Tuberculosis involving the heart is rare,accounting for only 0.5% of cases of extrapulmonary tuberculosis.Here we are presenting a case of an immunocompetent host who took one-year empirical antitubercular treatment f...Tuberculosis involving the heart is rare,accounting for only 0.5% of cases of extrapulmonary tuberculosis.Here we are presenting a case of an immunocompetent host who took one-year empirical antitubercular treatment for probable loculated tubercular pericardial abscess.On investigations,loculated pericardial abscess due to Mycobacterium Tuberculosis was confirmed.As patient did not respond to one-year antitubercular treatment and abscess was enlarging on serial computed tomography thorax and could not be aspirated completely due to presence of loculations,pericardiectomy with drainage of pyopericardium was done.This case is an important reminder that TB can manifest as pericardial abscess without significant lung involvement and an early diagnosis and aspiration in above case could have prevented surgical intervention.展开更多
Objective:To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hyp...Objective:To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hypertension is around 40%-57%. Few studies have been done to screen depression in chronic respiratory disorders. This study was conducted in a tertiary rural hospital of Central India to find out prevalence of depression in indoor patients suffering from chronic respiratory disorders. Methods: Total 68 patients were evaluated for depression. Patients suffering from chronic respiratory disorders (total duration of illness >3 months) were evaluated using Prime MD Questionnaire. Patients suffering from diabetes, heart diseases, stroke, having past history of psychiatric illness, drug abusers, having lack of social support and suffering from chronic upper respiratory tract infections were excluded from this study. Questionnaire was asked when treatment for acute phase of illness is over. Results: Out of 68 patients evaluated, 36 (53%) were found out to be suffering from depression. Female gender (80%) was more prone to depression, inspite of the fact that all alcoholics were male. 39% of all chronic obstructive pulmonary disease (COPD) patients were suffering from depression in comparison to 65% for pulmonary tuberculosis and 44% for other chronic respiratory illness. 54% of patients suffering from depression are < 30 yrs of age, 53% are between 30-60 yrs of age and 52% are > 60 yrs of age, suggesting that age has no relation with depression. No association was seen between alcoholism and depression. Conclusion: Prevalence of depression in patients of chronic respiratory illness is very high, like in cases of diabetes and hypertension. Further community and hospital based studies are needed to find out exact prevalence of depression in chronic respiratory illnesses.展开更多
Epithelioid hemangioendothelioma is a rare vascular tumor of bone,and rarely these lesions can present as unique and extremely aggressive tumor.We report a case of highly aggressive epithelioid hemangioendothelioma an...Epithelioid hemangioendothelioma is a rare vascular tumor of bone,and rarely these lesions can present as unique and extremely aggressive tumor.We report a case of highly aggressive epithelioid hemangioendothelioma and discuss the imaging findings.CT brain plain study revealed a poorly-defined,mixed density expansile and lytic lesion involving the occipital bone with extension to the left side with poorly defined trabecula formation.There was significant but irregular enhancement after intravenous administration of contrast material and also marked bone destruction.Microscopic examination of the fine needle aspiration cytology showed a tumor composed of vascular channels lined by plump endothelial cells,which had enlarged hyperchromatic nuclei.In view of the extensive infiltration the patient was submitted for the radiotherapy.展开更多
文摘Tuberculosis involving the heart is rare,accounting for only 0.5% of cases of extrapulmonary tuberculosis.Here we are presenting a case of an immunocompetent host who took one-year empirical antitubercular treatment for probable loculated tubercular pericardial abscess.On investigations,loculated pericardial abscess due to Mycobacterium Tuberculosis was confirmed.As patient did not respond to one-year antitubercular treatment and abscess was enlarging on serial computed tomography thorax and could not be aspirated completely due to presence of loculations,pericardiectomy with drainage of pyopericardium was done.This case is an important reminder that TB can manifest as pericardial abscess without significant lung involvement and an early diagnosis and aspiration in above case could have prevented surgical intervention.
文摘Objective:To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hypertension is around 40%-57%. Few studies have been done to screen depression in chronic respiratory disorders. This study was conducted in a tertiary rural hospital of Central India to find out prevalence of depression in indoor patients suffering from chronic respiratory disorders. Methods: Total 68 patients were evaluated for depression. Patients suffering from chronic respiratory disorders (total duration of illness >3 months) were evaluated using Prime MD Questionnaire. Patients suffering from diabetes, heart diseases, stroke, having past history of psychiatric illness, drug abusers, having lack of social support and suffering from chronic upper respiratory tract infections were excluded from this study. Questionnaire was asked when treatment for acute phase of illness is over. Results: Out of 68 patients evaluated, 36 (53%) were found out to be suffering from depression. Female gender (80%) was more prone to depression, inspite of the fact that all alcoholics were male. 39% of all chronic obstructive pulmonary disease (COPD) patients were suffering from depression in comparison to 65% for pulmonary tuberculosis and 44% for other chronic respiratory illness. 54% of patients suffering from depression are < 30 yrs of age, 53% are between 30-60 yrs of age and 52% are > 60 yrs of age, suggesting that age has no relation with depression. No association was seen between alcoholism and depression. Conclusion: Prevalence of depression in patients of chronic respiratory illness is very high, like in cases of diabetes and hypertension. Further community and hospital based studies are needed to find out exact prevalence of depression in chronic respiratory illnesses.
文摘Epithelioid hemangioendothelioma is a rare vascular tumor of bone,and rarely these lesions can present as unique and extremely aggressive tumor.We report a case of highly aggressive epithelioid hemangioendothelioma and discuss the imaging findings.CT brain plain study revealed a poorly-defined,mixed density expansile and lytic lesion involving the occipital bone with extension to the left side with poorly defined trabecula formation.There was significant but irregular enhancement after intravenous administration of contrast material and also marked bone destruction.Microscopic examination of the fine needle aspiration cytology showed a tumor composed of vascular channels lined by plump endothelial cells,which had enlarged hyperchromatic nuclei.In view of the extensive infiltration the patient was submitted for the radiotherapy.
