ABSTRACT
This paper presents a case of hoarseness caused by the pharyngolaryngeal localization of a leech. This pathological lesion is extremely rare in western European countries, but is more frequent in endemic areas. Possibly lethal dyspnoea, haemoptysis or haematemesis can be the revealing symptoms. When the diagnosis is suspected simple examination under anaesthesia and removal of the leech will effect a cure.
Subject(s)
Foreign Bodies/complications , Hoarseness/parasitology , Leeches , Pharynx , Animals , Hemoptysis/etiology , Humans , Male , Middle Aged , Water SupplyABSTRACT
OBJECTIVE: To assess the usual means for diagnosing peripheral tuberculous lymphadenitis and present our experience in the management of the disease. METHODS: Three hundred and two patients with peripheral lymphadenopathy due to tuberculosis were diagnosed and referred by several hospitals in 9 governorates to the National Tuberculosis Institute. Patients were reviewed prospectively regarding diagnosis and treatment. RESULTS: Histological findings were diagnostic in 94% of patients. In our experience, isolation of mycobacterium from the lymph node tissue was neither practical nor reliable. Four out of 54 patients with bulky caseating nodes or discharging sinuses failed to respond to chemotherapy after 2 months of treatment. CONCLUSION: Histopathological diagnosis was the most practical method for diagnosing peripheral tuberculous lymphadenopathy. We recommend that patients who had bulky caseating nodes or discharging sinuses, to undergo surgical excision followed by chemotherapy.
Subject(s)
Antitubercular Agents/therapeutic use , Lymph Node Excision/methods , Tuberculoma/diagnosis , Tuberculoma/therapy , Tuberculosis, Lymph Node/diagnosis , Tuberculosis, Lymph Node/therapy , Adolescent , Adult , Aged , Biopsy , Child , Child, Preschool , Combined Modality Therapy , Developing Countries , Female , Humans , Male , Middle Aged , Prospective Studies , Retrospective Studies , Treatment Outcome , Tuberculoma/epidemiology , Tuberculosis, Lymph Node/epidemiology , Yemen/epidemiologyABSTRACT
OBJECTIVE: The aim of this study was to evaluate the potential association between the habit of khat chewing and the development of hemorrhoidal disease METHODS: Four hundred and seventy four individuals (373 men and 101 women) with ages ranging from 17 to 80 years were divided into 2 groups. Group 1 (n=247) chronic khat chewers. Group 2 (n=200) non-khat chewers. Data was collected regarding chewing habits, colorectal symptoms, abdominal, proctoscopic, and operative findings. RESULTS: The key difference between the 2 groups was the incidence of hemorrhoids and hemorrhoidectomy. In the chronic khat chewers group: 169 (62%) had hemorrhoids. Of these 124 (45.4%) underwent hemorrhoidectomy. In the control group there is 8 (4%) had hemorrhoids and one patient underwent hemorrhoidectomy (0.5%). P-value (0.05). CONCLUSION: The study demonstrated a significant association between the habit of khat chewing and the development of hemorrhoidal disease.
Subject(s)
Central Nervous System Stimulants/adverse effects , Hemorrhoids/chemically induced , Plant Extracts/adverse effects , Substance-Related Disorders/complications , Adolescent , Adult , Aged , Aged, 80 and over , Case-Control Studies , Catha , Chronic Disease , Constipation/chemically induced , Constipation/complications , Developing Countries , Female , Hemorrhoids/epidemiology , Hemorrhoids/surgery , Humans , Incidence , Male , Middle Aged , Risk Factors , Sex Distribution , Yemen/epidemiologyABSTRACT
Before surgical resection of the colon and/or rectum, we propose: 1) mechanical preparation of the intestine using X prep Sarget (1 pack, 120 mg, diluted in water or two packs in case of obesity) and an antiseptic (iodine polyvidone) (two 2-liter enemas at 5%, one the day before surgery and one 2 hours prior to surgery) associated with; 2) bitherapy (1 g dose of ceftriaxone plus 1 g ornidazole or metronidazole diluted in 125 mg saline solution, for 15 minutes) administered parenterally at least half an hour before the skin incision.
Subject(s)
Colon/surgery , Preoperative Care , Rectum/surgery , Antibiotic Prophylaxis , Bacterial Infections/prevention & control , Humans , Postoperative Complications/prevention & controlABSTRACT
75SeHCAT scanning was evaluated as a means of detecting bile acid malabsorption in patients with postvagotomy diarrhoea. Seven day 75SeHCAT retention ratios were measured in five patients with unequivocal post-vagotomy diarrhoea. The results were compared with an age matched group of asymptomatic control patients (n = 4) each of whom had previously undergone truncal vagotomy and drainage and a further group of normal volunteers (n = 6). The median 75SeHCAT retention ratios in patients with post-vagotomy diarrhoea was 2% (range 0-9%). In contrast, the median 75SeHCAT retention ratios in asymptomatic controls was 29% (range 26-61%) and 28% (range 19-70%) in normal volunteers. These results demonstrate that there is gross bile salt malabsorption in patients with post-vagotomy diarrhoea and that 75SeHCAT scanning is an effective screening test in these patients.
