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Mohamadreza Mofateh, Mohsen Ziaei Fard, Gholamreza Makhmalbaf, Mohammad Nabei,
Volume 15, Issue 1 (Spring 2008)
Abstract

Varicella is an acquired childhood disease and it is a mild and self-limited one, whose complications in older individuals can be life-threatening. These complications usually appear 3 to 4 days after the appearance of varicella exanthems including pain, recurrent fever>38.5 and toxic appearance. Airway complications of varicella are rare. Acute supraglottitis mostly involves 2 to 6 year old children. Its spread is extremely fast and air-way obstruction is due to cellulites of supraglottic structures. Airway examination in a patient with epiglottitis that is a rare complication of varicella infection must be done in controlled condition or in an operating room and by highly- skilled specialists (e.g. surgeons and anesthesiologists). The patient must be admitted to the intensive care unit and be treated with suitable and effective antibiotics and respiratory care. Otherwise, mortality rate will be high. We report a 21 year old patient with post-varicella epiglottits. The patient after 5 days of exanthema, developed sore throat, stridor, dyspnea with sternal and intercostals retraction, tachypnea, fever and tachycardia. Sever epiglottits was seen on nasopharyngoscopy in operation room. Therefore, emergency tracheostomy was done and post direct laryngoscopy epiglottits was established and biopsy was performed. The patient admitted to the intensive care unit treated by broad spectrum antibiotic and discharged after a week with good general condition and a prescription.
Khadijeh Gholami, Masood Ziaei, Gholamreza Sharifzadeh, Gholamreza Anani Sarab,
Volume 26, Issue 2 (Summer 2019)
Abstract

Background and Aim: Hematological values ​​in people are affected by various factors such as race, environment, time, test method, sample collection site, and age. Given the fact that these factors can differ with each other in different populations, these differences can lead to differences in the results of hematological reference rates. Therefore, we decided to identify a normal range of blood factors in a large sample of the adult population living in South Khorasan.
Materials and Methods: In this cross-sectional study in 2015, a crowd of 5,000 selected from cluster-based adults in Birjand in 2015 and hematological parameters were determined in 4360 healthy subjects. Finally, the data were described using descriptive statistics.
Results: The counts for the total white blood cells, red blood cells, Hemoglobin, Hematocrit, and Mean cell volume values ​​for males and females were determined. The mean Hemoglobin values ​​were 15.01±3.13 and 14.01±1.8 in male and female respectively and the mean Hematocrit was 45.81±7.52 and 42.59± 5.99 in males and females, respectively. The minimum leukocyte counts were lower than those reported in existing references. However, a higher rate of Eosinophil and Monocyte was obtained among the subjects.
Conclusion: Although in general, hematological factors in Southern Khorasan are similar to the values mentioned in other references, but in some cases, there are also differences that can be useful in evaluating them.


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