A rare case of polyembolokoilamania of nose in a neuropsychiatry patient

<p class="abstract">Nasal foreign body is common in children. In adults it is common among mentally retarded, psychiatric patients or is iatrogenic. As most of foreign body in a neuropsychiatry patient goes unnoticed, by the time the patient reaches the surgeon, it will be associated with its complications. So we as doctors should have this in back of mind when we examine a psychiatry or a mentally retarded patient and thorough clinical examination should be done irrespective of the patient’s complaints. We encountered a 25 year old male psychiatric patient presented with complaints of fullness and pain in both ears for three days. The patient had drug abused to cannabis, nicotine, alcohol and inhaling fevibond for four years. On examination bilateral tympanic membrane was intact with no signs of bleeding. Throat was clinically normal. Anterior rhinoscopy visualised a blackish hard mass with a yellowish green mucopurulent discharge in both the nasal cavity. On removal there were multiple variant foreign bodies and a large septal perforation in anterior aspect of septum was visualised. In psychiatry patients, there is a risk of foreign body insertions. This is a great challenge from clinical examination, diagnosing, removal to treating complications if any. Timely detection and prompt treatment will reduce medical morbidity. In this report we try to emphasize the importance of meticulous clinical examination in a psychiatric patient.</p><p> </p>

Wrist Watch Dial with Machine in Esophagus: A Rare and Dangerous Presentation

ABSTRACT An uncommon and dangerous foreign body in the esophagus, like wrist watch dial with machine and three hands, can be life threatening. We report the successful removal of such dangerous foreign body from the esophagus of an adult mentally retarded patient. How to cite this article Maurya AK, Jadia S, Jain L. Wrist Watch Dial with Machine in Esophagus: A Rare and Dangerous Presentation. Int J Adv Integ Med Sci 2016;1(3):133-134.

Oral Myiasis Affecting Gingiva in a Child Patient: An Uncommon Case Report

Certain dipteran flies larvae causing invasion of the tissues and organs of the humans or other vertebrates are called as myiasis, which feed on hosts dead or living tissues. It is well documented in the skin and hot climate regions; underdeveloped countries are affected more commonly. Oral cavity is affected rarely and it can be secondary to serious medical conditions. Poor oral hygiene, alcoholism, senility, or suppurating lesions can be associated with the oral myiasis. Inflammatory and allergic reactions are the commonest clinical manifestations of the disease. In the present case, gingiva of maxillary anterior region was affected by larval infection in a 13-year-old mentally retarded patient.