Identification of ptototheca zopfii from bovine mastitis

The aim of this study was identification of the epidemiology of Prototbeca zopfu species from the milk samples of dairy cattle in Isfahan, central Iran. Milk samples were obtained from 230 daily cattle, 130 with and 100 without mastitis, in Isfahan. The samples were cultured in Prototbeca Isolation Medium [PIM] and Sabouraud's dextrose agar. All P. zopfu isolates were identified by morphological and biochemical methods. Then, as a confirmatory test they wrere examined by genotype-specific PCR. Four P. zopfu strains [3.07° o] were isolated from the 130 samples of dairy cattle with clinical mastitis and there was no isolation from totally 100 samples of healthy bovines without mastitis. Specific PCR product [about 946 bp] was detected in four isolates. It seems that P. zopfu genotype II plays a key role in affecting bovine mastitis that confirmed other previous studies. Our study was the first, which identified the Prototheca species by traditional and molecular methods in Iran and Middle East as well

[ case of tuberous sclerosis presenting with eyelid lesions]

To report the clinical, paraclinical and histopathologic features of eyelid mass lesions in a patient with tuberous sclerosis. A 14 year old boy with a slowly progressive right upper lid mass and history of seizures, mental retardation and multiple skin lesions on the face and body was referred to Labbafinejad Medical Center. Cortical tubers and subepandimal nodules were reported in neuroimaging and fibroadenoma with sebaceous hyperplasia were observed on histopathologic assessment. A diagnosis of tuberous sclerosis was made based on multiple major signs and the patient was referred to other subspecialities for comprehensive medical care. The ophthalmologist may be the first specialist to diagnose tuberous sclerosis because of associated ocular signs. Attention to systemic signs is necessary to establish a diagnosis

[Epidemiology of orbital and preseptal cellulitis over a 10-year period at labbafinejed medical center, Tehran, Iran and a review of literature]

To evaluate the epidemiology of orbital and preseptal cellulitis in patients admitted to Labbafinejed Medical Center from 1997 to 2007. Hospital records of patients were reviewed. Personal and clinical characteristics of the patients together with results of treatment and complications of the disease were evaluated. During the study period, 93 patients including 54 cases of preseptal cellulits were admitted. Male to female ratio was 2 for orbital cellulitis and 1 for preseptal cellulitis. Mean age was 27.4 +/- 23.9 years [range, 6 months to 98 years] in patients with orbital cellulitis and 19.1 +/- 23.3 years [range, 1 month to 82 years] in patients with preseptal cellulitis. Most of the cases [97.8%] were unilateral. Mean time from onset to referral was 4 days. Mean duration of hospitalization was 6 days for orbital cellulitis and 4.5 days for preseptal cellulitis. Most cases occurred during spring. The most common underlying disease was sinusitis which was present in 53.8% of cases of orbital sinusitis and 24.1% of cases of preseptal cellulitis with the ethmoid sinus being the most common involved sinus. An overage of 2 antibiotics were used for treatment. Surgical intervention was required in 48.7% of orbital and 14.8% of preseptal cellulitis cases. Extraocular muscle palsy occurred in one case as the only complication leading to surgical management. Orbital and preseptal cellulitis are seen most frequently in young patients in spring and sinusitis is the most common underlying disease. Timely treatment of sinusitis may prevent orbital and preseptal cellulitis

[Bilateral corneal scars in a patient with leprosy]

To report a known case of leprosy with bilateral corneal scars. We present a 70 year-old man who had developed claw hand deformity and loss of sensation in the extremities secondary to Leprosy since 7 years ago. Two years ago, he presented with loss of vision due to lagopthalmos and loss of corneal sensation for which he had undergone lateral tarsorrhaphy at the time. Ocular manifestations are one of the most common complications of Leprosy. Timely diagnosis and proper management can significantly decrease the burden of the disease

[Eyelid sarcoidosis; a case report]

To describe a patient with eyelid sarcoidosis. A 54 year-old patient was referred for an eyelid mass from 6 months ago.Excisional biopsy showed inflammatory granuloma with tuton gaint cells. Chest radiograph demonstrated bilateral hilar adenopathy, increased absorption on gallium scan was noted and bronchoalveolar lavage confirmed a diagnosis of sarcoidosis. Treatment with prednisolone was started leading to clinical improvement. Sarcoidosis is a multisystemic disorder and may have uncommon manifestations such as skin lesions before pulmonary signs develop