Association of Low Serum Free Testosterone with Carotid Atherosclerosis in Male.

The cross sectional descriptive type of observational study was aimed to evaluate the association of serum free testosterone in 59 patients of carotid atherosclerotic male {<50% stenosis (n=26); >50% stenosis (n=33) } from March 2015 to February 2016 in the Department of Radiology & Imaging of Bangabandhu Sheikh Mujib Medical University (BSMMU) & National Institute of Neurosciences (NINS), Dhaka, Bangladesh. Twenty seven patients who had normal carotid doppler findings were taken as control. Serum total testosterone and sex hormone binding globulin was measured by chemiluminescence micro particle immunoassay and free testosterone was done by using Vermeulen formula. Concentration of free testosterone differed significantly among groups (p=0.004) and it was significantly lower in <50% stenosed group. Logistic regression analysis revealed that low free testosterone (free testosterone ≤0.24 nmol/L) was independently associated with development of carotid atherosclerosis (p=0.04, OR 3.07, 95% CI 1.14-9.30). In conclusion low serum free testosterone was associated with carotid atherosclerosis in male.

Impact of varicocelectomy on premature ejaculation in varicocele patients.

In a prospective manner, we studied the effect of varicocelectomy on premature ejaculation and testicular hormonal function in patients with varicocele. Microsurgical subinguinal varicocelectomy was carried out in 73 patients with clinical varicocele associated with premature ejaculation (group 1) and compared with 56 patients without operative intervention (group 2; control). The primary efficacy variable was the mean change in the Premature Ejaculation Diagnostic Tool. The changes in International Index of Erectile Function questionnaire, total serum testosterone and testicular size were also assessed. In group 1, the Premature Ejaculation Diagnostic Tool decreased significantly after varicocelectomy, from 15.56 to 11.37 (P < 0.001), indicating improvement of premature ejaculation. Thirty patients (41.1%) showed improvement of premature ejaculation compared to 5.3% in the control group (P < 0.001). In group I, but not in group II, testosterone levels and International Index of Erectile Function values increased significantly when compared with pre-operative values (P < 0.001 and 0.040 respectively). Testicular size increased after varicocelectomy, but this increase was nonsignificant till the end of study (P = 0.054). We concluded that varicocelectomy is clearly related to improvement of premature ejaculation and testicular hormonal function in varicocele patients.

[An unusual diagnosis of post-traumatic hemothorax]. / Hémothorax post-traumatique révélant un mésothéliome pleural malin.

We report the case of malignant pleural mesothelioma revealed by a post-traumatic hemothorax.

[Myxoid liposarcoma of the mediastinum: a case report]. / Liposarcome myxoïde du médiastin. A propos d'un cas.

We describe a mediastinal myxoid liposarcoma in a 47-year-old man who developed recurrent lung infection, treated by surgery associated with radiotherapy. The report of this case and a review of literature bring the authors to outline the epidemiological, clinical and therapeutic profile of this rare tumor.

Bacteriological characteristics of dressed young pigeon (squabs) Columba livia domesticus.

A total of 50 frozen squabs carcasses were collected from different retail markets in Cairo and Giza governorates. The collected samples were examined bacteriologically. The aerobic plate count, the enterobacteriaceae and the Staphylococcus count were 6.6 x 10(5), 6.3 x 10(2) and 1.4 x 10(3) cfu./gram, respectively. The results revealed no positive samples for Salmonella Yersinia entercolitica, Listeria monocytogenes and Campylobacter jejuni. Staphylococcus aureus was isolated from 2% of samples. The sources of contamination of processed squabs carcasses and measures to minimize the bacterial load and safe guard the consumer are mentioned.

[Nephrobronchial fistula: a case report]. / Fistule néphrobronchique. A propos d'un cas.

Nephrobronchial fistulas following pyonephrosis associated with urolithiasis are a rare occurrence. The possibility of severe problems arising during surgery should be taken into considerations; both the surgeon and the anesthetist should be fully informed of the specific risk factors involved. A favorable outcome mainly depends on the appropriate treatment and timely management of any thoracic complications. Although this rare pathology has been described in detail in the literature, the problems encountered during anesthesia and surgery have not been fully reported. This study therefore provides new data, as a case has been reported of a 38-year old female who underwent surgery for pyonephrosis; disease management and prognosis problems have been discussed.

[Mature teratome of the mediastinum]. / Tératome mature du médiastin.

STUDY AIM: The aim of this retrospective study was to report a series of 12 cases of mature teratoma of the mediastinum operated during a 10-year period in the same center. PATIENTS AND METHOD: From 1990 to 2000, 12 patients (7 females and 5 males with a mean age of 32 years) were operated for mature mediastinal teratoma. Chest pain was present in 10 cases; cough, dyspnea and septic episodes were present in 5 cases and X-ray detected the mediastinal tumor in 10 cases. CT scan showed a tumor with liquid and fatty components and calcifications in 5 out of 9 cases. Tumors were resected via a posterolateral thoracotomy in 11 cases and an anterior thoracotomy in one case, associated with pneumonectomy in 1 case, basal segmentectomy in 1 case and thymectomy in 1 case. RESULTS: There were no postoperative deaths. Morbidity included 2 phrenic nerve palsies, 1 pyothorax after pneumonectomy, 1 case of bleeding and 1 pleural effusion. No recurrences have been observed with a follow-up of 5 to 87 months. Nine of the 10 tumors reviewed by pathologist contained multiple tissue components and one only contained a single tissue. CONCLUSION: Mature teratomas are usually detected in young patients: they are usually located in the middle part of the anterior mediastinum and are only diagnosed by pathologic examination of the specimen. They have an excellent prognosis when tumor resection is complete and in the absence of immature tissue in the tumor.

[Inflammatory pseudotumor of the lung. An anatomoclinical study of a case report]. / Pseudotumeur inflammatoire du poumon. Etude anatomoclinique d'une observation.

One solitary pulmonary nodule was observed in a 47-year-old woman with history of right thigh liposarcoma 1 year before. Histological examination of the pulmonary specimen excluded liposarcoma metastasis and revealed an inflammatory pseudotumor. These unusual lesions with an excellent prognosis may exhibit, as in our case, atypical radiologic features and nuclear atypia, making the diagnosis difficult with malignancy.

Myiasis caused by Cephalopina titillator (Clark) in slaughtered camels in Al Arish Abattoir, North Sinai governorate, Egypt.

The oestrid fly or the camel nasal botfly Cephalopina titillator (Clark) is an insect that causes health hazards in camels. No doubt, camels are very important livestock particularly in arid and semi-arid lands. In this paper, the monthly and seasonal prevalence of C. titillator larvae in slaughtered camels were studied. The rate of camel infestation was 25%. The highest prevalence month was October and the highest prevalence season was Autumn. The three larval instars were demonstrated in the infested camels. However, the 3rd instars were the predominant stage (60.59%), followed by the 2nd instars (30.58%) and then the 1st instars (8.83%). In general, some myiasis producers are zoonotic parasites. Nevertheless, the control of the adult C. titillator and its larval instars is a must for the sake of the animal and for the human welfare.