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Background: Conducted a study to know the demographic, clinical and biochemical profile of scrub typhus patients. Material and Method: This prospective, cross sectional study was conducted in the Department of General Medicine at Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan and included 50 cases patients with scrub typhus. The detailed clinical history in which particulars of the patient, chief complaints, history of present illness, past history and family history was taken and physical examination was recorded. Their Complete blood counts, liver function test, kidney function test and serum albumin were done and analysed to find the relation with investigations, symptoms and outcomes of the patient. Results: The majority of patients presented with scrub typhus belonged to 41-50 years age group, with a sex ratio of 1:1. Major presenting symptom was fever, rest of the symptoms were generalized, eschar was present in only one fourth of the patients, hence the diagnosis cannot be ruled out in the absence of eschar. Transaminitis and thrombocytopenia were important investigation finding present in more than three fourth of the patients. Acute hepatitis, AKI, pneumonitis were important complications which lead to MODS. Conclusion: Presence of transaminitis, hypoalbuminemia, thrombocytopenia, AKI, and MODS was associated with poorer outcomes and mortality. [ABSTRACT FROM AUTHOR]

Background: Intestinal stoma is an opening for fecal diversion. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it. Methods: This is a retrospective study was carried out in surgical unit of Guru Gobind singh medical college, Faridkot from April 2019 to March 2021. All patients were admitted through emergency and OPD basis and underwent surgery for various reasons and were followed up to note any complication which resulted in the creation of intestinal stomas. The results were collected, analyzed and compared with other studies. Results: Out of 100 patients, 73were males and 27 were females. The mean age was 39.4 years with a range of 16-75 years. 96 stomas were made in emergency and only 4 in routine. There were 72 cases of ileostomy. Out of these, 64 (84%) were loop ileostomy. The most common type of stoma made was loop ileostomy (64%) followed by sigmoid colostomy (14%). Main indication for a stoma formation was enteric perforation (40%) followed by Koch’s abdomen (16%). Of the various complications encountered with intestinal stoma, peristomal excoriation (32%). Conclusions: Inspite of vast exposure of general surgeons towards stoma formation the complications are inevitable. Early detection of complication and its timely management is the keystone. [ABSTRACT FROM AUTHOR]