Résumé
A 36-year-old male patient, a known case of retroviral disease, presented with clinical features suggestive of pneumonia and was found to have bilateral lower zone lung consolidation which on resolution showed a cystic change on the chest radiograph. A subsequent CT scan revealed the true nature of these cysts to be ruptured pulmonary hydatid cysts showing a 'water lily sign'. The rare association of pulmonary hydatid cyst and HIV from India is described.
Sujets)
Adulte , Échinococcose pulmonaire/complications , Infections à VIH/complications , VIH-1 (Virus de l'Immunodéficience Humaine de type 1) , Humains , Inde , MâleRésumé
We report a case of carcinomatous meningitis diagnosed at autopsy that was clinically diagnosed as a case of Creutzfeldt-Jakob disease (CJD) because of rapidly evolving dementia. Pathological study revealed diffusely spreading carcinomatous meningitis, infiltrating into cortex along Virchow Robin space. Immunostaining for Prion protein was negative. Despite advances in clinical diagnosis, tissue diagnosis remains a pre-requisite for confirmation of CJD.
Sujets)
Maladie de Creutzfeldt-Jakob/diagnostic , Diagnostic différentiel , Issue fatale , Femelle , Humains , Tumeurs des méninges/diagnostic , Adulte d'âge moyen , Métastase tumorale/anatomopathologieRésumé
A retrospective blind study was carried out on 2640 patients of leprosy to correlate the histopathological and clinical classification of leprosy using the criteria laid down by Ridley and Jopling. There was complete agreement between histopathological and clinical classification in 81.8% of the cases, with one step deviation in 5.1% of the cases. Histopathological diagnosis of indeterminate leprosy in high percentage (15.9%) as against 3.3% of indeterminate leprosy clinically in our series was an interesting feature. Type-wise correlation between histopathological with clinical classification was very high, it being the highest in LL (98%) followed by TT (97%), BT, BB and BL (95%, 89% and 87% respectively).
Sujets)
Adolescent , Adulte , Sujet âgé , Enfant , Femelle , Humains , Lèpre/classification , Mâle , Adulte d'âge moyen , Études rétrospectivesRésumé
A 40 year old male patient presented with jaundice. The patient had a small periumbilical nodule. He was referred to the department of Pathology for FNAC of the nodule. A diagnosis of metastases from adenocarcinoma was made. Further investigations revealed carcinoma of stomach with metastatic deposits in liver. The present report highlights the utility of F N A C in diagnosis and to decide on further investigations to arrive at a final diagnosis in a given case. A brief review of historical aspect is also given.
Sujets)
Adénocarcinome/diagnostic , Adulte , Ponction-biopsie à l'aiguille , Humains , Tumeurs du foie/diagnostic , Mâle , Tumeurs de l'estomac/diagnostic , Ombilic/anatomopathologieSujets)
Adolescent , Adulte , Sujet âgé , Enfant , Femelle , Humains , Incidence , Inde/épidémiologie , Mâle , Adulte d'âge moyen , Pemphigus/diagnosticRésumé
736 paucibacillary (PB) patients were given multidrug therapy (MDT) for at least 6 months. Overall, 44% became inactive after 6 doses, and 69% after 12 doses. However, 27% remained active at the time of analysis. It is recommended that at least 12 doses of MDT be given to PB patients irrespective of the type.
Sujets)
Adolescent , Adulte , Enfant , Dapsone/administration et posologie , Association de médicaments , Femelle , Humains , Lèpre/traitement médicamenteux , Mâle , Études prospectives , Rifampicine/administration et posologieRésumé
During the years 1976-1985, 2138 cases of leprosy were detected in children aged 0-14 years, in L and M wards of Greater Bombay. Out of these, records of 1084 patients were available for detailed analysis. These were mainly from the deprived sections of society. Most cases were detected through surveys, though in recent years, there is an increasing trend for voluntary reporting. The relevant epidemiological and clinical findings are presented and compared with the data of other workers in this field.