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December 2020 -
Volume 18, Issue 12

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original contribution

Prevalence of thyroid dysfunction among Type 2 Diabetic Patients
[Abstract]
[pdf]
Sami Hassan M. Alfaifi
DOI: 10.5742/MEWFM.2020.93901

Prevalence and risk factors for urinary incontinence among women with diabetes in Taif city, Saudi Arabia
[Abstract]
[pdf]
Basim M. Almalki, Nojood A. Althomali, Sarah A. Alghalbi, Saja A. Al Turkestani,
Amjad N. Alnemari, Shuruq A. Alharthi, Amjad F. Alquthami, Abdulaziz AlFadhly,
Saad AlFayz
DOI: 10.5742/MEWFM.2020.93902

The Side Effects of TICAGRELOR among Saudi Patients and comparison with conventional anti-platelet drug clopidogrel at Aseer Central Hospital, Southwest of Saudi Arabia
[Abstract]
[pdf]
Javed Iqbal Wani, Zia Ul Sabah, Mir Nadeem, Mona Ali Hassan Alshehri, Ahlam Muslih Al Ghamdi, Nojoud Mohammed Alfarhan, Haneen Ahmad Assiri, Adel Masswary
DOI: 10.5742/MEWFM.2020.93903

Nephrectomy indications from a Tertiary Care Center in Abha, Saudi Arabia: The implications of the paradigm shift
[Abstract]
[pdf]
Mishari H.M. Alshyarba
DOI: 10.5742/MEWFM.2020.93905

The effectiveness of alcohol swab in umbilical cord care in Taif city, Saudi Arabia
[Abstract]
[pdf]
Salwa Y. Alhazmi, Amal S. Alfaqeeh, Reem W. Alsuwat, Israa H. Alnemari, Amjad F. Alquthami, Nada S. Alrubaie, Sara S. Alrebaiee, Seham H. Almalki
DOI: 10.5742/MEWFM.2020.93906

Population-level Investigation of the Public Awareness Level Toward Witnessed Seizures in Saudi Arabia
[Abstract]
[pdf]
Mazen Basheikh
DOI: 10.5742/MEWFM.2020.93907

Obstructive sleep apnea and association with poor school performance in primary school children, Taif city, in KSA, 2020
[Abstract]
[pdf]
Abdullah AlKhayat, Rawan A. Althobaiti, Wijdan A. Alshehri, Asalah H. Alkhaldi,
Bashaer A. Alkhaldi, Turki Althobaiti
DOI: 10.5742/MEWFM.2020.93908

Improving albuminuria screening in Type 2 diabetes mellitus patients, at West Bay Health Center, Qatar
[Abstract]
[pdf]
Wafaa Musallam, Salma Elnour, Hani Abdalla, Rehan Ahmed Qasem Sharsheer,
Wafaa Yousuf
DOI: 10.5742/MEWFM.2020.93904

Psychological Impact of Acne Vulgaris among Female Secondary Students in Tabuk City, Saudi Arabia
[Abstract]
[pdf]
Eman Abdullah Aljehani, Saad Algahtani
DOI: 10.5742/MEWFM.2020.93910

The value of honey dressing in the treatment of diabetic foot infections
[Abstract]
[pdf]
Soliman A. Hassan, Muruj A. Aloufi, Sarah A. Sanousi, Sultan A. Alluqmany, Qusai E. Abuzinadah, Walaa J. Alshaikh, Eyad A. Alsadah, Ahmed S. Alsaiari
DOI: 10.5742/MEWFM.2020.93911

Prevalence and risk factors of gastroesophageal reflux disease among female Medical students at Taif University, Saudi Arabia
[Abstract]
[pdf]
Sameer A. Al-Towairqi, Wejdan J. Alharthi, Aisha S. Almalki, Montaha M. Dabi, Rawan A. Althobaiti
DOI: 10.5742/MEWFM.2020.93912

Covid 19 in the region

Perceptions of the Phenomena of Quarantine as Experienced by Saudi Arabian COVID-19 Patients
[Abstract]
[pdf]
Sami Abdulrahman Alhamidi, Seham Mansour Alyousef
DOI: 10.5742/MEWFM.2020.93914

Psychosocial Impact of COVID-19 on Family Physicians in the Kingdom of Saudi Arabia
[Abstract]
[pdf]
Nuha N. Filfilan, Eatezaz Y. Alzhrani, Reham F. Algethamy, Rahaf H. Fattah, Wijdan A. Alshehri, Banan A. Althobaity, Raghad K. Althobaity
DOI: 10.5742/MEWFM.2020.93915

A qualitative examination of quarantine work experience of nurses in Saudi Arabia
[Abstract]
[pdf]
Sami Abdulrahman Alhamidi, Hessa Abdulrahman Almutairi, Seham Mansour Alyousef
DOI: 10.5742/MEWFM.2020.93916

Does it Rain after the Storm? Family medicine resident's reflection at Qatar: Results From a cross sectional study
[Abstract]
[pdf]
Rasha Moussa, Fawziya Alhor, Muna Aseel
DOI: 10.5742/MEWFM.2020.93917

Population and Community Studies

Clinical pattern of tuberculosis in malnourished children in Kassala hospitals, Sudan: A hospital based study
[Abstract]
[pdf]
Alam Eldin Musa Mustafa Musa
DOI: 10.5742/MEWFM.2020.93918

Awareness Level of General Population Regarding Club Foot in Aseer Region, Southern of Saudi Arabia
[Abstract]
[pdf]
Fareed Faya Alfaya,Yahya Mohammed Alqahtani, Khalid Hussein Almutairi, Anas Ali Asiri, Ahmed Hussain Almutlaq, Bander Bin Saleh Alsalmy Asiri, Khalid Mohammed M. Asiri, AbdulRahman Saad Mohammad Alahmari
DOI: 10.5742/MEWFM.2020.93919

Knowledge, Attitude and Practice regarding Diabetic Retinopathy Amongst Diabetic Patients in Aseer Region
[Abstract]
[pdf]
Waleed A Aldhabaan, Yahya Mohammed Alqahtani, Afnan Saeed Muqbil, Amal Abdullah Alqahtani, Khalid Abdullah Alasmari, Hashem Abdullah Alghamdi, Nawaf Amer Alshahrani (2)
DOI: 10.5742/MEWFM.2020.93920

Awareness, attitude, and practice regarding E-cigarettes among students at King Khalid University, Saudi Arabia
[Abstract]
[pdf]
Shehata Farag Shehata, Faisal Awadh M Alqahtani, Abdulbari Ahmed Alzahrani Faris Ahmed Alasmre, Nasser Abdullah N AlGhris, Mohammed Mushabab Al-Mudhi, Ahmed Hussain Almutlaq
DOI: 10.5742/MEWFM.2020.93921

The role of a clinical pharmacist in lifestyle modification in type 2 diabetic patients with peripheral neuropathy in Erbil, Iraq
[Abstract]
[pdf]
Anfal N Al-Mallah, Kawa Dizaye, Nahlah O Tawfiq
DOI: 10.5742/MEWFM.2020.93922

Female medical students are stronger advocates for colorectal cancer screening than their male colleagues
[Abstract]
[pdf]
Ali Farsi, Sonds Alshammakh, Maria Abuhadi, Mai Kadi, Nadim Malibary, Nouf Akeel, Mohammed Basendowah, Abdulaziz Saleem, Ali Samkari, Mohammed Nassif, Nora Trabulsi
DOI: 10.5742/MEWFM.2020.93923

Knowledge and Practice Regarding Infant Feeding of Mothers Attending PHCCs in Abha City, Saudi Arabia
[Abstract]
[pdf]
Hayfa Al-Hefdhi
DOI: 10.5742/MEWFM.2020.93924
Infant feeding questionnaire

Prevalence, risk factors and clinical aspects of Diabetes Mellitus among Saudis in the Western Region. Saudi Arabia: A community based study
[Abstract]
[pdf]
Fathi M. El-Gamal, Hadeel Elshahti, Malath Bukhari, Mohammed Aljohani, Naif Alsifri, Waad Ahmed, Rawan Gaber, Suzan Abulaban, Abdulathim AlHarbi, Sarah Shuailah, Ali Alshikhi
DOI: 10.5742/MEWFM.2020.93925

Colorectal cancer related Knowledge, Attitude, and Practice among adult Saudis in Jeddah city
[Abstract]
[pdf]
Fathi M. El-Gamal, Mohammed Albladi, Rayan Sarhan, Riyadh Almalki, Murad Banafea, Osama Alghamdi
DOI: 10.5742/MEWFM.2020.93926

Depression, the silent killer, a South Asian perspective
[Abstract]
[pdf]
Tabinda Bashir, Mohammed Abdul Haseeb
DOI: 10.5742/MEWFM.2020.93927

Clinical Research and Methods

Myths with diuretics
[Abstract]
[pdf]
Zeeshan Najam Khan
DOI: 10.5742/MEWFM.2020.93928

Endoscopic Septoplasty: Surgical Outcome in Aden, Yemen
[Abstract]
[pdf]
Saleh Mohamed Abobaker Alshaiby
DOI: 10.5742/MEWFM.2020.93929

Education and Training

Communication Skills of Resident Physicians in Aseer region, Saudi Arabia
[Abstract]
[pdf]
Asma Saad Habbash
DOI: 10.5742/MEWFM.2020.93931

The Challenges of Virtual Consultations in Diagnosing Acute Medical Conditions in Primary Care
[Abstract]
[pdf]
Mohammed Abdul Haseeb, Ameer Muhammad Khan, Ali Tajdar Rizvi, Aziz Ur Rehman
DOI: 10.5742/MEWFM.2020.93932

Reviews

Thyroid Nodules: What Family Medicine Doctors Should Know
[Abstract]
[pdf]
Sanjeewa Sumathipala, Rashed Jassim Al Kubaisi
DOI: 10.5742/MEWFM.2020.93933

Intrinsic predictive factors for acute and recurrent lateral ankle sprain in active and athlete population: A systematic review
[Abstract]
[pdf]
Hanaa I. Alkuwari, Maha H. Alnaemi, Sahar S. Almarri, Sherlyn Myka S. Balista
DOI: 10.5742/MEWFM.2020.93934

Sulfonylureas and Mortality Risk
[Abstract]
[pdf]
Omer Farooq Sheikh
DOI: 10.5742/MEWFM.2020.93935

Diabetic Foot Disease and its Management
[Abstract]
[pdf]
Marwa Ahmed
DOI: 10.5742/MEWFM.2020.93937

Economic burden of diabetes care: The economic burden on health systems of low and middle-income African countries
[Abstract]
[pdf]
Almoutaz Aljkhier Ahmed, Nada Najib Almulla
DOI: 10.5742/MEWFM.2020.93939

Case Report
A Case of Hyperemesis Gravidarum
[Abstract]
[pdf]
Marwa Ahmed
DOI: 10.5742/MEWFM.2020.93938

World View

Challenges faced by physicians and patients to provide adequate healthcare to patients, particularly the migrant population
[Abstract]
[pdf]
Mohammed Abdul Haseeb, Tabinda Bashir
DOI: 10.5742/MEWFM.2020.93941



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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December 2020 - Volume 18, Issue 12

Clinical pattern of tuberculosis in malnourished children in Kassala hospitals, Sudan: A hospital based study

Alam Eldin Musa Mustafa Musa

Assistant Professor, Department of Child Health, College of Medicine, King Khalid University, Abha, Saudi Arabia; and Assistant Professor of Pediatrics Kordofan University Faculty of Medicine and Health Sciences, Department of Pediatrics, Sudan

Correspondence:
Dr. Alam Eldin Musa Mustafa Musa
Assistant Professor of Pediatrics,
Department of Child Health,
College of Medicine King Khalid University
Abha, Saudi Arabia
Contact number: +966557548475
Email: alameldinmustafa641@gmail.com

Received: October 2020; Accepted ovember 2020; Published: December 1, 2020. Citation: Alam Eldin Musa Mustafa Musa. Clinical pattern of tuberculosis in malnourished children in Kassala hospitals, Sudan: A hospital based study. World Family Medicine. 2020; 18(12): 118-125 DOI: 10.5742/MEWFM.2020.93918

Abstract


Objective: To study the clinical pattern of tuberculosis in malnourished children below five years of age admitted as diagnosed cases of tuberculosis.

Materials and Methods: This is a cross sectional hospital based study done in Kassala Teaching Hospital and Kwaiti Paediatric Hospital during the period from January 2010 to December 2011. Data was collected through a questionnaire detailing full socio-demographic, nutritional and medical history. Examination, anthropometric measurements and investigations of the children included in the study.

Results: The mean (SD) age was 28.8 months in 84 children of almost equal gender distribution. Almost all were of low socio-economic class. 51(60.7%) were BCG vaccinated; the mean duration of symptoms was 46 days. The commonest symptoms were loss of weight in all patients, fever in 95.5% and cough in 79.8% of the study group. The cough had a significant statistical relation to the pulmonary disease (P>0.042). 82.1% of the children had a weight /height percentage of less than or equal to 70%. Chest signs were seen in 66 (87.6%) patients. Pulmonary disease was diagnosed in 72.6%, miliary in 8(9.5%) and meningitic TB in 4 (4.8%) of the children in the study group. The WHO score system was positive of 7 in 65 (78.6%) of the study group.

Conclusion and recommendation: The clinical diagnostic scores are sensitive but they use non-specific parameters. Screening of children with adult TB contact and sufficient rehabilitation of malnourished children before labelling them as tuberculous is recommended.

Key words: Tuberculosis, Malnutrition, Marasmus, Kwashiorkor

Abbreviations: TB=tuberculosis; WHO=World health organization, TSC=tuberculosis score chart, IUTLD=international union against tuberculosis and lung disease, BCG=Bacille- Calmette- Guerin vaccination, MOH=ministry of Health







 


 
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