RESUMO
A case of oesophageal tuberculosis complicated by an oesophagocutaneous fistual is reported. We subsequently review the literature of this exceedingly rare condition.
Assuntos
Antituberculosos/uso terapêutico , Sulfato de Bário/diagnóstico , Meios de Contraste , Fístula Cutânea/diagnóstico , Quimioterapia Combinada , Doenças do Esôfago/diagnóstico , Etambutol/uso terapêutico , Humanos , Isoniazida/uso terapêutico , Masculino , Pessoa de Meia-Idade , Pirazinamida/uso terapêutico , Rifampina/uso terapêutico , Estreptomicina/uso terapêutico , Tuberculose Gastrointestinal/diagnósticoRESUMO
Idiopathic pulmonary haemosiderosis (IPH) is a rare disorder and is characterised by the occurrence of episodes of diffuse alveolar haemorrhage (DAH). The patients usually present with a history of recurrent haemoptysis, anaemia and alveolar opacities on chest radiograph. The radiographic features are very characteristic and reveal alveolar opacities in middle and lower zones with selective sparing of the upper zones. An extensive diagnostic work-up is needed to exclude other causes of DAH. We report two cases of idiopathic pulmonary haemosiderosis who responded well to treatment with oral glucocorticoids.
Assuntos
Adolescente , Adulto , Biópsia , Glucocorticoides/uso terapêutico , Hemorragia/etiologia , Hemossiderose/complicações , Humanos , Pulmão/patologia , Pneumopatias/tratamento farmacológico , Masculino , Prednisolona/uso terapêuticoRESUMO
A virus belonging to the Flaviviridae group causes dengue haemorrhagic fever. Dengue presenting as acute liver failure is rare. Dengue is endemic in India. The last epidemic of dengue occurred in Delhi in 2003. During this epidemic, 2185 confirmed cases of dengue were reported. Dengue virus serotypes 2 and 3 were responsible for this epidemic. A 19-yr-old male presented to our hospital with the complaints of fever for 12 days, during this epidemic. He was diagnosed as having dengue shock syndrome, stage IV with acute liver failure. He had primary dengue infection. He made complete recovery with supportive management.
Assuntos
Adulto , Dengue Grave/diagnóstico , Humanos , MasculinoRESUMO
A 24-year-old female presented with complaints of cough with scanty expectoration, breathlessness on exertion and chest pain for the last three years. These symptoms had appeared during the 12th week of her third pregnancy. She was given anti-tuberculosis treatment at another hospital for nine months without any improvement in symptoms. Four years ago she had been diagnosed to have leprosy of borderline variety for which she had received treatment. On examination, she was tachypnoeic with a respiratory rate of 33 breaths per minute. She had clubbing and small, discrete and firm lymph nodes in the anterior cervical region. Chest examination revealed wheezing with bibasilar end-inspiratory crepitations.