Cloacal exstrophy: a rare and complex anomaly.

Cloacal exstrophy is a very rare and complicated birth defect. It occurs once in every 200,000 births. It is a complex anomaly of the urogenital tract and intestinal tract resulting in exstrophy of both bowel and bladder; the most severe form of anomaly is in the exstrophy–epispadias complex. Its features include omphalocele, imperforate anus and exstrophy of two hemibladders, between which lies the everted cecum. A small colon ends blindly in the pelvis, and the terminal ileum often prolapses out of the exposed cecum. We are reporting a case of cloacal exstrophy with lumbosacral meningomyelocoele and deformity of left foot which was managed successfully.

Methemoglobinemia minies complicated malaria.

Methemoglobinemia is an uncommon condition seen in clinical practice. It is generally cussed by exposure to drugs, chemicals or solvents. Many drugs are implicated in the causation of Methernoglobinemia one of which is chloroquine. We present here a case of Methemoglobinemia following Chloroquine which was given for the treatment of fever. The clinical presentation resembled closely to that of complicated Malaria. This case is presented with the objective of increasing awareness that uncommon illnesses can sometimes resemble closely to a very commonly seen condition and hence can be missed.