Subject(s)
Carcinoma, Verrucous/diagnosis , Foot , Lichen Planus/complications , Carcinoma, Verrucous/complications , Humans , Male , Middle AgedABSTRACT
Human immunodeficiency virus-infected patients are at increased risk of drug reactions because of immune dysregulation and multiple drug intake. Lichenoid drug reactions to isoniazid have been reported previously in the literature. However, for lichenoid drug reaction to isoniazid to be so extensive to present as exfoliative dermatitis is rare. We report here a rare case of lichenoid drug reaction to isoniazid presenting as exfoliative dermatitis in a patient with acquired immunodeficiency syndrome.
Subject(s)
Antitubercular Agents/adverse effects , Dermatitis, Exfoliative/chemically induced , Drug Eruptions/etiology , HIV Infections/complications , Isoniazid/adverse effects , Lichenoid Eruptions/chemically induced , Tuberculosis, Pulmonary/drug therapy , Acquired Immunodeficiency Syndrome/complications , Adult , Drug Eruptions/diagnosis , Humans , Male , Patch Tests , Treatment Outcome , Tuberculosis, Pulmonary/complicationsABSTRACT
BACKGROUND: Invasive cancers of urinary bladder need radical cystectomy as an optimal treatment. Urinary diversions of different types are available after the procedure. Orthotopic neo-bladder reconstruction is an emerging technique of diversion in suitable patients. The aim of this study was to see the outcome of this procedure in our set up. METHODS: The patient with carcinoma of urinary bladder who underwent radical cystectomy and orthotopic neo- bladder reconstruction during five year period were included in the study from department of surgical oncology in a hospital. Studer type ileal pouches were made in all the patients and their outcomes were studied. RESULTS: There were 30 patients among which 28 were male and 2 female. Age ranged from 38-60 years with mean age of 49.6 years. Average operative time was 330 minutes. Average hospital stay was 16 days (range 14-30 days). Majority of patients were transitional cell carcinoma 26 (86.7%) in histology. Majority of cases presented in stage II (53.3%). Post-operative complications were ileus in 30%, urinary leak in 26.6% and pneumonia in 13.3% of patients. Mortality was 1 (3.3%) on 29th postoperative day. Patients were able to micturate with satisfactory stream postoperatively. CONCLUSIONS: Orthotopic neobladder has similar complication rates compared with other forms of continent diversions. This method gives less psychological trauma to the patients with higher acceptance. So we recommend transforming the technique from ileal conduits to neobladder in well-established pelvic reconstruction set ups.
Subject(s)
Carcinoma, Squamous Cell/surgery , Carcinoma, Transitional Cell/epidemiology , Carcinoma, Transitional Cell/surgery , Urinary Bladder Neoplasms/surgery , Urinary Diversion/methods , Adult , Carcinoma, Squamous Cell/epidemiology , Female , Humans , Male , Middle Aged , Nepal/epidemiology , Outcome Assessment, Health Care , Postoperative Complications/classification , Postoperative Complications/epidemiology , Urinary Bladder Neoplasms/epidemiology , Urinary Diversion/adverse effectsSubject(s)
Aspergillosis/etiology , Dermatomycoses/etiology , Immunosuppression Therapy/adverse effects , Pemphigus/therapy , Adult , Azathioprine/administration & dosage , Azathioprine/adverse effects , Cyclophosphamide/administration & dosage , Cyclophosphamide/adverse effects , Cyclosporine/administration & dosage , Cyclosporine/adverse effects , Fatal Outcome , Female , Humans , Immunoglobulins/administration & dosage , Immunosuppressive Agents/administration & dosage , Immunosuppressive Agents/adverse effects , Plasmapheresis , Prednisone/administration & dosageSubject(s)
Immunoglobulins, Intravenous/therapeutic use , Respiratory Syncytial Virus Infections/prevention & control , Respiratory Syncytial Viruses , Bronchopulmonary Dysplasia/complications , Cost-Benefit Analysis , Critical Care/economics , Hospital Charges , Hospitalization/economics , Humans , Immunoglobulins, Intravenous/administration & dosage , Immunoglobulins, Intravenous/adverse effects , Immunoglobulins, Intravenous/economics , Infant , Infant, Newborn , Infant, Premature , Oxygen Inhalation Therapy/economics , Patient Admission/economics , Respiration, Artificial/economics , Treatment OutcomeABSTRACT
In this article, we demonstrate that angioedema may atypically present with noninflammatory scalp or facial swelling without recurrence on other parts of the body and without urticaria. In a young child, such a presentation exclusively with recurrent "unexplained" swellings over different parts of the scalp could erroneously be misconstrued as child abuse (blunt head trauma).