Neurological Manifestations in Leprosy: A Study in Tribal! Community of Hill Tracts
Journal Title: Journal of Enam Meical College - Year 2016, Vol 6, Issue 1
Abstract
Background: Leprosy is a chronic granulomatous infectious disease having major burden on humans over thousands of years. If untreated, it results in permanent damage to various systems and organs. So we designed this study to evaluate the neurological complications in early stage in adult leprosy patients. Objective: The aim of this study was to find out the pattern of neurological manifestations among adult leprosy patients. Materials and Methods: This cross-sectional hospital-based study on 85 adult tribal leprosy patients was conducted in a district level health care facility from January to December 2014 using simple, direct, standardized questionnaire including history and neurological examinations. Results: The commonest age group affected was 18–30 years (62.4%). Male group was predominant (68.2%). Majority cases (66%) had multibacillary leprosy. At first visit 72.7% cases with neurological findings could not be diagnosed correctly by primary health care personnel. More than six months were required for correct diagnosis in 61.2% cases. Numbness was the commonest (74.5%) neurological symptom. In upper limb, motor findings were predominant with wasting in 50.9% cases. In lower limb, sensory findings were predominant with stock pattern sensory impairment being the commonest (56.4%). Ulnar nerve was the commonest peripheral nerve to enlarge with tenderness. Facial nerve was the commonest cranial nerve involved. All cases with multiple cranial nerves involvement were of multibacillary type. Due to physical disability 92.7% cases lost their jobs. Conclusion: In this study neurological involvement was found associated with severe disability.
Authors and Affiliations
Ahmed Tanjimul Islam, Shamrin Sultana, Matiur Rahman, Md Azizul Hoque
Keywords
Related Articles
- EP ID EP36249
- DOI https://doi.org/10.3329/jemc.v6i1.26373
- Views 327
- Downloads 0
Identifying Predatory or Pseudo-Journals
The World Association of Medical Journal Editors (WAME) Board has recently announced the publication of the WAME statement on Identifying Predatory or Pseudo-Journals (posted on February 18, 2017). Members of WAME are pe...
Clopidogrel Resistance: Current Issues
Antiplatelet agents are mainly used in the prevention and management of atherothrombotic complications. Dual antiplatelet therapy, combining aspirin and clopidogrel, is the standard care for patients having acute coron...
Pattern of Anti-Microbial Sensitivity and Resistance against Salmonella Species in a Tertiary Hospital in Dhaka
Background: Drug resistant Salmonella spp. continues to remain a health problem as last two decades have witnessed the emergence and spread of multidrug resistance against conventional anti-typhoid drugs. Multidrug res...
A 4-Year-Old Girl with Precocious Puberty
Appearance of secondary sexual development before the age of nine in a male child and before the age of eight in a female child is called precocious puberty. Precocious puberty due to premature activation of the hypothal...
Treatment and Prevention of Common Complications of Chronic Kidney Disease
Chronic kidney disease (CKD) is a worldwide public health problem with an increasing incidence and prevalence. Outcomes of CKD include not only complications of decreased kidney function and cardiovascular disease but...