Creeping suprapubic catheter site growth-a unique presentation in a case of carcinoma prostate

Postoperative spindle cell nodule (PSCN) is a scarcely studied benign histopathological variant of prostatic growth. This case report demonstrates an extensive growth arising from the suprapubic cystostomy site in the background of carcinoma prostate. An 82-year-old gentleman, diagnosed with primary carcinoma of prostate who underwent channel transurethral resection of prostate (TURP) and subsequent suprapubic catheterisation (SPC) in view of acute retention at a later time period, presented with an exophytic ulcer-proliferative growth along the SPC. The unique presentation as described in our case report, poses a diagnostic conundrum that requires a mention in the literature. Edge wedge biopsy of the lesion revealed it to be a spindle cell neoplasm. The unique case of SPC site involvement by prostatic growth raises questions about the nature of any such growth, with a possibility of it being benign growth and an excellent long-term prognosis for such patients with regard to the PSCN.

When pathology defies expectations: a surprising diagnosis of prostatic leiomyosarcoma

Prostatic leiomyosarcoma is an exceedingly rare malignant tumour arising from smooth muscle cells in the prostate gland. It ranks quite low down on the possible differentials of bladder outlet obstruction. We present a case of a 38-year-old male who initially presented with acute urinary retention and was subsequently diagnosed with prostatic leiomyosarcoma. Following histopathological confirmation, metastatic work-up was performed and patient planned for radiation and surgical cure. Patient on follow-up is well and has resumed normal daily work. This case report aims to increase awareness of this rare malignancy, discuss the diagnostic challenges faced with a highly common clinical spectrum at the onset, present the treatment strategies employed, and discuss the patient's clinical outcomes. We emphasise the importance of reporting rare cases like this to contribute to the existing literature and enhance the understanding of prostatic leiomyosarcoma.

A rare delayed presentation of giant vesical calculus: the largest vesical calculus to be reported in a female

Vesical calculi are infrequent in females, and the occurrence of giant vesical calculus is even rarer. We report a case of giant vesical calculus in an elderly female which was undiagnosed and empirically treated for six years for recurrent urinary tract infection. On presentation, it was managed by open cystolithotomy. Upon surgical retrieval, the stone measured 11x7.5x7.4 cm in largest dimensions and weighed 672 gm, which to the best of our knowledge, is the largest vesical calculus to be reported in a female patient. This case highlights the need for adequate evaluation of every case of recurrent urinary tract infection with good imaging. Early diagnosis allows for the management of vesical calculi by minimally invasive endoscopic techniques. If missed, it leads to the formation of giant vesical calculi, which require treatment by a much more invasive open surgical approach.

Microbial contamination of "in use" bar soap in dental clinics.

Bar soap from 18 different dental clinics were investigated for microbial contamination, while it was "in-use". Of the 32 samples obtained from the bar soap, 100% yielded positive culture. A total of 8 different genera of organisms were isolated. Each bar soap was found to harbor 2-5 different genera of micro organisms. Heavily used soap had more micro organisms compared to less used soap. The microbial load of the "in-use" bar soap constituted a mixed flora of gram positive, gram negative, aerobes, anaerobes, and fungi. The results indicate that the bar soap under "in-use" condition is a reservoir of microorganisms and handwashing with such a soap may lead to spread of infection.

Sugar consumption pattern of 13-year-old school children in Belgaum city, Karnataka.

To determine the sugar consumption pattern of the school children in Belgaum city and to organize for a diet-counseling program. Easy availability of sugar containing food and high consumption of these sweets if continued unabated, the dental caries among children would become a major public health problem. In this instance, Dietary counseling can be just appropriate to inhibit the carious process. 342 school children aged 13 years, from four schools in Belgaum city participated in the study. The pattern of sugar consumption was assessed using a 4-day diet diary. Analysis was done according to the method described by Nizel and Papas (Nutrition in clinical dentistry, 1989, 277) and the variables were: the sweet score, At meal sugar exposure (AMSE), Between meal sugar exposure (BMSE) and Total sugar exposure (TSE). The mean, standard deviation and/or frequency were calculated for all variables. Student's t-test was used to statistically analyze the gender difference. The mean + SD of the recorded variables were: sweet score 31 + 12.78/day, AMSE 0.88 + 0.33/day, BMSE 3.95 + 0.87/day, and TSE 4.83 + 0.96/day. No statistical significant gender difference with respect to the variables was observed. 'Tell Show And Do' Diet counseling session will perhaps have a greater impact as compared to the most common strategy of simply exhorting the children to eat less sugar.

Dental caries experience and salivary levels of Streptococcus mutans and Lactobacilli in 13-15 years old children of Belgaum city, Karnataka.

The present cross-sectional study was carried out in 372 school going children of Belgaum aged 13-15 years. The sample was selected by two stage random sampling method. The aim of the study was to estimate the salivary levels of Streptococcus mutans and Lactobacilli and to study the relationship between these microorganisms and dental caries experience. The DMFT was recorded according to the WHO criteria(1997).The microbial load was estimated from a single saliva sample obtained from the children. The mean DMFT recorded was 2.41. Streptococcus mutans was detected in 87.37% and Lactobacilli in only 36.71% of the sample. Statistically, highly significant relation was found between Streptococcus mutans and DMFT categories ( 2 =125.36, P< 0.001), while Lactobacilli was not statistically related to DMFT categories ( chi2 =8.78, P>0.05).

Metabolic acidosis induced by cetrimide-chlorhexidine solution in hydatid cyst surgery.

A patient with a large hydatid cyst of the left lobe of the liver developed metabolic acidosis following rather liberal use of cetrimide-chlorhexidine solution as a scolicidal agent. The progress and management of this complication are described in the patient is being reported.