RESUMO
Four patients who developed acute intravascular haemolysis after ingestion of a broth containing Acalypha indica (Sinhala: Kuppameniya) are reported. All four patients were found to have glucose-6-phosphate dehydrogenase deficiency. It is a common belief that ayurvedic medicines are free of side effects. Our report confirms again the fallacy of this belief.
Assuntos
Deficiência de Glucosefosfato Desidrogenase/complicações , Hemólise , Ayurveda , Plantas Medicinais , Criança , Pré-Escolar , Feminino , Hemoglobinúria/induzido quimicamente , Humanos , MasculinoAssuntos
Anormalidades Múltiplas/diagnóstico , Atresia das Cóanas/complicações , Coloboma , Coloboma/complicações , Anormalidades Múltiplas/epidemiologia , Atresia das Cóanas/diagnóstico , Atresia das Cóanas/epidemiologia , Coloboma/diagnóstico , Coloboma/epidemiologia , Córnea/anormalidades , Permeabilidade do Canal Arterial/complicações , Orelha Externa/anormalidades , Feminino , Humanos , Lactente , Microftalmia/complicações , SíndromeRESUMO
An outbreak of salmonellosis due to consumption of monkey meat is reported among nine patients of whom one died. S. enteritidis phage type 8 was cultured from the stools of four patients. The spread of salmonellosis due to the consumption of monkey meat has not been reported before.
Assuntos
Carne/efeitos adversos , Intoxicação Alimentar por Salmonella/etiologia , Salmonella enteritidis , Adolescente , Animais , Criança , Pré-Escolar , Surtos de Doenças , Fezes/microbiologia , Feminino , Haplorrinos , Humanos , Lactente , Masculino , Salmonella enteritidis/isolamento & purificação , Sri LankaRESUMO
During an outbreak of measles in the Southern Province in 1990, 69 patients were admitted to the Professorial Paediatric Unit of Teaching Hospital Galle. Of these, 13 patients had received the measles vaccination. The commonest complication seen was bronchopneumonia. There were 3 deaths, 2 due to bronchopneumonia and 1 to encephalitis.
Assuntos
Surtos de Doenças , Sarampo/epidemiologia , Broncopneumonia/etiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Sarampo/complicações , Estudos Prospectivos , Sri Lanka/epidemiologiaRESUMO
A case of subacute sclerosing panencephalitis (SSPE) with a long survival of 8 years is reported. Long term survival in SSPE has not been previously reported from Sri Lanka.
Assuntos
Panencefalite Esclerosante Subaguda , Pré-Escolar , Seguimentos , Humanos , Masculino , Panencefalite Esclerosante Subaguda/diagnósticoRESUMO
We report a case of Wilms tumour associated with unilateral partial aniridia. Although Wilms tumour is known to be associated with bilateral aniridia, there is only one previously reported case associated with dysplasia of the iris.
Assuntos
Aniridia/etiologia , Neoplasias Renais/complicações , Tumor de Wilms/complicações , Feminino , Humanos , LactenteRESUMO
Over five and a half months stool cultures were performed in 154 patients admitted with suspected bacillary dysentery to the Professorial Paediatric Unit of the Teaching Hospital, Galle. Thirty one patients had a positive stool culture; Shigella dysenteriae type 1 was isolated in 23 patients, and S flexneri in 8. In both groups the antibiotic sensitivity pattern was uniform, the only difference being S dysenteriae type 1 being resistant to nalidixic acid while S flexneri was sensitive. This antibiotic sensitivity pattern was different to that reported from Colombo during the same period. Complications were observed in some patients with S flexneri infection.
Assuntos
Antibacterianos/uso terapêutico , Disenteria Bacilar/tratamento farmacológico , Shigella dysenteriae/efeitos dos fármacos , Shigella flexneri/efeitos dos fármacos , Criança , Pré-Escolar , Resistência Microbiana a Medicamentos , Disenteria Bacilar/epidemiologia , Disenteria Bacilar/microbiologia , Feminino , Humanos , Lactente , Masculino , Estudos Prospectivos , Sri Lanka/epidemiologiaRESUMO
An epileptic patient on sodium valproate therapy, who developed acute liver failure following acute hepatitis A infection is reported. The hepatotoxic effects of this drug, and the possibility of intercurrent infection precipitating the toxic effects are discussed.
