Résumé
A case of pulmonary hydatid disease presenting with right supraclavicular cystic swelling is being reported. Radiologically, the cyst had an extension into the chest wall with bony involvement in the form of destruction and thinning of the first and second ribs on the right side. The patient responded to albendazole therapy.
Sujets)
Adolescent , Albendazole/usage thérapeutique , Anthelminthiques/usage thérapeutique , Échinococcose pulmonaire/complications , Femelle , Humains , Maladies du thorax/étiologieRésumé
OBJECTIVE: To study the diagnostic test characteristics of computed tomography (CT scan) in differentiating tuberculous (TBM) and pyogenic (PM) meningitis. DESIGN: Prospective diagnostic test evaluation. SETTING: Teaching hospital. METHODS: Children beyond 1 month of age admitted with meningitis were enrolled prospectively and CT scan done. Results of CT scan were compared with predefined gold standards for the diagnosis of either TBM or PM. RESULTS: CT scan was performed in 154 patients with meningitis. Of these 94 were TBM, 52 had PM and 8 were indeterminate and excluded from analysis. Basal enhancement, ventriculomegaly, tuberculoma and infarction were all significantly more common in the TBM group, while subdural collections were seen more in the PM group. The highest sensitivity (89.2%) and specificity (100%) for diagnosis of TBM were found for basal enhancement or tuberculoma or both. CONCLUSIONS: CT scan can be used to effectively distinguish TBM and PM.
Sujets)
Infarctus cérébral/imagerie diagnostique , Enfant , Enfant d'âge préscolaire , Diagnostic différentiel , Humains , Nourrisson , Méningite/microbiologie , Études prospectives , Sensibilité et spécificité , Tomodensitométrie , Tuberculome/imagerie diagnostique , Méningite tuberculeuse/imagerie diagnostiqueRésumé
A prospective study to ascertain the incidence of normally calcified pineal gland, was carried out in 1000 consecutive patients from different parts of Uttar Pradesh (India), undergoing cranial computed tomography for reasons other than a pineal or parapineal pathology. A total of 167 (16.70%) patients were found to have calcified pineals. Of these 128 were males and 39 females. The incidence rose from 1.16 per cent in the first decade to 31.88 per cent above the age of 50 yr. The percentage incidence of normal pineal calcification was lower than that seen in the Western population. No significant difference was found between men and women in any age group. Although calcification appeared as early as the first decade, this percentage was significantly lower than in the higher age groups. Significantly higher incidence rates were seen in the second decade, third decade and sixth decade onwards.
Sujets)
Adolescent , Adulte , Facteurs âges , Encéphalopathies/épidémiologie , Calcinose/épidémiologie , Enfant , Enfant d'âge préscolaire , Femelle , Humains , Incidence , Inde/épidémiologie , Nourrisson , Nouveau-né , Mâle , Adulte d'âge moyen , Glande pinéale/imagerie diagnostique , Études prospectives , TomodensitométrieRésumé
Haemolysates from 1098 unrelated individuals residing at Lucknow were investigated for haemoglobin variants by cellogel electrophoresis. Haemoglobin 'D' trait was found in 16 subjects (1.5%). The prevalence of Hb-D trait in Khatris was 3.1 per cent compared to 0.5 per cent in other Hindus. One case of Hb-D trait with thaiassaemia was also seen in a Muslim girl.