ABSTRACT
Fistula-in-ano is one of the common anorectal conditions. Knowledge of its pattern is helpful in proper management of cases. Methods: The present hospital baed study was conducted upon 55 cases to assess the profile and surgical outcome. Background details of patients, the details of their illness, the treatment given and the details of postoperative period were recorded. Results: Most of the patients belonged to the age group of 31-40 years with male: female ratio of 3.59:1. All the patients suffered from discharge and had external opening. Most of the patients had low anal fistula (78.2%). External opening was located posteriorly in 72.7% patients. Mean healing time was 3.7 ± 1.1 weeks. 14.5% patients had wound infection and 7.3% suffered from headache. Conclusion: Fistula-in-ano has male preponderance. Fistulectomy is the usual procedure and the post operative complications tend to be minimal.
ABSTRACT
Transverse myelitis (TM) has been reported in association with vaccination, including post-diphtheria, pertussis, and tetanus (DPTw) vaccination. Here, we report the case of a 21-month-old female child presented with loss of neck control with a history of DPTw booster vaccination approximately 4 weeks before this illness. The child was referred to the tertiary care service hospital. Magnetic resonance imaging of the spine revealed longitudinally extensive TM in the cervical segment. Extensive investigation effectively excluded causes other than vaccination-associated TM. Following treatment with corticosteroids and intravenous immune-globulin, the child had a complete recovery. Early diagnosis and prompt treatment with immunotherapy are associated with a good outcome