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1.
Article Dans Anglais | IMSEAR | ID: sea-92145

Résumé

We describe a patient with protein C deficiency who presented with subacute intestinal obstruction due to ischaemic small bowel stricture. The patient also had left sided ileofemoral thrombosis. Venous thrombosis at unusual sites especially if associated with deep vein thrombosis of lower limb warrants a thorough screen for underlying thrombophilia. This, however, is a rare cause for ischaemic small bowel stricture.


Sujets)
Maladie aigüe , Adulte , Diagnostic différentiel , Humains , Maladies intestinales/étiologie , Occlusion intestinale/diagnostic , Ischémie/étiologie , Mâle , Veines mésentériques/anatomopathologie , Déficit en protéine C/diagnostic , Thrombophilie/diagnostic , Thrombose veineuse/complications
2.
Article Dans Anglais | IMSEAR | ID: sea-93075

Résumé

Emphysematous cystitis (EC) and emphysematous myositis (EM) are rare disorders and concurrent occurrence of both in a patient with type 2 diabetes has not been reported previously. We report a patient who presented with pneumaturia and later with pain in thigh and diagnosed of both concurrently.


Sujets)
Comorbidité , Cystite/étiologie , Diabète de type 2/complications , Emphysème/complications , Femelle , Humains , Adulte d'âge moyen , Myosite/étiologie , Appréciation des risques , Facteurs de risque
4.
Article Dans Anglais | IMSEAR | ID: sea-89426

Résumé

Pulmonary mucormycosis is an uncommon infection and its endobronchial form is rare. Fever, cough, dyspnoea and hemoptysis are the usual presenting symptoms. Hoarseness of voice, a rare manifestation of endobronchial mucormycosis, has been reported earlier but its exact anatomical basis was unclear. We report an instance of polypoid endobronchial mucormycosis and vocal cord paralysis in a patient with type I diabetes and diabetic ketoacidosis.


Sujets)
Adulte , Bronchoscopie , Diabète de type 1/complications , Issue fatale , Humains , Mâle , Mucormycose/complications , Nerf laryngé récurrent , Paralysie des cordes vocales/étiologie
9.
Article Dans Anglais | IMSEAR | ID: sea-118487

Résumé

BACKGROUND: Exchange transfusion as an adjunct to the treatment of severe falciparum malaria has been widely recommended, although there is no well-designed clinical trial to prove its efficacy. The amount of compatible blood required for total exchange is rarely available in areas endemic for malaria and the risks of the procedure including transfusion-related infections are high. METHODS: Partial transfusion with four units of blood was given to a patient with severe falciparum malaria (80% parasitaemia) whose condition deteriorated on conventional treatment with intravenous quinine. RESULTS: This brought about prompt clinical improvement and reduction in parasitaemia. CONCLUSION: Partial transfusion with one or two litres of blood is a promising and viable alternative to total exchange transfusion.


Sujets)
Adulte , Antipaludiques/administration et posologie , Volume sanguin , Exsanguinotransfusion , Humains , Perfusions veineuses , Paludisme à Plasmodium falciparum/sang , Mâle , Quinine/administration et posologie , Résultat thérapeutique
11.
Article Dans Anglais | IMSEAR | ID: sea-85449

Résumé

Typhoid fever has assumed importance due to the increased incidence of drug resistance in India. The exact magnitude of the problem is not accurately known. The objective of this study was to collect retrospectively the data on the incidence and frequency of typhoid fever among hospital admissions at St. Johns Medical College Hospital (SJMCH), Bangalore during the year 1987 to 1992 and also to study the sensitivity pattern and the use of antibiotics. The study was also aimed at comparison of immunogenicity and tolerance of conventional vaccine to the newer polysaccharide vaccine. It was found that the incidence of typhoid fever showed change from epidemic to endemic situation with outbreaks of epidemics. Sensitivity pattern also showed change during the same period and antibiotic resistance was increasingly demonstrated from 1989. Cost per patient and total cost to the hospital due to increased admissions also showed progressive increase. The polysaccharide vaccine (recently made available in India) had very low adverse reaction profile with higher immunogenicity as compared to conventional vaccine. Its single dose effect with long lasting immunity indicates it probable usefulness in the eradication of disease.


Sujets)
Adolescent , Adulte , Antibactériens/économie , Enfant , Enfant d'âge préscolaire , Analyse coût-bénéfice , Résistance microbienne aux médicaments , Humains , Incidence , Inde/épidémiologie , Études rétrospectives , Fièvre typhoïde/économie , Vaccins antityphoparatyphoïdiques/administration et posologie
15.
J Indian Med Assoc ; 1991 May; 89(5): 135-7
Article Dans Anglais | IMSEAR | ID: sea-102701

Résumé

Thirty cigarette smokers and 25 non-smoking controls, all men were evaluated by history, physical examination and simple spirometry. The history and physical examination were not of much use in predicting airflow obstruction. Forced mid-expiratory flow (FEF 25-75%) was abnormally low in 23 of the 30 subjects, while forced expiratory volume in 1 second (FEV1) and FEV1/FVC (forced vital capacity) were less sensitive. Thus simple spirometry is a useful screening tool to detect early airflow obstruction even when it is clinically undetectable.


Sujets)
Adulte , Obstruction des voies aériennes/diagnostic , Maladie chronique , Humains , Inde , Mâle , Adulte d'âge moyen , Ventilation pulmonaire , Enquêtes et questionnaires , Spirométrie , Facteurs temps
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