RESUMEN
UNLABELLED: Obturator internus pyomyositis is a rare disease that is more commonly found in tropical countries. Due to its infrequent occurrence, it is a differential of hip pain that has not been sufficiently considered, which often results in delayed diagnosis. We present a case report of a 4 year old boy with pyomyositis of obturator internus as well as externus. He was treated successfully with intravenous antibiotics. A comparison is made with other case reviews to identify symptoms and signs that could help in diagnosing the condition early and accurately so as to initiate intravenous antibiotics, the mainstay treatment in a timely fashion, eventually avoiding surgical drainage of the sequelae when it becomes an abscess. KEY WORDS: Obturator internus pyomyositis, septic arthritis.
RESUMEN
UNLABELLED: Hip pain, in the paediatric population, is a common complaint and a cause for admission. There are several diagnoses one has to keep in mind, when making the differential diagnosis, as the treatment for each can be quite different. Often, the radiographs obtained for these patients turn up normal. Hence one has to rely on clinical findings, laboratory parameters, and possibly an ultrasound investigation in order to clinch the diagnosis and initiate the appropriate treatment. KEY WORDS: Paediatric, hip, pain, normal radiographs.
RESUMEN
Four phenolic glycosides (1-4), including two new ones (3 and 4), have been isolated from the stems of Casearia multinervosa and identified as arbutin (1), 4-O-E-caffeoylarbutin (2), 4-O-E-coumaroylarbutin (3) and 4-O-E-feruloylarbutin (4), respectively. In addition, the two known phenolic glycosides (1 and 2) were also isolated from the leaves. Structures were elucidated on the basis of spectroscopic evidence. Compounds 1-4 were tested for cytotoxicity against the P388 mouse lympholytic cell line by an ATP Lite-M assay method and showed mild to moderate activity.