prisons.Finaly 13 patients(22.4%) of relapsed cases had history of alcoholic intake.Conclusions: Recurrence of tuberculosis was more common in male, married, diabetic, prisoners, and history of alcohol patients and patients presenting at least one of the risk factor can benefit from the implementation of a post-treatment surveillance system for early detection of recurrence.Keywords: PTB : Pulmonary Tuberculosis.

دراســة العــوامـل المــتعلـقـة بالتـدرن الـــرئوي الناكس فــــي العــــــراقالاستاذ الدكتور : عدنان محمد الجبوري.المدرس الدكتور : محمد وهيب العبيدي.الدكتور : حمزه عبدالله الصباح.الدكتور : سليمان دخيل عودهالخلاصةالتدرن الرئوي الناكس هو عودة الاصابة بالتدرن الرئوي بعد اكمال العلاج وتحسن الحالة المرضية.الهدف من الدراسة :لوصف خصائص المرضى المصابين بالتدرن الرئوي الناكس في العراق.مكان الدراسة :اجريت هذه الدراسة في مركز الامراض الصدرية والتنفسية التعليمي ( المركز الوطني لمكافحة التدرن ) بغداد – العراقفي الفترة الواقعة بين الاول من شهر كانون الثاني /2010 والثلاثين من شهر تموز / 2010.تصميم الدراسة : دراسة مسح مقطعي.طريقة العمل :اشتملت هذه الدراسة على (58 حالة ناكسة ) مثبتة سريريا ومختبريا وشعاعيا ودراسة عدة عوامل مساعدة لانتكاسة التدرن الرئوي وهي :العمر,الجنس .الحالة الزوجية داء السكري الكحول دخول المعتقلات ( السجون) التدخين والانتظام بتناول العلاجالنتائج : بينت الدراسة1.ان معدل اعمار الناكسين كانت (47,4) 2.الغالبية العظمى من الناكسين متزوجون 3.هناك نسبة مميزة من المرضى لديهم داء السكري4.المدخنون منهم لا يشكلون نسبة مميزةمفتاح الكلمات: التدرن الرئوي


Article
A Statistical Radiological Analysis in Patients with Sputum Smear Positive Pulmonary Tuberculosis

Authors: Waleed Latif Hussein --- Basil Fawzi Jameel --- Muhammed .W.AL.Obaidy --- Adnan M. AL,Jubouri
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 2 Pages: 148-157
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACK GROUND:Tuberculosis (TB) a multi-systemic disease with various presentations and manifestations; is due to infection with the acid fast bacillus mycobacterium. Disease occurs in only (10%) of infected individuals, it is associated with overcrowding and immune-compromised statesOBJECTIVE:To identity the main findings in plain chest X-ray and CT-scan of the chest of pulmonary tuberculosis patients with sputum smear positive in relation to certain factors and clinical conditions including : gender, age , smoking , alcohol- consumption , co-morbid diseases e.g. diabetes mellitus and steroid medication for more than 4 weeks .PATIENT AND METHOD:Across sectional study of randomly collected (100) patients all were new cases of pulmonary tuberculosis disease with sputum smear positive, A plain chest radiography was done to all of them , and a randomly chosen (30) patients (out of the same sample of the study) were examined also by ( high resolution CT-scan ) of the chest to compare the radiological findings.The sample of patients collected consisted of (68)males and (32) females , aged between (12 -82) years.The study was done in the specialized chest and respiratory diseases center in Baghdad during the period from first of March 2012 ,to the end of August 2012.RESULTS:100patients with sputum smear positive – pulmonary tuberculosis disease were collected, 68 patients (68%) were males and 32 patients (32%) females. From our study97 patients(97%)of total number presented with positive radiological findings whether by plain chest X-ray and /or CT-scan of chest, And 3 patients(3%) of the sample studied were with normal both plain chest X-ray and CT-scan of chest.The radiological findings of all of the patients studied were as :Infiltrative lesion48 patients( 48% )Cavitary lesion(: 37%)Consolidation ( 32%)Pleural effusion (17%)Miliary shadowing( 1%)Clear radiological was found that 28 patients (28%) had radiological abnormalities in the right side of the chest and 25 patients were with left sided radiographic abnormality, while bilateral chest radiological finding had been shown in44 patients (44%).CONCLUSION:The CT- scan of chest is more sensitive than plain chest X-ray for evaluation of abnormal or obscured radiological findings. There is no specific pattern for radiological finding in the chestthe direct sputum examination is remained the 'gold standard' for the diagnosis of pulmonary tuberculosis.

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