scholarly journals Not just a ‘simple stroke’

2011 ◽  
Vol 10 (1) ◽  
pp. 35-37
Author(s):  
Wendy Russell ◽  
◽  
S Davidson ◽  
Gautamanada Ray ◽  
William Taylor ◽  
...  
Keyword(s):  
Back Pain ◽  
Neurological Deficit ◽  
Lung Abscess ◽  
Full Recovery ◽  
Medical Team ◽  
X Ray ◽  
Streptococcus Milleri ◽  
Chest X Ray ◽  
Intracerebral Abscess

A 51-year-old man presenting with left arm weakness and slurred speech was referred to the acute medical team. Admission chest X-ray showed a cavitating lesion, which had not been present 2 weeks earlier. Systemic enquiry elicited a 2 month prodromal illness and back pain. Urgent CT of his head and chest revealed evidence of thoracic discitis spreading anteriorly into a pleural-based lung abscess and an intracerebral abscess causing his neurological deficit. He was transferred for urgent craniotomy and evacuation of a Streptococcus milleri abscess. Following several weeks of neurosurgical care and antibiotics he made a near full recovery.

scholarly journals Aetiological Pattern of Haemoptysis in a Tertiary Level Hospital in Bangladesh

1970 ◽  
Vol 22 (1) ◽  
pp. 22-25 ◽  
Author(s):  
M Khalilur Rahman ◽  
MM Rahman Khan ◽  
MH Tarik ◽  
MA Alim ◽  
MH Rashid ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Bronchial Carcinoma ◽  
Cost Effective ◽  
Lung Abscess ◽  
College Hospital ◽  
X Ray ◽  
Medical College ◽  
Chest X Ray ◽  
Valvular Diseases ◽  
Aetiological Diagnosis

To identify the causes of haemoptysis and to diagnose the diseases clinically and cost effective laboratory investigations in our situation. Fifty consecutive cases of haemoptysis admitted at Rajshahi Medical College Hospital, Rajshahi during 2000-2001 were prospectively studied .Pulmonary tuberculosis was the commonest found in 19 (38%) cases. Tuberculer bacilli could be isolated in 5 (26.31%) of the cases. Eight (16%) patients were mitral valvular diseases . Bronchial carcinoma was 4(8%) of the series. Three patients (6%) were lung abscess. Six patients (12%) had bronchiectasis. Five patients (10%) had pneumonia. Remaining five (10%) patients were miscellaneous aetiology. In the present series it has been found that pulmonary tuberculosis and mitral valvular disease comprise 54% of the cases. Chest X-ray and sputum examination were found to be the two most useful investigations necessary for aetiological diagnosis of haemoptysis. Within limited resources the aetiological diagnosis of haemoptysis can easily be done in the majority of cases by doing chest X-ray and sputum examination in our country. DOI: 10.3329/taj.v22i1.5015 TAJ 2009; 22(1): 22-25

scholarly journals Pancoast tumour presenting as shoulder pain with Horner’s syndrome

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227873
Author(s):  
Nimlan Shanmugathas ◽  
Kapil Mohan Rajwani ◽  
Shumontha Dev
Keyword(s):  
Emergency Department ◽  
Back Pain ◽  
High Resolution ◽  
Shoulder Pain ◽  
Sensory Loss ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
X Ray ◽  
History Of ◽  
Chest X Ray

A 54-year-old man presented to the emergency department with a 4-week history of right shoulder pain radiating down his arm, with some associated sensory loss. Further questioning and examination in the department revealed a classical Horner’s syndrome; miosis, partial ptosis and hemifacial anhidrosis. An initial chest X-ray was deemed to be unremarkable; however, further review by a radiologist noted asymmetrical right apical thickening. A subsequent high-resolution CT scan of the chest revealed a right-sided Pancoast tumour. This case highlights the importance of a thorough history and examination in identifying a rare cause of shoulder and/or back pain.

scholarly journals Abses Paru Besar pada Hemotoraks Kanan

2017 ◽  
Vol 2 (2) ◽  
pp. 91-94
Author(s):  
Siti Fatima Azzahra ◽  
Anita Ekowati ◽  
Evi Artsini ◽  
Ajeng Visca Icanervilia
Keyword(s):  
Ct Scan ◽  
Lower Lobe ◽  
Plain Film ◽  
Malignant Cell ◽  
Lung Abscess ◽  
Microbial Infection ◽  
Pulmonary Tissue ◽  
X Ray ◽  
Chest X Ray ◽  
Thorax Ct

Lung abscess is defined as a localized area of necrosis of the pulmonary tissue and formation of cavities containing necrotic debris or fluid caused by microbial infection. Computed tomography (CT) scan allows optimal characterization of the lesion and effective evacuation. We reported a case of female patient, with chief complain of fever, recurring productive cough with blood, and shortness of breath that worsened since a week before admitted to hospital. The patient had these symptoms since 4 years ago and admitted to several other hospitals with similar problems. She denied any decreased of weight or nocturnal fever. In November 2016, we did a thorax CT scan and chest X-ray that revealed multiple round thick-walled and irregular cavities in lower lobe of right lung, measured 13.7 x 9.5 x 11.7 cm, air fluid level in each cavity, fluid component density is 9-15 HU with consolidation and caused deviation of cardiac position. Histopathology examination found suppurative chronic inflammation without malignant cell. After a throughout evaluation, the patient was diagnosed with tuberculosis infection and treated with anti tuberculosis drugs. In January 2017, a follow up thorax CT was done and revealed a decrease in size of lesion. The main purpose of this report is to show that plain film and thorax CT are useful examinations in assessing lung cavities entity, such as lung abscess. In this case, both CT and chest X-ray finding showed consistent results

scholarly journals Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection

2020 ◽  
Vol 13 (8) ◽  
pp. e235920 ◽  
Author(s):  
Saajan Basi ◽  
Mohammad Hamdan ◽  
Shuja Punekar
Keyword(s):  
Respiratory Symptoms ◽  
Clinical Course ◽  
Throat Swab ◽  
Cerebral Infarct ◽  
Medical Team ◽  
Healthcare Staff ◽  
Oxygen Requirement ◽  
X Ray ◽  
Blood Tests ◽  
Chest X Ray

A 66-year-old man was admitted to hospital with a right frontal cerebral infarct producing left-sided weakness and a deterioration in his speech pattern. The cerebral infarct was confirmed with CT imaging. The only evidence of respiratory symptoms on admission was a 2 L oxygen requirement, maintaining oxygen saturations between 88% and 92%. In a matter of hours this patient developed a greater oxygen requirement, alongside reduced levels of consciousness. A positive COVID-19 throat swab, in addition to bilateral pneumonia on chest X-ray and lymphopaenia in his blood tests, confirmed a diagnosis of COVID-19 pneumonia. A proactive decision was made involving the patients’ family, ward and intensive care healthcare staff, to not escalate care above a ward-based ceiling of care. The patient died 5 days following admission under the palliative care provided by the medical team.

CLINICOPATHOLOGICAL STUDY OF CHRONIC RESPIRATORY DISEASES

2021 ◽  
pp. 53-54
Author(s):  
T. Ramakoteswari ◽  
P.Venkata Kiran Kumar
Keyword(s):  
Respiratory Diseases ◽  
Lung Abscess ◽  
Age Group ◽  
Hydatid Cysts ◽  
X Ray ◽  
Chronic Respiratory Diseases ◽  
Tissue Sections ◽  
Younger Age ◽  
Clinicopathological Study ◽  
Chest X Ray

AIM: to study the spectrum of chronic respiratory diseases of lung with reference to age, gender, lifestyle and occupation. METHODS: The study is done over a period of 5 years (May 2015 to April 2020) in the Department of Pathology, KMC, Kurnool. Total of 50 lobectomy specimens were Formalin xed, parafn embedded and H & E stained tissue sections were studied. Special stains were done whenever necessary. Majority of chronic re RESULTS: spiratory diseases occured in the second to fouth decade with M:F ratio 1.38:1 . On chest x-ray majority of lung lesions affected in lower lobes. Majority of the cases clinically presented with cough, dyspnea, chestpain and fever. Among the 50 of lobectomies, bronchitectasis commonest followed by tuberculosis. CONCLUSION: outof 50 lobectomies, bronchiectasis is commonly (52%) seen followed by Tuberculosis (14%), Hydatid cysts (14%), Aspergilloma(10%), Emphysema (6%), and the least were Lung abscess (4%). In this study, majority were in the younger age group between 21-40 years.

Tuberculosis: Diagnostic Challenges in Rural Africa

Praxis ◽  
2019 ◽  
Vol 108 (15) ◽  
pp. 991-996
Author(s):  
Ngisi Masawa ◽  
Farida Bani ◽  
Robert Ndege
Keyword(s):  
Extrapulmonary Tuberculosis ◽  
X Ray ◽  
Molecular Tests ◽  
Rural Settings ◽  
Chest X Ray ◽  
Screening Questions ◽  
Rural Africa ◽  
Tb Diagnostics ◽  
Strip Test ◽  
Urine Strip

Abstract. Tuberculosis (TB) remains among the top 10 infectious diseases with highest mortality globally since the 1990s despite effective chemotherapy. Among 10 million patients that fell ill with tuberculosis in the year 2017, 36 % were undiagnosed or detected and not reported; the number goes as high as 55 % in Tanzania, showing that the diagnosis of TB is a big challenge in the developing countries. There have been great advancements in TB diagnostics with introduction of the molecular tests such as Xpert MTB/RIF, loop-mediated isothermal amplification, lipoarabinomannan urine strip test, and molecular line-probe assays. However, most of the hospitals in Tanzania still rely on the TB score chart in children, the WHO screening questions in adults, acid-fast bacilli and chest x-ray for the diagnosis of TB. Xpert MTB/RIF has been rolled-out but remains a challenge in settings where the samples for testing must be transported over many kilometers. Imaging by sonography – nowadays widely available even in rural settings of Tanzania – has been shown to be a useful tool in the diagnosis of extrapulmonary tuberculosis. Despite all the efforts and new diagnostics, 30–50 % of patients in high-burden TB countries are still empirically treated for tuberculosis. More efforts need to be placed if we are to reduce the death toll by 90 % until 2030.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

Hubungan antara Luas Lesi pada Foto Toraks Penderita TB Paru Dewasa yang Memiliki Riwayat Diabetes Melitus dengan Indeks Massa Tubuh di Rumah Sakit Hasan Sadikin Bandung

2016 ◽  
Vol 1 (3) ◽  
pp. 138-144
Author(s):  
Ina Edwina ◽  
Rista D Soetikno ◽  
Irma H Hikmat
Keyword(s):  
Chest Radiograph ◽  
Chi Square ◽  
Pulmonary Tb ◽  
X Ray ◽  
Consecutive Sampling ◽  
Close Relationship ◽  
Chi Square Test ◽  
Chest X Ray ◽  
The Relationship ◽  
Diabetes Melitus

Background: Tuberculosis (TB) and diabetes mellitus (DM) prevalence rates are increasing rapidly, especially in developing countries like Indonesia. There is a relationship between TB and DM that are very prominent, which is the prevalence of pulmonary TB with DM increased by 20 times compared with pulmonary TB without diabetes. Chest X-ray picture of TB patients with DM is atypical lesion. However, there are contradictories of pulmonary TB lesion on chest radiograph of DM patients. Nutritional status has a close relationship with the morbidity of DM, as well as TB.Objectives: The purpose of this study was to determine the relationship between the lesions of TB on the chest radiograph of patients who su?er from DM with their Body Mass Index (BMI) in Hasan Sadikin Hospital Bandung.Material and Methods: The study was conducted in Department of Radiology RSHS Bandung between October 2014 - February 2015. We did a consecutive sampling of chest radiograph and IMT of DM patients with clinical diagnosis of TB, then the data was analysed by Chi Square test to determine the relationship between degree of lesions on chest radiograph of pulmonary TB on patients who have DM with their BMI.Results: The results showed that adult patients with active pulmonary TB with DM mostly in the range of age 51-70 years old, equal to 62.22%, with the highest gender in men, equal to 60%. Chest radiograph of TB in patients with DM are mostly seen in people who are obese, which is 40% and the vast majority of lesions are minimal lesions that is equal to 40%.Conclusions: There is a signifcant association between pulmonary TB lesion degree with BMI, with p = 0.03

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