COMPLICATIONS AND OUTCOME OF DIPHTHERIA IN ADMITTED PEDIATRIC PATIENTS AT A TERTIARY CARE SETTING IN PESHAWAR

Main Article Content

Muhammad Hussain Khan
Ahmad Ali Aurakzai
Muhammad Irshad
Ihsan Ullah

Abstract

 

 

Objectives: To determine the frequency of complications of Diphtheria infection in our admitted pediatric patients and their outcome.

Methodology: This prospective observational study was conducted at Department of Pediatrics, Lady Reading Hospital, Peshawar. All patients admitted to the isolation unit of Pediatric Department from March 2016 to December 2017 were included in the study. During the study period, a total of 56 patients aged 6 months to 16 years having pharyngeal diphtheria were enrolled. Each patient was closely monitored and evaluated through X-ray chest, complete blood counts, blood chemistry, electrocardiography, cardiac enzymes and echocardiography. Patients were followed for 6 weeks and Diphtheria complications along with their outcome were recorded and analyzed using Microsoft Excel.

Results: Out of total 56 patients, 39 (69.64%) were males and 17 (30.35%) were females. Most of them (64.28%) were school age children with age range 5-10 years. Eleven patients (19.64%) out of 56 developed major complications. Among these 09 (16%) had myocarditis and 2 (3.5%) had polyneuropathies. Five patients (8.92%) died during the study period due to myocarditis and severe rhythm disturbance.

Conclusion: Cardiac complications of pharyngeal diphtheria were found to be the most common and fatal followed by polyneuropathy.

 

Article Details

How to Cite
1.
Khan MH, Aurakzai AA, Irshad M, Ullah I. COMPLICATIONS AND OUTCOME OF DIPHTHERIA IN ADMITTED PEDIATRIC PATIENTS AT A TERTIARY CARE SETTING IN PESHAWAR. J Postgrad Med Inst [Internet]. 2018 Sep. 16 [cited 2022 May 26];32(3). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/2361
Section
Original Article
Author Biography

Ihsan Ullah, Khyber Medical University Peshawar

Assistant Professor

Pathology

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