Anterior Chest Wall Tuberculosis Involving Lungs, Pleura and Lymph Nodes in an Immunocompetent Patient: A Case Report.

Aims: The chest wall tuberculosis accounts for 1-5% of all cases of musculoskeletal tuberculosis. Here we are presenting a rare case of anterior chest wall tuberculosis in an immunocompetent patient. Presentation of Case: A 20-year-old male came for routine medical check-up, which was prerequisite for his job. He had no respiratory complaints with no history of fever and weight loss. Local examination revealed a swelling over the right chest in the infraclavicular region. Discussion: Tubercular anterior chest wall abscess is a rare form of extra pulmonary TB. Simultaneous involvement of lung, pleura and lymph nodes of mediastinum, neck and axilla has rarely been reported in an immunocompetent individual. Conclusion: Cold abscess of chest wall is not common. Anti-tubercular therapy should be recommended as initial treatment.

Role of Magnectic Resonance Imaging of Brain in Paediatric Patients with Partial Seizures.

The study was carried out for one year to find out the role of magnetic resonance imaging brain in pediatric patients with partial seizures. Children from age 28 days to 18 years who presented with partial seizures were included and the information obtained from the history, clinical examination and investigations particularly MRI brain were noted down and analyzed.Maximum numbers of patients were in the age group of 5-10 years (48.84%).27.91% had simple seizures and the rest 72.09%had complex partial seizures with none having secondary generalization. The risk factor for seizures were present in 54.19% of cases. Most of the lesions involved parietal region (44.19%) followed by temporal lobe involvement in 13.95%. 55.81% had findings of neurocysticercosis (NCC), 29.91% showed tuberculoma, 8.30% had normal MRI findings and 6.98% had findings suggestive of cerebritis, sturge weber syndrome and porencephalic cyst. 89.74% lesions showed contrast enhancement on MRI. Contrast enhancement MR altered the radiological diagnosis in many patients with partial seizures. It helped to diagnose infections like tuberculoma and NCC in various stages of evolution and also helped to rule out other structural lesions, thus helping in planning modalities of treatment.

Comparison of an Immuno-chromatographic Technique-based Kit (Malaria Card) with Microscopy for Rapid Diagnosis of Malaria in and Around Loni, Maharashtra.

Although Plasmodium vivax is the major species responsible for malaria in most parts of India, P. falciparum infections have now increasingly been reported from some parts of India. A study was therefore, undertaken to compare immuno-chromatographic technique (ICT) based Malaria card test with microscopic examination of peripheral blood film in diagnosis of malaria in and around Loni, Maharashtra. A total of 143 (about 24%) samples of 590 febrile patients tested were detected positive for malarial infection- 74 samples for P. vivax (approx. 52%) and 69 for P. falciparum (approx. 48%). With Malaria card test, the sensitivity and specificity of 93.8% and 92.6% were recorded for P. vivax and 95.2% and 95.5% for P. falciparum, respectively. Therefore, the test is a valuable adjunct in an emergency for rapid diagnosis of malaria, though microscopy remains the mainstay for routine use in countries, like India.