Reversible posterior leuko-encephalopathy syndrome: a case report

In a patient who was hospitalized for acute illness, we have noted a syndrome of altered mental functioning, seizures, severe hypertension and renal dysfunction, with findings indicating predominantly posterior leukoencephalopathy on brain CT scan. The findings on brain CT scan are characteristic of subcortical edema without infarction and are reversible. The patient was treated with anti-hypertensive medications and the neurological deficits recovered completely within thirteen days. Follow-up CT scan showed resolution of abnormalities in ten days. A diagnosis of reversible posterior leukoencephalopathy syndrome was made retrospectively; we decided to report this case as we have noted that many physicians and radiologists are unaware of this relatively recently recognized neurological disorder, which has a good outcome with early diagnosis and prompt management

role of parasitic infestations in iron deficincyanaemia among school age children in Ismailia

The present study was conducted to evaluate the relationship of parasitic infestations and iron deficiency anemia in school age children [6-12 years] in Ismailia. The study included 63 anemic children and a control group of comparable 20 nonanemic children. All the children were subjected to hematological evaluation, serum iron and iron binding capacity estimation as well as stool analysis. It was found that parasitic infestations are more prevalent in the iron deficiency anemic group [86.2%] and the majority [48.3%] has double parasitic infestations. Giardia lamblia was the most prevalent parasitic infestation [27.71%] among the studied groups and in the iron deficiency anemic group [55.2%]. Entamoeba histolytica infestation showed also a high prevalence rate [18.07%] and was the second common parasite causing iron deficiency anemia [37.9%]. Although Ancylostoma duodenal infestation is the rarest parasite [1.2%], it was shown that it causes the severest form of iron deficiency anemia. Moreover, the study showed that the prevalence of iron deficiency anemia was markedly higher in the parasitically infected children [71.4%] than the noninfected children [8.3%]