RESUMO
A 55-year-old male, a resident of a village in the foothills of the Himalayas in the north-western region of India, presented with a huge nasopharyngeal tumour but was subsequently found to be infected with Leishmania donovani, involving the nasopharyngeal tissue and the draining lymph nodes as well as a visceral infection.
Assuntos
Leishmaniose Visceral/diagnóstico , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Nasofaríngeas/diagnóstico , Nasofaringe/parasitologiaRESUMO
Congenital cardiac aneurysms are extremely rare. The echocardiographic features of this condition have never been described. The authors report a case of giant congenital left ventricular aneurysm wherein the diagnosis was made by echocardiography and confirmed at cardiac catheterization. The aneurysm was surgically removed. The histologic examination showed that the aneurysmal wall was only 1.5 to 2 mm thick but contained all the layers of the heart.
Assuntos
Aneurisma Cardíaco/congênito , Adulto , Ecocardiografia , Feminino , Aneurisma Cardíaco/diagnóstico , Ventrículos do Coração , HumanosRESUMO
Two patients with duodenal tuberculosis have been presented. Signs and symptoms of the disease are non-specific but may mimic duodenal ulceration. The relevant aspects of the disease process have been reviewed.
Assuntos
Duodenopatias , Tuberculose Gastrointestinal , Adolescente , Adulto , Antituberculosos/uso terapêutico , Diagnóstico Diferencial , Duodenopatias/diagnóstico , Duodenopatias/cirurgia , Úlcera Duodenal/complicações , Úlcera Duodenal/diagnóstico , Humanos , Masculino , Tuberculose Gastrointestinal/diagnóstico , Tuberculose Gastrointestinal/cirurgiaRESUMO
Patients of idiopathic membranous nephropathy (MGN) were randomly assigned to received steroid and cyclophosphamide every other month (Gr-I) and steroid alone (Gr-II). Of 36 patients in Gr.I, 33 patients achieved complete remissions, 2 had relapsing course with remission on further courses of therapy and only one has reached end stage renal failure. In contrast, of the 35 patients in Gr. II, 15 (P < 0.001) achieved complete remission, 7 are in partial remission, 5 have no response, another 5 have deterioration of renal function of which two required dialysis, and 3 have relapsing course after the initial remission. Mean follow up period was 46 +/- 10.2 months. We conclude that steroid and cyclophosphamide every other month is highly effective in achieving remission in patients with membranous nephropathy.
Assuntos
Ciclofosfamida/administração & dosagem , Glomerulonefrite Membranosa/tratamento farmacológico , Prednisolona/administração & dosagem , Adolescente , Adulto , Idoso , Ciclofosfamida/efeitos adversos , Relação Dose-Resposta a Droga , Esquema de Medicação , Quimioterapia Combinada , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Prednisolona/efeitos adversos , PrognósticoRESUMO
The purpose of this study was to compare the clinical efficacy of resin modified GIC with amalgam as a restorative material, in Class-II cavities of primary molars. Restorations were evaluated at four, eight, and twelve months for their marginal integrity, anatomic form and development of recurrent caries. When each parameter was considered separately, there was no difference in the success rate between the two groups, except development of recurrent caries significantly less (p<0.05) in RMGIC group(4.7%) compared to amalgam group (12.5%) at twelve month follow up. However, the cumulative success rate at 12 month was found to be significantly higher (p<0.05) in RMGIC (Fuji II LC) group(83.1%) compared to amalgam(72%).
Assuntos
Amálgama Dentário , Restauração Dentária Permanente/classificação , Cimentos de Ionômeros de Vidro , Dente Molar/patologia , Cimentos de Resina , Prata , Dente Decíduo/patologia , Criança , Pré-Escolar , Ligas Dentárias/química , Amálgama Dentário/química , Cárie Dentária/etiologia , Cárie Dentária/terapia , Adaptação Marginal Dentária , Seguimentos , Cimentos de Ionômeros de Vidro/química , Humanos , Recidiva , Cimentos de Resina/química , Resinas Sintéticas/química , Prata/química , Propriedades de Superfície , Resultado do TratamentoRESUMO
In early infancy splenic white pulp is seen arranged around the central arterioles. They do not show any reactive changes even in the presence of systemic infections. Lymphoid follicles are seen at 6 weeks of life. Germinal centres appear from the 8th week of life onwards. Periarteriolar lymphocytic sheaths persist in the older children along with the reactive changes.