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Pham, Tho Kieu Anh
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Medicine & Pharmacology Public Health

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Commonly misdiagnosed round pneumonia in a child: a case report Tran, Khai Quang; Bui, Nghia Quang; Pham, Tho Kieu Anh; Nguyen, Tri Duc; Pham, Quan Minh; Tran, NhuThi Huynh; Tran, Ly Cong; Do, Nam Hoang; Nguyen, Phuong Minh
Medical Journal of Indonesia Vol. 32 No. 4 (2023): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cr.237117

Abstract

Round pneumonia, a specific radiological finding in children, is often caused by Streptococcus pneumoniae; but it is easily misdiagnosed with some other diseases, causing many difficulties for clinicians. We described a case report of round pneumonia in a 9-year-old boy, with chest pain, following fever, productive cough, left-sided pulmonary consolidation syndrome, tachypnea, no chest indrawing, and a round homogenous lesion about 4 cm in diameter with a clear border in the left upper lobe position on chest X-ray. He was initially misdiagnosed as a lung tumor. He was correctly diagnosed with round pneumonia prior to pneumonectomy and was successfully treated with antibiotics. Therefore, it is important to carefully analyze round pneumonia cases that are often misdiagnosed, resulting in poor therapy.
The Impact of Hyperthermia on The 30-Day Functional Recovery Outcome of Stroke Patients at a Hospital In Vietnam Pham, Tho Kieu Anh; Pham, Van Phuong; Nguyen, Vu Hien; Tran, Van De; Nguyen, Thanh Tan
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1145

Abstract

Background: Hyperthermia is associated with adverse outcomes in patients with neurological injuries. However, in Vietnam, there is limited research on this association among both stroke patients and hemorrhagic stroke patient groups. Objective: This study aims to determine the rate of hyperthermia and some factors related to hyperthermia in stroke patients, as well as evaluating the impact of hyperthermia on the 30-day motor recovery outcomes of stroke patients. Methods: This descriptive, cross-sectional study was conducted on all patients diagnosed with acute stroke and treated as inpatients at a Hospital in Vietnam, from May 1, 2023, to July 31, 2023. The 30-day outcomes of stroke patients were collected 30 days post-discharge during an outpatient clinic visit, assessed using the modified Rankin Scale (mRS) for motor function recovery. Results: Of the 262 acute stroke patients included in this study, 33.3% of them had hyperthermia (defined as a body temperature > 37.5°C), with the frequency of hyperthermia episodes increasing significantly after the first 72 hours post-admission (52.9%). An NIHSS score above 5 (OR=5.31; 95%CI: 1.78-15.90; p=0.003), infection status (OR=168.16; 95%CI: 40.59-696.74; p<0.001), and ischemic stroke classification (OR=31.45; 95%CI: 8.52-116.05; p<0.001) were found to be associated with hyperthermia in stroke patients. Additionally, the number of hyperthermia episodes (OR=7.72; 95%CI: 1.45-41.11; p=0.020) and the NIHSS score at admission (OR=55.51; 95%CI: 18.01-171.08; p<0.001) were associated with poor motor recovery outcomes 30 days post-discharge. Conclusion: The study found that nearly one-third of patients experienced hyperthermia. These results underscore the significance of monitoring body temperature after the first 72 hours in stroke patients, particularly in those with hemorrhagic stroke, high NIHSS scores, and infections. Addressing hyperthermia and controlling infections are crucial for reducing the frequency of hyperthermic episodes during treatment.
Co-Authors Bui, Nghia Quang Do, Nam Hoang Nguyen, Phuong Minh Nguyen, Thanh Tan Nguyen, Tri Duc Nguyen, Vu Hien Pham, Quan Minh Pham, Van Phuong Tran, Khai Quang Tran, Ly Cong Tran, NhuThi Huynh Tran, Van De