Browsing by Author "Wijewickrema, R."
Now showing 1 - 4 of 4
- Results Per Page
- Sort Options
Item Adult respiratory distress syndrome complicating typhoid fever(Published by the London School of Hygiene and Tropical Medicine by Blackwell, 1993) de Silva, H.J.; Kularatne, W.N.S.; Wijewickrema, R.; Thevanesam, V.No Abstract AvailableItem Chloamophenicol resistant typhoid fever(Sri Lanka Medical Association, 1993) de Silva, H.J.; Wijewickrema, R.; Thevanesam, V.We report a patient with typhoid fever caused by a strain of Salmonella typhi which was resistant to chloramphenicol. This is the first documentation of chloramphenicol resistant Salmonella typhi in Sri Lanka.Item Does pralidoxime affect outcome of management in acute organophosphorus poisoning?(Lancet Publishing Group, 1992) de Silva, H.J.; Wijewickrema, R.; Senanayake, N.Acute organophosphorus (OP) poisoning is usually treated with atropine plus cholinesterase reactivators such as oximes, but controlled trials to assess the efficacy of oximes in OP poisoning have not been done. A period when the acetyl cholinesterase reactivator pralidoxime chloride was not available in Sri Lanka gave us the opportunity to compare atropine alone for treatment of moderate to severe OP poisoning (21 patients) with atropine plus pralixodime (24 patients). Outcome, as assessed clinically, was similar in the two groups. These results cast doubt on the necessity of cholinesterase reactivators for treatment of acute OP poisoning.Item Severe fatty change with hepatocellular necrosis following bite by a Russell's viper(Oxford University Press, 1992) de Silva, H.J.; Ratnatunga, N.; de Silva, U.; Kularatne, W.N.S.; Wijewickrema, R.No Abstract Available