Journal of Acute Disease

219-225

Authors: Mansoore Shariat Sarcheshme, Nayereh Esmaeilzadeh, Nasibeh Zerangian, Nooshin Peyman

Objective: To investigate the trend of animal bites between 2015-2021 in Neyshabur, Iran. Methods: In this cross-sectional descriptive study, data were retrieved from the vice-chancellery of the Neyshabur University of Medical Sciences. The data included person variables, place and time variables, and animal variables. Results: There were 13 190 cases of animal bites and the trend was increasing during 2015-2020. Most injuries were caused by dogs (86%), most animal bites (76.6%) occurred in males, and 28.1% of all cases were farmers. The most common bitten parts were the lower limbs (64.8%), often reported as a scratch (83.4%). Most of the biting animals (67.9%) were not strays, and 83.3% of them had bitten their owners. No rabies death was reported during the study period. Conclusions: The incidence of animal bites increases and is higher than the national statistics in Neyshabur, Iran. Serious attention and intervention should be given to control and prevent this health threat.

233-237

Authors: Srilatha Yagadi, Ramesh Babu Guguloth, Mathews Jacob

Objective: To determine the clinical profile of patients presenting with medication-related emergencies to the Emergency Department of our institute. Methods: This was an observational study conducted between November 2018 and September 2020 at Bangalore Baptist Hospital, Karnataka. A total of 138 subjects who satisfied the inclusion criteria were included in the study. The severity of adverse drug reactions (ADR) is assessed based on the Hurwitz severity assessment scale of ADR. Glasgow coma scale at the time of presentation and source of medication were noted. The type of drug overdose, requirement of advanced airway and vasopressors, and the outcome were also assessed. Results: Among medication-related emergencies (n=138) in our study, ADR contributed to 70.3% (n=97) of the study population, and drug overdose accounted for 29.7% (n=41). One-third of the ADR occurred in patients aged above 60 years. Most patients were hemodynamically stable and did not require vasopressors, or advanced airway in both groups. Most patients had Glasgow coma scale ranging from 13-15 in both groups. Nonsteroidal anti-inflammatory drugs were the most used medicine (17/41, 41.5%) and most medications were over the counter drugs (25/41, 61.0%) in the drug overdose group; meanwhile in the ADR group, anti-diabetic medication was the most used medicine (34/97, 35.1%) and most medications were prescribed in the ADR group (93/97, 95.9%). Conclusions: Our study shows that ADR is the most common type of medication-related emergency.

244-249

Authors: Ayimen Khalid Khan, Anam Khan, Ammar Khalid Khan, Shayan Sirat Maheen Anwar

Neurological symptoms of COVID-19 infection can be lethal if optimum intervention is not provided at the right time. However, it is extremely important to distinguish the non-specific symptoms of COVID-19 according to its severity directly or indirectly caused by the coronavirus. Here, we present five radiological case studies of COVID-19 to highlight the wide array of neurological manifestations associated with COVID-19.

254

Authors: Wai Yan Lam, Sunny Chi Lik Au

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