Study of vaginal cytology among patients in Menoufyia Hospitals

Evaluation of the different cervical lesions, especially premalignant lesions among patients attending the outpatient clinics in Menoufyia Hospitals through application of Papanicoulaou smear [Pap smear]. Pap smear was done for a randomly selected 502 patients attending the gynecological outpatient clinics of Menoufyia University Hospital, Shebin El-Kom Teaching Hospital and Menouf General Hospital. Colposcopy and directed biopsy were done in eighty patients. Normal vaginal smear was the diagnosis in 62.7% of the studied group, while non-specific infection was found in 6.2%, human papilloma virus [HPV] infection was diagnosed in 7.2% of cases. Cervical intraepithelial neoplasia [CIN] and invasive cervical neoplasia were diagnosed in 1.2% and 0.2% respectively. A program for cervical early cancer detection and treatment in Menoufyia is advisable due to considerable occurrence of premalignant cervical lesions

Fine needle splenic biopsy in visceral leishmaniasis

Visceral leishmaniasis is a major cause of morbidity in children in Yemen. This work has been conducted on 20 cases selected among the attendant of Outpatient Clinic of Al Salam Hospital, who presented by fever and splenomegaly. History and thorough examination has been done. Full laboratory investigations like CBC, malarial smear, agglutination fever test and formol gel test were done. Splenic aspiration had been done for all cases. The clinical profile of all cases was a triad: huge splenomegaly [50%], pallor [70%] and fever [100%]. Also, the laboratory profile was a triad: leucopenia [95%], anemia [100%] and thrombocytcpenia [85%]. Splenic aspiration in all cases, revealed Leishmania donovani bodies and increase in number and size of reticuloendothelial cells without any expected hazardous complications, while foimol gel test was positive in 50%. We conclude that, in tropical areas, where this clinical triad is revealed in any case, splenic aspiration is recommended

Cutaneous leishmaniasis: rifampicin, cryotherapy and combined therapy: a comparative study

Cutaneous leishmaniasis is a speeific granuloma of the skin affecting millions of people throughout the world. Treatment has been controversial. As the disease evolves chronically. Usually with slow self- healing but can become nonhealing. Diffuse, disseminating or relapsing Evaluating the results of an oral drug [Rifampicin]. A surgical procedure [cryotherapy] and their combined effect. Showed that 53.3% of cases were cured by Rifampicin. 57.1% of cases by cryotherapy and 100% of cases by combined therapy. Also combined therapy showed a significantly shorter duration of therapy than either alone. Thus combined therapy can be considered safe and effective for treatment of cutaneous leishmaniasis