Current Trends of Surface Versus Core Bacterial Flora among Recurrent Tonsillitis Patients in a North Indian Tertiary Care Hospital

Introduction: Recurrent tonsillitis is a major cause of morbidity and may require surgical intervention when medical treatment has failed. Reasons suggested for treatment failure include the use of inappropriate antibiotics aimed at pathogens present on the tonsil surface rather than those present in the tonsil core. Material and Methods: A total of 60 cases of chronic and recurrent tonsillitis which were not responding to medical treatment and are fit and willing for surgery were included in the study. Results: The culture results of tonsillar surface and core tissue revealed that the majority of samples showed pathogens. Out of 120 cultures of tonsillar tissue,14 results showed the growth of commensal flora. Single pathogen was isolated from 86 samples from surface and core of the tonsil. However, 14 cultures of core tissue revealed growth of two pathogens as compared to 6 cultures from the tonsillar surface. Conclusion: Staphylococcus is the most common pathogen isolated from the tosillar surface as well as core followed by GABHS

Case of unusual foreign body in the rectum

A 44-year-old male patient with a foreign body in rectum [beverage bottle], introduced as sexual perversion, is presented with literature review. The management emphasis is on transanal retrieval and ruling out of the rectal and colonic perforation and the requirement for postremoval psychiatric treatment

Frequency of hepatitis C in admitted patients of department of obstetrics and gynaecology, ghurki trust teaching hospital, Lahore

To assess the frequency of hepatitis C in admitted patients of department of obstetrics and gynaecology Ghurki trust teaching hospital, Lahore. Descriptive study this study was conducted on patients admitted in obstetrics and gynaecology ward Ghurki trust teaching hospital, Lahore from 1st January 2005 to 31st December 2005. A total of 1569 patients of age between 20 to 70 years were admitted in obstetrics and gynaecology ward Ghurki trust teaching hospital, Lahore and were screened for anti-HCV antibodies by 3rd generation ELISA. All positive patients were asked about previous history of jaundice, surgery, blood transfusion, multiple injections and dental procedures. Out of 1569 patients 107 were found to be anti-HCV positive. Mean age of patients was 34.5 years. Frequency of anti-HCV was maximum [38.3%] in 31-40 years age group and in gynaecology patients [12.5%]. Previous history of multiple injections and dai handling were the most commonly associated factors. Co-existent hepatitis B and C was found in only 2 [1.8%] patients. Hepatitis C is becoming an alarmingly common problem in the area of Ghurki Trust Teaching Hospital, Lahore. Its modes of transmission need to be properly evaluated for its control and prevention

Role of ciprofloxacin in typhoid fever

A study was conducted to investigate the effects of ciprofloxacin in typhoid fever and to compare its efficacy with chloramphenicol. Eighty patients between 20-45 years with positive blood culture were included in the study. Seventy five percent patients treated with ciprofloxacin became afebrile within 72 hours while with chloramphenicol it took upto 120-144 hours for the same percentage of patients to become afebrile. Four patients resistant to chloramphenicol, cotrimoxazole and ampicillin/amoxycillin, also responded to ciprofloxacin. There were no significant adverse effects indicating that ciprofloxacin is safe and effective drug for resistant and nonresistant cases of typhoid fever

Juvenile hypothyroidism: a case report

Juvenile hypothyroidism is one of the commonest in-born error of endocrinology. Early diagnosis plays a key role in the management of such patients. The case of a girl of eight years of age is presented. Given the proper screening and health care, such patients can be diagnosed in the first few weeks of life

Intracavernosal injection of pharmacological agents in the diagnosis and treatment of impotence

This study details our initial experience with pharmacologically induced penile erections in the diagnosis and therapy of patients with impotence. Intracavernosal injections of papaverine were performed in 5 normal volunteers, 5 patients with psychogenic impotence and 2 patients with penile venous incompetence. The patients were first investigated extensively to determine the etiological basis for their erectile dysfunction. It was observed that the patients with psychogenic impotence and the normal volunteers showed a good response whereas the patients with venous incompetence failed to achieve erection in response to intracavernosal injection. A new drug, Prostaglandin El was also tried for the first time for comparison. It appears that this drug has potential advantages over the currently used agent papaverine for the production of pharmacological erections