RESUMO
Congenital coronary artery fistula is a rare anomaly that can cause several types of morbidity and mortality. Interventional occlusion of coronary artery fistula has become a well-accepted alternative to surgical therapy. A coronary cameral fistula originating from right coronary artery (RCA) and draining to right atrium (RA) was occluded with a detachable coil in a two years old girl in catheterization laboratory of Combined Military Hospital (CMH) Dhaka. This is the first ever case of coil occlusion of coronary cameral fistula in Bangladesh, which led to the writing of this report.
RESUMO
Throat swabs from 1000 clinical cases of diphtheria were studied for isolation of C. diphtheria; only 21.4% were found to be positive. Most of the cases were between 1 to 4 years of age followed by 5 to 8 years. No cases were found below 8 months of age. The throat swabs taken from another 22 clinical diphtheria patients were immediately cultured at patients bed side and 63.6% were found to be positive for C. diphtheria. Time between the collection and plating the specimen was considered to be one of the main factors in the variation of the percentage isolation of C. diphtheria. From all KLB positive cases on direct smear, C. diphtheria could not be isolated on culture. Also, from all cases having definite patch(es) over tonsil(s), C. diphtheria could not be isolated. All strains were found to be sensitive against commonly used antibiotics.