Khulna Medical College

About: Khulna Medical College is a healthcare organization based out in Khulna, Bangladesh. It is known for research contribution in the topics: Pregnancy & Hysterectomy. The organization has 266 authors who have published 203 publications receiving 964 citations. The organization is also known as: Khulna Medical College, Khulna & KMC.

A case with unilateral hypoglossal nerve injury in branchial cyst surgery.

Abstract: An 11 years old boy came, with complain of mild dysarthria. Examination revealed marked hemiatrophy of left side of the tongue. Five months back he underwent ipsilateral branchial cyst operation. To our knowledge, no case was reported. After branchial cyst operation if there is any residual remnant chance of recurrence is very high.

Clinical profile and treatment protocol of invasive carcinoma of cervix

Abstract: Cervical cancer is the most common prevalent cancer that continues to be a major health care problem world wide. It is still an important cause of mortality and morbidity in the developing countries. An estimated 500,000 new cases of cancer cervix and 233.000 deaths occurred in the year 2000 and almost 80% of these cases happen in the developing countries. Hospital based statistics indicated cervical cancer constitutes 22-35% of the female cancer in different areas of Bangladesh and India. A retrospective study was done in Gynaecology and Obstetric department in KMCH between January 2004 to January 2009 to see the incidence, correlation of age, parity, socioeconomic condition and clinical staging, treatment and other risks factors of carcinoma cervix. Out of total 120 diagnosed cases of cervical cancer were evaluated regarding their clinio-demographic profile, appearance of growth, clinical staging and types of treatment done . The results showed 49% of patient were in the age group of 31-40 years, 26% were in the 41-50 years group, early age at first coitus (70%), most of the patients (82%) presented with advanced stage and referred for radiotherapy or chemo radiation. One in ten female cancers diagnosed world wide are cancers of the cervix and there is seven fold variation in the incidence of cervical cancer between the different regions of the world. The Incidence of invasive cervical carcinoma can be reduced by development of health education and promotion of national screening programme such as Visual Inspection of cervix (VIA), Colposcopy and vaccination against Human Pappiloma Virus (HPV). DOI: http://dx.doi.org/10.3329/bmjk.v45i1-2.13623 Bang Med J (Khulna) 2012; 45 : 11-14

Prevalence of intestinal parasitoses in urban and rural children of a developing country.

Abstract: Objective To compare intestinal parasitoses between urban and rural children in developing countries and its related factors. Methods Children of 1-6 years old in the urban and rural areas who had not taken antihelmenthic drugs in the last 6 months were randomly selected. Various factors were taken as variables in a preformed questionnaire. Results Among the total 52 children, 24 were in urban and 28 were in rural group. Male/female ratio of the rural group was 1:1 and that of the urban group was 1.4:1. Average income was 12 000 taka and 4 000 taka per month in urban and rural areas, respectively. None of the rural group used sanitary latrine, whereas every one in urban group used sanitary latrine. Majority (71%) of the mothers in rural group were below the primary level of education. Majority (75%) of fathers were educated above higher secondary level in urban group. In the rural group 18 (64%) fathers had not received any education. Enterobius vermicularis was observed only in 1 (4%) stool samples of urban children but in rural group it was found in 7 (25%) of the stool samples. Enterobius vermicularis was the main parasite isolated from both groups. Exclusive breast feeding practice of less than 6 months was observed in 20 (83%) children of urban group but in rural group that of less than one year was found in 22 (78%) children. Conclusions Intestinal parasitic infestation is mostly found in rural children. Urban children almost have no intestinal parasitoses. It has the relation with the poor sanitation, low standard of living, less parental income and education, and early weaning. Unnecessary universal deworming of the urban and rural children in developing countries should be discouraged in order to use the money economically and effectively. It can be carried out in rural children and their living standard should be improved.

Hepatic hydatid cyst presenting as cutaneous abscess.

Abstract: Hydatidosis is a parasitic zoonotic echinococcal infection that affects both humans and other mammals. These diseases are common worldwide but particularly common in sheep and cattle farming regions. Anaphylaxis mediated by IgE is a serious complication of surgery or trauma which necessitates more aware of its clinical features, diagnosis and management. It is important to make a preoperative diagnosis based on the typical image findings, so that particular precaution can be taken not to rupture the lesion. A woman presented with a right upper quadrant cutaneous abscess. USG reveals multiple cystic lesions in the liver arranged in cartwheel appearance, CT disclosed a cystic lesions having daughter cysts, marginal calcifications, marginal enhancement and contiguous abdominal wall abscess, which led to a diagnosis of complicated hepatic hydatid cysts with abdominal wall abscess formation. FNAC showed scolices surrounded by chronic inflammatory cells. Abdominal wall abscess may be a presentation of hydatid liver disease.

Nationwide Distribution of Dengue Virus Type 3 (DENV-3) Genotype I and Emergence of DENV-3 Genotype III during the 2019 Outbreak in Bangladesh.

Abstract: Bangladesh is an endemic region of dengue fever and experienced an unprecedented large outbreak with more than 100,000 confirmed cases in 2019. To understand the prevalence of dengue antibody in patients and molecular epidemiological characteristics of dengue virus (DENV) in this outbreak, a total of 179 blood samples were collected from patients in 10 districts (seven divisions) covering nearly the whole country from August to December 2019. DENV NS-1 was detected in 162 samples, among which DENV-specific IgM was positive in 119 samples (73.5%), including 60.5% samples also positive for DENV-specific IgG. Sequencing of the partial C-prM gene and its phylogenetic analysis revealed predominance of DENV type 3 genotype I, accounting for 93% of samples examined. DENV-3 genotype III was identified in two samples from separate districts, and only one DENV-2 cosmopolitan genotype was found in the capital city, Dhaka. These findings suggest the predominance of DENV-3 genotype I and occurrence of DENV-3 genotype III, associated with increased incidence of recent secondary infection in Bangladesh in 2019.