RESUMO
Rudimentary horn pregnancy is rare but, if occurs it gives a grave risk to the health of the pregnant woman. In most cases it presents in the form of ectopic pregnancy. Despite availability of good USG facility, it is very difficult to timely diagnose rudimentary horn pregnancy. Confirmatory diagnosis made only by laparoscopy or during laparotomy. In the rudimentary horn the constitution of the muscle wall thickness is variable so the pregnancy can be accommodated until late pregnancy. Here we present a case of 24 years female Gravida3 Para2 Live2 with 14 weeks pregnancy presented to us in shock with clinical features of ruptured ectopic pregnancy. On laparotomy we found non-communicating rudimentary horn rupture with dead fetus in peritoneal cavity
RESUMO
Filariasis is a major health problem in South Asia, particularly India, Sri Lanka and Bangladesh. Pakistan was presumed to be not affected. We report for the first time confirmed cases of tropical pulmonary eosinophilia (TPE) in indigenous patients as a result of infection with Wuchereria bancrofti. Following clinical examination, total leukocyte and eosinophil counts were recorded. Parasitological examinations included blood for microfilariae and stool and urine for eggs of intestinal parasites. Total immunoglobulin (Ig) E and specific antifilarial IgG were measured. Suspected cases of TPE were treated with diethylcarbamazine, 6 mg/kg for four weeks and were followed up to 2 and 4 weeks after treatment. Four persons fulfilled the criteria for TPE. Their response to treatment was marked with clinical improvement, reduction in eosinophil count and reduced titers of specific antifilarial antibodies. Two persons had W. bancrofti antigen in their sera confirmed by filariasis antigen detection test. Tropical pulmonary eosinophilia due to Wuchereria. bancrofti, although rare, is present in Pakistan.