Publications by authors named "Hira Qadir"

Objective The objective was to assess the efficacy of nucleic acid amplification testing (NAAT) in conjunction with serology for detecting hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) in donor blood products. Methodology This retrospective cross-sectional study aimed to evaluate the use of NAAT and viral serology in screening donor blood products for HBV, HCV, and HIV. The study was conducted at the Dr Ishrat-ul-Ebad Khan Khan Institute of Blood Diseases at Dow University of Health Sciences in Karachi, Pakistan, from April 2018 to May 2022.

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Background: Ideal blood inventory management involves guaranteeing maximal availability of blood while minimizing wastage. Benchmark for the guidance of O (Rh) D-negative red blood cells (ONEG RBCs) is not widely available. In this study, we aimed to identify the areas of improvement in blood center inventory of ONEG RBCs through a clinical audit.

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Article Synopsis
  • Multiple myeloma is a type of blood cancer that involves the growth of unusual plasma cells in the bone marrow, with extramedullary plasmacytomas being a rare form that can develop outside the bone marrow.
  • A case of a 63-year-old man with multiple myeloma presented with a swollen port site, and imaging showed a mass that turned out to be a metastatic subcutaneous plasmacytoma.
  • This case highlights the need to recognize and accurately diagnose skin-related plasmacytomas in patients with venous access ports to prevent misdiagnosis and unnecessary treatments.
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A 65-year-old male presented with complaints of weakness, lethargy, abdominal pain, and low-grade fever for the last few months. His examination revealed generalized lymphadenopathy and splenomegaly. A subsequent laboratory workup revealed atypical lymphoid cells with prominent double-bright positivity of CD19 and CD5 markers.

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Bombay blood group is a rare type that was initially identified in the city of Bombay, India. It is characterized by the presence of serum antibodies anti-A, anti-B, and anti-H, which can cause agglutination in all blood groups within the ABO system. The clinical importance of the Bombay blood group lies in its inability to receive transfusions from other blood groups.

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hyposplenism increases the risk of life-threatening infection with encapsulated bacteria. however, literature review revealed that hyposplenism is also a risk factor for disseminated fungal infection. here, we report a case of individual who presented with pyrexia of unknown origin and had splenectomy for hemolytic anemia and later he found to have disseminated fungal infection on bone marrow examination.

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Niemann-Pick disease has an autosomal recessive inheritance pattern and occurs due to a deficiency of a lysosomal enzyme, sphingomyelinase. It causes variable clinical signs and symptoms such as hepatosplenomegaly, delayed milestones, and peripheral cytopenia due to bone marrow involvement. Here, we report a case of a child who presented with hepatosplenomegaly and pancytopenia, who was later found to have Niemann-Pick disease on bone marrow examination.

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Objective: To ascertain the frequency of markers of transfusion-transmitted infections among blood donors in a tertiary care setting.

Methods: The retrospective cross-sectional descriptive study, was conducted in the Blood Bank section of the Department of Pathology at the Dow University of Health Sciences, Karachi, and comprised data of blood donors from January 2013, to October 2018. All blood donors had been screened for hepatitis B, hepatitis C, human immunodeficiency virus I and II, syphilis through electrochemiluminescence and malaria using immunochromatography.

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Background: Chronic lymphocytic leukaemia (CLL), an indolent but malignant lymphoproliferative disorder, is characterized by unregulated and uninhibited growth of mature monoclonal lymphocytes, with deletion of 17p containing TP53 gene being the most important prognostic factor. TP53 mutations, reported in 10% of CLL cases, seem to have a direct correlation to a more advanced stage and aggressive transformation of CLL.

Methods: This was a retrospective cross-sectional descriptive study limited to a period from 1st June 2013 to 30th June 2016, conducted at Section of haematology, Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi.

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Article Synopsis
  • * A case study involved a 23-year-old male presenting with symptoms like lower limb weakness and incontinence, leading to a diagnosis of CML with both bone marrow and CNS involvement, identified as precursor B cell lymphoblastic lymphoma.
  • * Despite aggressive treatment, including chemotherapy and radiotherapy, the patient died from neutropenic sepsis after his fourth treatment cycle, highlighting the poor prognosis associated with extramedullary blast crisis in CML.
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Bone marrow examination is a useful tool for diagnosis of many diseases. The utility of bone marrow examination in workup of pyrexia of unknown origin cannot be undermined. Bone trephine of patients presenting with pyrexia of unknown origin must be carefully looked upon for granulomas for evaluation of tuberculosis.

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Factor VII (FVII) deficiency is one of the rare inherited bleeding disorders. Thrombosis has been occasionally described in inherited FVII deficiency. Here, we report a young female with undiagnosed FVII deficiency who presented with cerebral venous sinus thrombosis (CVST).

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