RESUMEN
Superior Mesenteric Artery (SMA) Syndrome is a rare condition characterized by compression of the third part of the duodenum between the aorta and superior mesenteric artery due to decreased angle between these two vessels due to loss of intervening pad of fat. Tuberculosis is one of the causes, and its association with it is rare. However, SMA syndrome with significant gastrointestinal symptoms in TB poses a greater challenge in management, particularly in dissemination. Strong clinical suspicion, timely diagnosis and appropriate antituberculosis therapy are the keys to successful management.
Asunto(s)
Síndrome de la Arteria Mesentérica Superior , Tuberculosis Miliar , Humanos , Síndrome de la Arteria Mesentérica Superior/complicaciones , Síndrome de la Arteria Mesentérica Superior/diagnóstico , Antituberculosos/uso terapéutico , Enfermedades RarasAsunto(s)
COVID-19 , Corticoesteroides , Dexametasona , Duración de la Terapia , Humanos , SARS-CoV-2RESUMEN
Available online 14 February 2020. This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
Asunto(s)
Antituberculosos/uso terapéutico , Manejo de la Enfermedad , Tuberculosis Resistente a Múltiples Medicamentos , Países en Desarrollo , Humanos , India/epidemiología , Tuberculosis , Tuberculosis Resistente a Múltiples Medicamentos/diagnóstico , Tuberculosis Resistente a Múltiples Medicamentos/tratamiento farmacológico , Tuberculosis Resistente a Múltiples Medicamentos/epidemiologíaRESUMEN
Cutaneous lesions are relatively uncommon manifestations of tuberculosis (TB). A 40-year-old female presented with skin lesion over the forehead since two months. She used to apply bindi over the same area since past 25 years. Based on skin biopsy and other ancillary investigations, she was diagnosed as a case of lupus vulgaris and initiated on anti TB medications following which, the lesion regressed. Thus, we herein report the first case of cutaneous tuberculosis (lupus vulgaris) associated with long term use of bindi.
RESUMEN
A significantly strengthened Revised National Tuberculosis Control Programme (RNTCP) is currently operational in India. In this case-based commentary, we describe the plight of a patient who developed extensive drug-resistant tuberculosis (XDR-TB) despite having received treatment under the RNTCP for a long period. Our aim is to analyse the programmatic management of tuberculosis in India by highlighting and discussing various issues related to the treatment received by the patient. Further, the article explores whether there is a need to incorporate an ethical element into the RNTCP as it stands today.
Asunto(s)
Antituberculosos/uso terapéutico , Atención a la Salud/normas , Resistencia a Medicamentos , Tuberculosis Extensivamente Resistente a Drogas , Errores Médicos , Práctica de Salud Pública/normas , Tuberculosis/tratamiento farmacológico , Adulto , Diagnóstico Tardío/efectos adversos , Atención a la Salud/ética , Manejo de la Enfermedad , Tuberculosis Extensivamente Resistente a Drogas/diagnóstico , Tuberculosis Extensivamente Resistente a Drogas/tratamiento farmacológico , Tuberculosis Extensivamente Resistente a Drogas/etiología , Femenino , Necesidades y Demandas de Servicios de Salud , Humanos , India , Práctica de Salud Pública/ética , Resultado del Tratamiento , Adulto JovenRESUMEN
A fifty year old female presented with cough, breathlessness and chest pain of eighteen months duration. She presented as a case of a non-resolving consolidation. Video bronchoscopy revealed a bronchial foreign body. This case is being reported here, to underline the role of bronchoscopy in a case of a non resolving consolidation.
