Ascitic And Pleural Fluid Being Positive For Acid Fast Bacilli By Ziehl– Neelsen Stain : A Rare Case Report.

The incidence of extrapulmonary tuberculosis is rising globally due to the increased prevalence of HIV infection. Hence a high clinical suspicion and supportive diagnostics is necessary for the diagnosis . The incidence of Acid fast bacilli being positive by ZN stain is very low, but in our patient who prented with easy fatigability, fever and abdominal distension of 5 months duration found to have both pleural and ascitic fluid positive for the organism.the patient was started with anti-tuberculosis treatment and is improving.

Characterization of adult onset growth hormone deficiency syndrome in patients with hypothalamopituitary diseases: Asian Indian data.

BACKGROUND: Hardly any data is available on Adult onset growth hormone deficiency (AOGHD) in Patients with hypothalamopituitary diseases in India. AIMS: To characterize Asian Indian AOGHD syndrome in hypothalamopituitary diseases. SETTINGS AND DESIGN: Cross-sectional analysis of data from a tertiary care hospital. MATERIALS AND METHODS: Thirty patients with AOGHD were compared with 30 age-, sex-, body mass index-matched controls with respect to endocrine evaluation, biochemistry, body composition (BC), bone mineral density (BMD), cardiovascular risk profile and quality of life (QoL). STATISTICAL ANALYSIS USED: Comparisons were performed using two-tailed Student's test (SPSS Software version 10.0). RESULTS: Most of the patients had abnormal BC with central obesity [Truncal FM (%): males {33.9+/-4.4 (patient) vs. 29.31+/-6.2 (control); P -0.027}; females {39.87+/-5.93 (patient) vs. 35.76+/-3.16 (control); P - 0.025}] and poor QoL. Patients aged over 45 years did not show low bone mass or lipid abnormalities as compared to controls. Low BMD and abnormal lipid profile {Triglycerides [mg/dl]:170.55+/-72.5 (patient) vs101.24+/-31.0 (control); P -0.038}; {very low density lipoprotein cholesterol [mg/dl]: 33.54+/-14.9 (patient) vs. 20.25+/-6.18 (control); P - 0.05} was seen in female patients less than 45 years of age. Conclusions: Male and female (more than 45 years) AOGHD patients have increased cardiovascular risk factors and poor QoL while BMD is unaffected. Females less than 45 years of age have the major characteristics of AOGHD and would be the group to benefit maximally with recombinant human Growth Hormone treatment, which is similar to that in the western literature.

Behavioural changes in freshwater fish, Cirrhinus mrigala (Hamilton) exposed to cypermethrin.

The toxicity of insecticide cypermethrin to the freshwater fish, Cirrhinus mrigala was studied using static bioassay method. The 96 h LC50 was found to be 5.13 microg/l. Increase in opercular movement, loss of equilibrium, increase in surface behaviour, change in body colour, increase secretion of mucus, irregular swimming activity, rapid jerk movement, 'S' jerky, partial jerk, and aggressiveness were observed in fish exposed to lethal concentration of cypermethrin. But in sub lethal concentration changes were observed from that of lethal and with the approach of 14 and 21 day, fish attained to normalcy.

Nickel induced changes on some aspects of protein metabolism in the tissues of Pila globosa.

Some aspects of protein metabolism were studied in foot, hepatopancreas and mantle tissues of snail, Pila globosa on exposure to lethal concentration for 2 days (336.7 mg/L) and sublethal concentration (67.34 mg/L) of nickel for 1, 5 and 10 days. Total, structural and soluble proteins decreased significantly and to continence, this the levels of amino acids and protease activity increased in all the tissues of snail at all time points examined. Activities of AAT (Aspartate aminotransferase) and AlAT (Alanine aminotransferase) showed contrasting trends of inhibition and elevation during lethal and sublethal concentrations of nickel treatment. GDH (Glutamate dehydrogenase) activity was increased in all the tissues with increase in exposure time. Level of ammonia decreased in snails at sublethal concentration, but increment was observed in lethal concentration along with increased urea content. Under lethal and sublethal exposures, the changes in all the parameters were more pronounced in hepatopancreas followed by foot and mantle. At most instances, snails in the lethal medium were affected more compared to sublethal concentration.

Hypokalemic paralysis in pregnancy.

Hypokalemic paralysis is an uncommon entity with varied etiology. Renal tubular acidosis is an unusual cause of this disorder. Its occurrence with pregnancy is rare. We report such a case and mention the implications of the association and review relevant literature breifly.