rare case of caniform osteomyelitis of actinomycet due to foreign - body is reported

Actinomycosis is a slow growing infection due to gram positive, anaerobic, or microaerophilic bacteria. A 19 years old man with foot pain witch has a history of trauma last year Trauma caused a mild erythema swelling and tendernss and heald spontenously after one year he had foot pain during playing football. He didn't have fever, cell counts were normal and the MRI had abnormal signal in medial portion of left foot and bone and soft tissue inflammation, in culture from operation room actinomyces species growed. The patient didn't have mycetoma triad and actinomyces probably due to foreign body [wood] peneterated. This disease is rare and reported to increase knowledge of the system

Early outcome of concurrent mitral valve replacement and coronary artery bypass grafting

Concomitant coronary artery bypass surgery [CABG] in patients undergoing mitral valve replacement [MVR] has been shown to be an important risk factor for hospital mortality. We evaluated preoperative characteristics, postoperative complications, in-hospital mortality rate, and length of stay in hospital for patients undergoing concurrent CABG with MVR. Preoperative and postoperative clinical data from 175 patients undergoing concurrent CABG with MVR operation at Tehran Heart Center from 2002 through 2006 were collected and entered into a database. Information was obtained by clinical and case note review as well as detailed questionnaires to physicians and patients. Mean age of patients was 57.95 +/- 10.54 years and 51.4% were male. Mean New York Heart Association [NYHA] score was 2.46 +/- 0.84. Among studied patients, 18.3% and 2.9% underwent aortic and tricuspid valve replacement, respectively. In-hospital mortality was 6.9% and 96.0% of patients were hospitalized >/= 14 days. History of congestive heart failure [P = 0.027] and postoperative brain stroke [P = 0.004] were independent predictors for in-hospital mortality. Exact considering of congestive heart failure and postoperative brain stroke related to in-hospital mortality in concurrent CABG with MVR operation are necessary

Psychometric evaluation of patients with behget's disease

Behget's disease is a vasculitis with multi-organ involvement. Our knowledge of the psychological aspects of Behget's disease is very limited. 40 women and 24 men who fulfilled the International Study Group [ISG] criteria of Beliefs disease were selected from Beliefs Disease Clinic of Nemazee Hos-pitaK Shiraz, South of Iran. Controls consisted of 65 healthy volunteers. Both patients and controls completed SCL-90R questionnaire. Scores of somatization, obsessive-compulsive behavior, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideations and psychoticism were compared between cases and controls. Patients with Behcet's disease had significantly [P=0.04] higher global severity index of SCL-90R in comparison to controls. The patient group also had significantly higher scores for aggression [P=0.03], anxiety [P=0.04] and somatization [p=0.00] than controls. It is concluded that SCL-90R is a useful tool for evaluation of the psychiatric status of patients with Beliefs disease