ABSTRACT
Vocal cord dysfunction is a rare variety of upper airway obstruction characterized by typical laryngoscopic features and may mimic an acute asthma attack. The case presented in this report pertains to a 15-year-old girl who had repeated acute episodes of dyspnoea and wheezing and remained non-responsive to corticosteroids and inhaled bronchodilators requiring endotracheal intubations for adequate control. Laryngoscopic findings were consistent with vocal cord dysfunction. She was treated with a tracheostomy and psychological support.
Subject(s)
Adolescent , Asthma/diagnosis , Diagnosis, Differential , Female , Humans , Laryngeal Diseases/pathology , Vocal Cords/pathologyABSTRACT
Endoscopic therapy has been used extensively in every field of medicine. The bronchial tree is no exception. The rigid bronchoscope was mainly used for foreign body extraction and hemostasis from and in the bronchial tree. With the evolution of flexible fiberoptic bronchoscope, the scope of therapeutic bronchoscopy has widened. The principles of therapeutic bronchoscopy, the various indications and brief description of such procedures like laser-bronchoscopy, endo-bronchial brachytherapy, management of airway strictures, its role in management of hemoptysis and foreign body removal have been reviewed.
Subject(s)
Airway Obstruction/therapy , Brachytherapy/methods , Bronchoscopy/methods , Cryotherapy/methods , Foreign Bodies/therapy , HumansABSTRACT
A six-week-old child with tracheal duplication presenting with congenital stridor is being reported. To the best of our knowledge, a tracheal web or tracheal duplication (as the present condition may be named) has not been described as a causative factor of infantile stridor.
Subject(s)
Female , Humans , Infant , Respiratory Sounds/etiology , Tomography, X-Ray Computed , Trachea/abnormalitiesABSTRACT
A case of a 63-year-old patient with motor neurone disease (amyotrophic lateral sclerosis) with central sleep apnoea syndrome is being reported. His sleep architecture was fragmented with a high apnea-hypopnea index of 65 per hour and maximum oxygen-desaturation of 78 percent. Total correction of sleep pattern with nasal non-invasive ventilation (BiPAP-ST) was demonstrated.
Subject(s)
Amyotrophic Lateral Sclerosis/complications , Humans , Male , Middle Aged , Polysomnography , Positive-Pressure Respiration , Sleep Apnea, Central/etiologyABSTRACT
A patient of dengue hemorrhagic fever who progressed into acute respiratory distress syndrome (ARDS) is reported. The patient recovered after mechanical ventilation and supportive treatment.
Subject(s)
Adult , Anti-Infective Agents/therapeutic use , Severe Dengue/complications , Diagnosis, Differential , Humans , Lung/microbiology , Male , Positive-Pressure Respiration , Respiratory Distress Syndrome/microbiology , Respiratory Function Tests , Treatment OutcomeABSTRACT
A patient of tuberculous pyopneumothroax with broncho-pleural fistula in whom a mature roundworm Ascaris lumbricoides migrated from the intestine to lodge itself in the pleural cavity is being reported.
Subject(s)
Animals , Ascariasis/complications , Ascaris lumbricoides , Bronchial Fistula/parasitology , Empyema, Pleural/parasitology , Humans , Lung Diseases, Parasitic/etiology , Male , Middle Aged , Pneumothorax/parasitologySubject(s)
Adult , Female , Hemangioma/congenital , Humans , Infant, Newborn , Pregnancy , Tongue Neoplasms/congenitalSubject(s)
Adult , Animals , Bone and Bones , Foreign Bodies , Humans , Hypopharynx , Male , Meat , Mucous MembraneSubject(s)
Adult , Ameloblastoma/pathology , Biopsy , Humans , Male , Maxilla/pathology , Maxillary Neoplasms/pathologyABSTRACT
In recent times there have been several reports of chloramphenicol resistant enteric fever necessitating the use of other antimicrobial agents. Clinical profile of 15 chloramphenicol resistant patients of enteric fever was studied. Three such patients (20%) responded to chloramphenicol despite in vitro resistance to the drug. Hence chloramphenicol still remains the drug of first choice in enteric fever as a majority (68.4%--26 out of 38) of our bacteriologically proven enteric fever patients were cured by the drug. The remaining 12 cases responded satisfactorily to ciprofloxacin (46.7%), gentamicin (20%), and ofloxacin (13.3%). There was an increased incidence of complications among the 15 drug resistant cases as compared to 23 cases of chloramphenicol sensitive enteric fever observed during the same period.
Subject(s)
Adolescent , Adult , Chloramphenicol/therapeutic use , Chloramphenicol Resistance , Ciprofloxacin/therapeutic use , Female , Gentamicins/therapeutic use , Humans , Male , Microbial Sensitivity Tests , Ofloxacin/therapeutic use , Pregnancy , Salmonella typhi/drug effects , Typhoid Fever/drug therapyABSTRACT
Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium Seeberi. Although a variety of sites may be affected, the principal site of infection is the nasal mucosa, the disease is endemic in India and Sri Lanka, smaller series are also described from East Africa and parts of America, but it is very rare in Europe. The 116 cases seen in the Medical College at Bankura during January 1983 to December 1987 are presented here. The disease is more prevalant in males and in the second decade of life. Excision by diathermy knife and electrocautery of the base proved to be helpful to prevent recurrence.