ABSTRACT
Objective To study the clinical profile and outcome of children screened and diagnosed for Swine flu at a tertiary care hospital. Methods All Children with suspicion of swine flu infection attending our hospital during the epidemic from August 2009 through January 2010 were screened and categorized into A, B and C as per guidelines of National Health and family welfare. Patients in Category A were advised home quarantine, Category B tested and treated with ostelamivir and Category C were hospitalized. Results Among 424 cases screened for Swine flu, 79 were children in the age group 0–12 years of age (18.6%). The median age of presentation was 5 years. Children belonging to Category A were 43(54.4%), Category B were 31 (39.2%) and Category C were 5(6.3%). Out of the cases that were screened, 19 children were confirmed positive for H1N1 infection(30.2%).Out of positive cases 8 were in category A (42%), eight were in category B (42%) and five were in category C (26.3%). Conclusions During the epidemic of swine flu at puducherry, majority of cases were category A with mild symptoms. Home quarantine and preventive measures during the epidemic were found to be far more important than testing and treating with Oseltamivir.
ABSTRACT
Button batteries represent a special category of pediatric ingested foreign body because of the possibility of serious complications particularly if impacted in the esophagus. We report a case of a 3-year-old girl with severe mid esophageal burns due to a lodged battery. More awareness is required amongst physicians to avert such dangers and ensure prompt removal.
Subject(s)
Burns, Chemical/etiology , Child, Preschool , Electric Power Supplies , Esophagoscopy , Esophagus/injuries , Female , Foreign Bodies/complications , HumansABSTRACT
OBJECTIVE: To assess the acceptability, safety and effectiveness of an oral sodium phosphate solution (Exelyte) for colon preparation prior to colonoscopy, compared with a polyethylene glycol solution (Peglec). METHOD: A colonoscopist-blinded, prospective, randomized, observational clinical study. PATIENTS: One hundred patients undergoing colonoscopy for various indications were randomized (n = 50 each) to receive either 90 mL of oral sodium phosphate mixed with 300 mL clear liquid and then consume about 4-5 glasses of water, or 2 liters of polyethylene glycol solution. RESULT: Sodium phosphate showed a safety profile similar to that of polyethylene glycol. However, patients tolerated it better. The colonoscopist reported similar cleansing of bowel in both groups. CONCLUSION: Oral sodium phosphate is well tolerated, is safe and provides bowel cleansing similar to that with a polyethylene glycol solution.
Subject(s)
Administration, Oral , Adult , Aged , Aged, 80 and over , Colonic Diseases/diagnosis , Colonoscopy , Enema/methods , Humans , Male , Middle Aged , Phosphates/administration & dosage , Polyethylene Glycols/administration & dosage , Prospective StudiesABSTRACT
Gall bladder agenesis is a rare congenital biliary anomaly that may be associated with other biliary and extrabiliary congenital anomalies. We report the association of gall bladder agenesis with pancreas divisum and undescended testes.
Subject(s)
Abnormalities, Multiple/diagnosis , Cholangiopancreatography, Endoscopic Retrograde , Cryptorchidism/diagnosis , Gallbladder/abnormalities , Humans , Male , Middle Aged , Pancreas/abnormalitiesABSTRACT
Upper gastrointestinal bleed as the first symptom of metastatic testicular tumors is rare. We describe a 17-year-old man who presented with upper gastrointestinal bleed; endoscopic fine needle aspiration cytology from a duodenal mass suggested germ cell tumor, which was later confirmed on histology of the testis.
Subject(s)
Adolescent , Biopsy, Needle , Duodenal Neoplasms/pathology , Duodenum/pathology , Gastrointestinal Hemorrhage/etiology , Humans , Male , Teratocarcinoma/pathology , Testicular Neoplasms/pathologySubject(s)
Bile Ducts, Intrahepatic/pathology , Cysts/congenital , Humans , Liver Diseases/congenital , Male , Middle AgedSubject(s)
Adult , Diagnosis, Differential , Echinococcosis/diagnosis , Female , Humans , Splenic Diseases/diagnosis , Tomography, X-Ray ComputedABSTRACT
Endoscopic management has recently been used for a variety of chronic pancreatic diseases. We used this approach in five patients with pancreatic diseases (calcific pancreatitis 2, pancreatic pseudocyst 3). Nasocystic drain was placed in a patient with pancreatic pseudocyst at the tail end of the pancreas; a 5 Fr stent was placed over 0.021"/0.035" guide wire in the main pancreatic duct in the others. All patients had relief of pain. Nasocystic drain led to resolution of pseudocyst, perisplenic collection and pleural effusion. Endoscopic treatment is safe and effective in various pancreatic disorders.
Subject(s)
Adolescent , Adult , Calcinosis/diagnostic imaging , Cholangiopancreatography, Endoscopic Retrograde/instrumentation , Chronic Disease , Drainage/instrumentation , Female , Humans , Male , Pancreatic Pseudocyst/etiology , Pancreatitis/etiologyABSTRACT
Tuberculosis involves the duodenum very rarely and is usually secondary to lymph node involvement. Endoscopic biopsy usually shows nonspecific changes necessitating laparotomy for confirmation of diagnosis and relief of obstruction. We report a case of duodenal tuberculosis diagnosed by endoscopic biopsy and treated successfully.
Subject(s)
Adolescent , Biopsy , Duodenal Diseases/diagnosis , Endoscopy, Gastrointestinal , Female , Humans , Tuberculosis, Gastrointestinal/diagnosisABSTRACT
Pancreatitis is one of the presentations of pancreas divisum. Endoscopic treatment by dorsal pancreatic duct stenting relieves symptoms in a majority of patients. We report a patient with pancreas divisum and calcific chronic pancreatitis in whom successful drainage of the dorsal duct with a stent through the minor papilla relieved the pain.