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Publications
Publications (308)
Background: Emphysematous pyelonephritis (EPN) is an uncommon, acute and severe necrotizing infection affecting the renal parenchyma, collecting system and surrounding tissues. This study was planned to describe the demographic, clinical, laboratory and imaging characteristics and in-hospital outcomes of patients with EPN. Methods: This retrospecti...
Background: Patients with end-stage renal disease (ESRD) require dialysis for their survival. Haemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) are two different modes of dialysis which can lead to multitude of stressful physical, mental and social problems. This study was done to evaluate the health related quality of life (H...
Background and objectives: Diabetic kidney disease (DKD) is a leading complication of diabetes, contributing significantly to global cases of end-stage renal disease (ESRD). In Bangladesh, the rising prevalence of diabetes has made DKD a growing public health concern. An estimated 21.3% of diabetic patients in Bangladesh have some form of kidney im...
Background: The kidney size of a patient is a valuable diagnostic parameter in clinical practice. Renal size varies with age, gender, body mass index (BMI), pregnancy, race and co-morbid conditions like diabetes mellitus (DM) and hypertension (HTN). Measurements of renal dimensions can be carried out by using different modern techniques like ultras...
not available Bangladesh J Medicine 2024; 35: 126
not available Bangladesh J Medicine 2024; 35: 128
Background: Diabetes mellitus is an immunosuppressive state leading to increased susceptibility to various infections. Pneumonia, urinary tract infection, skin and soft tissue infection are more common in diabetic population. Pneumonia in diabetic patient is often atypical, caused by more virulent organisms and associated with increased antibiotic...
not available. J Bangladesh Coll Phys Surg 2023; 41: 125-126
not available BIRDEM Med J 2023; 13(3): 122-123
Class 4 emphysematous pyelonephritis with emphysematous cystitis is an uncommon diagnosis. We report a case of class 4 emphysematous pyelonephritis with emphysematous cystitis, occurring in a young Bangladeshi diabetic lady, who presented with features of upper urinary tract infection and the diagnosis of emphysematous pyelonephritis was confirmed...
not available BIRDEM Med J 2023; 13(3): 168
A 63-year-old diabetic man from Sherpur district, presented with 20-day history of fever and productive cough without any haemoptysis. Initially he was diagnosed as having pneumonia caused by Klebsiella pneumoniae and had been receiving sensitive antibiotic without satisfactory improvement. Clinical evaluation later revealed that, he was febrile, t...
not available Bangladesh J Medicine 2023; 34(3): 263
not available Bangladesh J Medicine 2023; 34(3): 261
not available BIRDEM Med J 2023; 13(2): 65-66
not available BIRDEM Med J 2023; 13(2): 121
not available BIRDEM Med J 2023; 13(2): 120
not available J Bangladesh Coll Phys Surg 2023; 41: 98-99
not available BIRDEM Med J 2023; 13(1): 1-2
Background: Patients with type 2 diabetes mellitus may present with different macro- and micro-vascular complications including diabetic nephropathy. This study was designed to evaluate the risk factors for diabetic nephropathy among newly detected type 2 diabetic patients. Methods: This case-control study was done at BIRDEM General Hospital, Dhaka...
Background: Uncontrolled blood pressure (BP) is a major healthcare issue and responsible for high risk of cardiovascular disease (CVD) mortality and morbidity. Physicians of Bangladesh had been using amlodipine and Olmesartan combination for a long period of time but have very limited evidence-based information regarding the efficacy and safety of...
not available BIRDEM Med J 2022; 12(3): 170-171
Background: Hypomagnesaemia is linked to insulin resistance in type 2 diabetes mellitus (T2DM) and chronic diabetic complications. Prevalence of hypomagnesaemia is high in patients with T2DM and multiple studies have shown evidence of effect of serum magnesium (Mg) level on glycaemic control in these patients. The aims of this study were to evaluat...
Type of vascular access is an important determinant of morbidity and mortality in patients receiving haemodialysis. Though arterio-venous fistula is the optimum choice, yet patients often require central venous catheters for temporary use or sometimes as a breezing option. Central venous catheters may be complicated by sepsis, one of the most commo...
Introduction: Emphysematous pyelonephritis (EPN) is considered a rare renal infection. It is an acute severe necrotizing infection resulting in the production of gas in the renal parenchyma, collecting system or perinephric tissue. In this report, we describe the clinical, laboratory and imaging findings and in-hospital outcomes of EPN patients who...
Journal archives are invaluable resources to the scientific community. The Journal of Bangladesh College of Physicians and Surgeons (JBCPS) is one of the leading biomedical journals in Bangladesh. The objectives of the present review were to have an overview to the all published articles in the JBCPS and to identify remarkable articles for republic...
Granulomatosis with polyangitis (previously known as Wegener’s granulomatosis) is an antineutrophilcytoplasmic antibody (ANCA) associated vasculitis (AAV). Its main characteristics are necrotizing granulomatous inflammation and paucimmune vasculitis in small and medium sized vessels. Here, we present a case history of a 42-year-old diabetic patient...
Background: Patients with type 2 diabetes mellitus (T2DM) pass through pre-diabetic stages and during diagnosis, half of them may have different complications including diabetic nephropathy. Hypertension has adverse impacts on diabetic nephropathy. We aimed to evaluate the risk factors for diabetic nephropathy among newly detected T2DM patients wit...
BACKGROUND AND AIMS
Emphysematous pyelonephritis (EPN) is an acute and severe form of necrotizing infection of the renal parenchyma, collecting system and/or perinephric tissues, and it is characterized by accumulation of gas within these anatomic locations. Common presenting features are fever, loin pain, vomiting and shock. Risk factors for EPN i...
BACKGROUND AND AIMS
Patients with type 2 diabetes mellitus may present with different macro- and micro-vascular complications including diabetic nephropathy. This preliminary study was designed to evaluate the risk factors for diabetic nephropathy among type 2 diabetic patients at the time of diabetes diagnosis.
METHOD
A case-control study was don...
not available Bangladesh J Medicine 2022; 33: 300
OBJECTIVE: 1) To assess the prevalence of TB among patients with diabetes mellitus (DM) attending diabetic care centres in Bangladesh, and 2) to compare TB- and DM-related sociodemographic and other factors in diabetic patients who had TB and those who did not. METHODS: This cross-sectional study was conducted from 1 June 2019 to 31 March 2020 in 1...
Melioidosis is an under-recognized fatal disease in humans, caused by the Gram-negative bacterium Burkholderia pseudomallei. Globally, more than 35,000 human melioidosis cases have been reported since 1911. Soil acts as the natural reservoir of B. pseudomallei. Humans may become infected by this pathogen through direct contact with contaminated soi...
Melioidosis is an under-recognized fatal disease in humans, caused by the Gram-negative
bacterium Burkholderia pseudomallei. Globally, more than 35,000 human melioidosis cases have been reported since 1911. Soil acts as the natural reservoir of B. pseudomallei. Humans may become infected by this pathogen through direct contact with contaminated soi...
not available Bangladesh J Medicine July 2022; 33(1) : 122
Background: Chikungunya is a mosquito-borne viral disease and presentation usually follows 3 phases: acute, sub-acute and chronic. Erratic, relapsing and incapacitating arthritis is the hallmark of chikungunya and many patients go on to develop post-chikungunya arthritis. Bangladesh experienced a major outbreak of chikungunya since April-May of 201...
Opportunistic infections, especially invasive fungal infections have emerged as an added health issue in this COVID-era. The dysregulated immune mechanisms in the pathophysiology of COVID-19, its treatment with corticosteroids and other immunomodulatory agents, invasive mechanical ventilation and other forms of ventilatory and oxygen delivery syste...
Introduction: Disease chronicity of chikungunya among patients with pre-existing rheumatological diseases is not well-described in the literature. The aim of the study is to discuss the clinical presentation and disease chronicity of chikungunya in cases with rheumatologic diseases supplemented by literature review.
Methods: Patients' clinical and...
Mucormycosis is an invasive fungal infection caused by different saprophytic environmental fungus occurring predominantly among immunosuppressed patients. Pulmonary mucormycosis is the second most common form after rhino-cerebral mucormycosis and may accompany with other infections. Coronavirus disease 2019 (COVID-19) itself and its treatment with...
Background and Aims
Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) infections emerged in Wuhan, China in December 2019 and rapidly became pandemic. Unfortunately, there is lack of evidence about the optimal management of corona virus disease-2019 (COVID-19) and even less is available in patients on maintenance haemodialysis. Patient...
Background and Aims
Emphysematous pyelonephritis (EPN) is an uncommon, acute and severe form of necrotizing infection of the renal parenchyma, collecting system and/or perinephric tissues and is characterized by accumulation of gas within these structures. Patients may present with fever, loin pain, vomiting and shock. Risk factors for EPN include...
Background and Aims
Diabetes mellitus (DM) is the leading cause of chronic kidney disease; principally resulting from the increasing prevalence of type 2 DM (T2DM). Patients with T2DM pass through pre-diabetic stages and at the time of diagnosis, up to half of the T2DM patients may have different macro- and micro-vascular complications, including d...
Background: Emphysematous pyelonephritis (EPN) is a rare severe necrotizing infection of the renal parenchyma, collecting system and/or perirenal tissues. Patients with diabetes mellitus, renal stones and renal tract obstruction are at risk for development of EPN. Escherichia coli is the most common aetiological agent and treatment is aimed at infe...
Background: Diagnosis of extra-pulmonary tuberculosis (TB) is often delayed because of diverse clinical presentations and difficulties in establishing the bacteriological diagnosis. This study aimed to evaluate usefulness of GeneXpert MTB/RIF in the diagnosis of extra-pulmonary TB in Bangladeshi patients.
Methods: This cross-sectional study was don...
not available J Bangladesh Coll Phys Surg 2021; 39(2): 76-77
Lymphomas are one of the most common malignant neoplasms of the heart. Cardiac lymphomas may be primary but most of the cases are part of disseminated disease. A young Bangladeshi man, diagnosed with non-Hodgkin lymphoma and on chemotherapy, presented with features of heart failure. Initial evaluation revealed complete heart block with narrow QRS c...
Background:
Emphysematous pyelonephritis (EPN) is a necrotizing infection of the renal parenchyma, collecting system and/or perinephric tissues, characterized by gas accumulation. We describe clinical, laboratory and imaging characteristics and in-hospital outcomes of patients with EPN.
Methods:
This retrospective observational study was carried...
Melioidosis is an emerging infectious disease in many countries including Bangladesh. Patients with diabetes mellitus are at increased risk for infection by Burkholderia pseudomallei, the causative agent for melioidosis. Here, we report an autochthonous case of septicemic melioidosis occurring in a middle-aged non-diabetic Bangladeshi farmer who pr...
Background: Renal transplantation remains the treatment of choice for end-stage renal disease, as the procedure not only improves quality of life, but also markedly increases patients’ survival rates. Organ and patient survival rates are important issues of interest post-transplantation.The aims of this study were to analyze the data for immediate...
Emphysematous pyelonephritis is a rare, severe form of necrotising infection of the kidneys and peri-nephric tissues with gas accumulation, occurring predominantly among patients with diabetes mellitus. Computed tomography scan can identify the distribution of gas in the affected reno-ureteral units and so establish and classify the diagnosis.We re...
In south-east Asia, there has been a common belief, mainly in rural areas, that ingesting raw fish gall bladder can help cure certain health problems. Unfortunately, raw fish bile has both nephrotoxic and hepatotoxic effects. In this report, we present a case of 42-year-old man, who presented with acute kidney injury and jaundice. Meticulous histor...
Renal impairment is occasionally reported in association with hypothyroidism. We report a case of a middle aged man, who presented with features of rhabdomyolysis and acute kidney injury which was ascribed to underlying undiagnosed hypothyroidism. The etiology is presumed to be multifactorial; hemodynamic effects and a direct effect of thyroid horm...
Autosomal dominant polycystic kidney disease (ADPKD) primarily affects the kidneys; cysts can develop in other organs like liver and pancreas and sometimes complicated with formation of arterial aneurysms, brain being the commonest site. Aortic aneurysms can lead to thromboembolic events. Thromboembolism is also a recognized complication of coronav...
Re-infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and co-infection by dengue virus and SARS-CoV-2 are possible. We report a case of dengue haemorrhagic fever, occurring in a young Bangladeshi man, who concurrently tested positive for SARS-CoV-2 infection by reverse transcriptase polymerase chain reaction (RT-PCR). Four mo...
Outcome of coronavirus disease 2019 (COVID-19) is worse among elderly population, those with diabetes mellitus and other co-morbidities and such patients are prone to develop multiple complications. An elderly diabetic lady got admitted for acute myocardial infarction. Subsequent evaluation revealed a positive reverse transcriptase polymerase chain...
Background: Patients with chronic kidney disease (CKD) are at increased risk for infection because of immunosuppressed state. CKD is an independent risk factor for poor outcome in coronavirus disease 2019 (COVID-19). This study was designed to describe clinical and laboratory parameters of COVID-19 patients with preexisting CKD.
Methods: This cross...
Background: Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection emerged in Wuhan, China in December 2019 and rapidly became pandemic. Unfortunately, there is a lack of evidence about the optimal management of corona virus disease-2019 (COVID-19) and even less is available in patients on maintenance haemodialysis than general popu...
Background: Dengue fever and dengue hemorrhagic fever is one of the most frequent febrile viral infections in our community as well as among patients admitted in Internal Medicine Department. This study examined the extent of hepatic involvement in dengue hemorrhagic fever Objectives: To evaluate the incidence of hepatic involvement and its correla...
Background: Anemia and mineral bone disorders (MBD) accompany chronic kidney disease (CKD) and worsen as CKD progresses. Different biochemical parameters of CKD-MBD have been associated with anemia of CKD but are less well evaluated in low resource settings. In this study, we evaluated the role CKD-MBD disorders as a cause of anemia in CKD non-dial...
Background: Pancreatitis is a serious disorder of pancreas. This study was designed to investigate the clinical features and outcomes of the hospitalized patients with acute pancreatitis (AP) with or without diabetic mellitus (DM). Methods: A total of 90 adult hospitalized patients with AP diagnosed in three different tertiary hospitals were evalua...
Background: Kidney transplantation is the preferred treatment for end stage kidney disease (ESKD). Early post kidney transplant urine volume may correlate with favorable allograft survival. The aim of the present study was to examine the potential changes in urine volume with serum creatinine during post-operative hospital stay period after renal t...
Genito-urinary tract is one of the most common extra-pulmonary sites of involvement by tuberculosis. Genitourinary tuberculosis poses significant diagnostic difficulty; not only because of non-specific symptoms, but also because of lack of diagnostic facility, specially, in resource constrain settings. We report two cases of genito-urinary tubercul...
not available J Bangladesh Coll Phys Surg 2020; 38(0): 3-4
Rapidly progressive glomerulonephritis is one of the most dramatic and tragic presentations of lupus nephritis (LN) or renal manifestation of systemic lupus erythematosus (SLE). A 35-year-old Bangladeshi gentleman presented with worsening oedema, scanty, high colored, frothy urine and deteriorating renal function. He had puffy face, anaemia, oedema...
Background: Diabetes mellitus (DM) is the leading cause of chronic kidney disease through-out the world andhalf of the type 2 DM (T2DM) patients remain undiagnosed. During diagnosis, one-third to half of the T2DMpatients may have different macro- and micro-vascular complications including diabetic nephropathy. This studyaimed to evaluate selected r...
Background and Aims
Diabetes mellitus (DM) is the leading cause of chronic kidney disease in developed as well as in developing countries, principally resulting from the increasing prevalence of type 2 DM (T2DM). Patients with T2DM pass through pre-diabetic stages and half of the T2DM patients remain undiagnosed. During diagnosis, one-third to half...
Background and Aims
Emphysematous pyelonephritis (EPN) is an uncommon, severe, necrotizing infection of the renoureteral unit and is recognized by accumulation of gas within the collecting system, renal parenchyma and/or perinephric tissue. Common risk factors for EPN are diabetes mellitus, renal stone, obstructive uropathy and immunosuppression. P...
Histoplasmosis is uncommon in many parts of the world, including Bangladesh, where, in recent years, cases are increasingly reported. We sought to describe the sociodemographic characteristics, clinical presentation, investigations, treatment, and outcome of histoplasmosis in Bangladesh. We conducted a retrospective data review of published literat...
Background: Non-alcoholic fatty liver disease (NAFLD) is emerging as one of the most common causes of chronic liver disease world-wide. It has strong association with obesity, type 2 diabetes mellitus (T2DM) and metabolic syndrome. We aimed to investigate the prevalence of metabolic syndrome in newly detected T2DM patients having NAFLD with high se...
not available Birdem Med J 2020; 10(1): 78
Introduction: Urinary tract infection (UTI) is common among patients with diabetes mellitus and the aetiological agents are often extended-spectrum beta-lactamase (ESBL) producing bacteria. Diabetic patients with UTI are sometimes complicated by bacteraemia. This study was designed to evaluate whether UTI due to ESBL-positive organisms is a risk fa...
Benign prostatic hyperplasia (BPH) is one of the most common genitourinary complications in men over 50 years of age and typically presents with lower urinary tract symptoms (LUTS) and may need medical and occasionally surgical interventions. Few of them may only need advice on behavioral modification like less water intake after sunset, avoid tea,...
Background: Chikungunya is an emerging viral infection in Bangladesh. This self-limiting febrile illness may have acute life-threating features including cardiomyopathy and encephalitis. Acute kidney injury (AKI) is less well described complication of chikungunya. This study was designed to evaluate risk factors for AKI among patients with chikungu...
Questions
Question (1)
Dear Colleagues,
Hope you all are safe and in good health in this COVID pandemic.
We are planning to do a systematic review on "Emphysematous pyelonephritis in Bangladesh". We have searched published papers systematically. We have some unpublished cases with us. Is it possible/Will it be scientifically justified to include data of these cases in systematic review (after mentioning in METHODS section regarding unpublished but well documented cases)?
