Extremely Rare Concomitance Of Tubercular Lymphadenitis With T Cell Non Hodgkin’s Lymphoma – A Diagnostic Challenge For Clinician.

Tuberculosis (TB) presenting with Non Hodgkin's Lymphoma is an extremely rare clinical presentation and is quite difficult to diagnose because of similar signs & symptoms including lymphadenopathy, weight loss, anorexia and generalised weakness. Herein we report a case of 40 year old male who presented with enlarged cervical and axillary lymph nodes, diagnosed and initiated on therapy for TB based on the axillary node FNAC that showed granulomatous lymphadenitis suggestive of TB but was later confirmed to be a case of non Hodgkin’s lymphoma by excisional biopsy followed by histopathology and immunohistochemistry . [Anand A NJIRM 2016; 7(5):95-97]

Isolated Spina Ventosa: An Extremely Rare Presentation of Skeletal Tuberculosis in Adolescent Age.

Even though the prevalence of tuberculosis is very high in the developing world, skeletal tuberculosis of extremities rarely occurs. Here we report an uncommon form of bone tuberculosis in a 16 year old female presenting as tubercular dactylitis of proximal phalanx of right middle finger confirmed by Histopathology.

Association of biomass fuel smoke exposure and copd in women of rural India – A cross sectional hospital based study.

Background and Objectives: Commonly used biomass fuel in developing world is equally harmful for lung health as tobacco smoke and unfortunately it is increasing the prevalence of chronic respiratory diseases like COPD specially among women of rural India. Study conducted to find out the prevalence of COPD among biomass users and epidemiological factors associated with excess use of biomass fuel in our country.Methods: A cross sectional questionnaire based epidemiological hospital based study . A study was conducted among hospital visited women>18 years of age belonging to rural areas of Haryana. Questionnaire was filled to get the relevant information and complete clinical examination and pulmonary function test was done to make the diagnosis. Collected data was compiled and analysed by using standard statistical methods as Chi square test, p<.05 consider as significant, RR risk with 95% CI also calculated.Results: 560 subjects were included in the study, out of them 494(88.21%) were biomass users, literacy rate was very poor among biomass users 105(21.26%), than non users .COPD was observed as commonest chronic respiratory problem in biomass users 75.40% than non users , RR was 1.43(95%CI 1.31-1.55) and it was in more severe form in subjects who were exposed for prolonged period of biomass smoke. Conclusion: Study shows that risk of COPD increases by the constant exposure of biomass smoke in under ventilated houses and it was also found that the severity of diseases also increase with duration of exposure.

Situs inversus totalis complicated with left middle lobe lung abscess.

Situs inversus totalis is very rare anatomical condition found in 1 in 10,000 subjects. Here we describe the case of left middle lobe lung abscess with situs inversus totalis in 60 year old Sikh male presented with high grade fever with chills , cough with copious production of foul smelling sputum.

Empyema necessitatis complicated to paravertebral abscess – A rare case of primary multidrug resistance tuberculosis.

Primary MDR tuberculosis still very rare 3% approx. in India , here we describe the case of 26 year old male having right sided loculated tuberculous empyema,that complicated to empyema nessacitatis and later spread to paraverteveral region, spleen , and omental lymph node proved to be resistance to rifampicin and isoniazid. [

Accidental isoniazid poisoning--a report.

Eight patients who had taken accidental overdose of Isoniazid were followed in relation to its clinical manifestations, EEG changes and management. All cases survived without any residual effect.