| چکیده انگلیسی مقاله |
Background and Aim: Visceral abscesses are significant infectious diseases that, if not diagnosed and treated promptly, can lead to severe complications and notable mortality. The aim of the present study was to determine the epidemiological status, clinical and paraclinical manifestations, and final outcomes of visceral abscesses in patients hospitalized at Shahid Beheshti Hospital, Kashan, during 2011-2021.
Methods: This study was conducted on 90 patients diagnosed with visceral abscesses (affecting the lungs, liver, spleen, and other organs) who were hospitalized at Shahid Beheshti Hospital in Kashan between 2011 and 2021. Demographic data, medical history, clinical manifestations, laboratory findings (CBC, ESR, CRP), hospitalization duration, and final outcomes of the patients were extracted from medical records and recorded in a questionnaire. The data were analyzed using SPSS version 17.
Results: Out of the 90 patients, 48 (53.3%) were female and 42 (46.6%) were male. The most affected age group was 41 to 60 years old, with 30 patients (33.3%). The majority of the patients (n=80, 88.9%) were Iranian and resided in urban areas. An underlying medical condition was present in 98% of the patients, with hypertension being the most common (50%). The most frequent clinical manifestation was fever and chills. The most common site of abscess was the lungs, followed by the abdominal and pelvic areas. In total, 49 patients (54.4%) underwent surgery, and 9 patients (10%) died.
Conclusion: Considering that approximately one-third of the patients experienced prolonged symptoms prior to diagnosis, half of them were hospitalized for more than 10 days, and considering 10% mortality rate, it appears that one of the main causes of death is delayed presentation, late diagnosis, and unsuccessful therapeutic interventions. Therefore, it is essential to educate general practitioners, as the first point of contact with patients, about the signs and symptoms of visceral abscesses to ensure early diagnosis and timely referral to surgeons. |
| نویسندگان مقاله |
منصوره مومن هروی | Mansooreh Momen-Heravi
Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
مرکز تحقیقات بیماری های عفونی، دانشگاه علوم پزشکی کاشان،کاشان، ایران
احمد محبی کرد سفلی | Ahmad Mohebi kordesofla
General practionner Kashan University of Medical Sciences, Kashan, Iran
پزشک عمومی، دانشگاه علوم پزشکی کاشان،کاشان، ایران
نوشین سادات موسوی | Noshin sadat Mousavi
Department of Surgery, Kashan University of Medical Sciences, Kashan, Iran
گروه جراحی، دانشگاه علوم پزشکی کاشان،کاشان، ایران
شیما شفق |
Department of Surgery, Kashan University of Medical Sciences, Kashan, Iran
گروه جراحی، دانشگاه علوم پزشکی کاشان،کاشان، ایران
سوسن رسولی | Sousan Rasouli
General practionner Kashan University of Medical Sciences, Kashan, Iran
پزشک عمومی، دانشگاه علوم پزشکی کاشان،کاشان، ایران
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