scholarly journals Ulcerative lesion over tongue: a diagnostic dilemma

Author(s):  
Ashfaque Ansari ◽  
L. V. Manjusha Bavisetty

Tuberculosis even today remains as the most common infectious disease affecting lungs in India despite having advanced diagnostic testing and a national programme to eradicate this disease. It may present with various clinical appearances, of them tongue tuberculosis is rare and it mimics malignant lingual neoplasms on clinical examination which was rarely described in the literature. In this article we are presenting a 69-year-old patient with tuberculosis of tongue presented as a painful ulcer, so far very few cases reported

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Darryn Knobel ◽  
Christianah Ibironke Odita ◽  
Anne Conan ◽  
Donna Barry ◽  
Marshalette Smith-Anthony ◽  
...  

2020 ◽  
Vol 58 (8) ◽  
Author(s):  
Ralph Rogers ◽  
Thomas O’Brien ◽  
Jad Aridi ◽  
Curt G. Beckwith

ABSTRACT In this commentary, we provide a broad overview of how the rapidly evolving coronavirus disease 2019 (COVID-19) diagnostic landscape has impacted clinical care during the COVID-19 pandemic. We review aspects of both molecular and serologic testing and discuss the logistical challenges faced with each. We also highlight the progress that has been made in the development and implementation of these assays as well as the need for ongoing improvement in diagnostic testing capabilities.


2018 ◽  
Vol 7 (1) ◽  
pp. 23-25
Author(s):  
Manoj Kumar Sah ◽  
Bhawesh Thapa ◽  
Samrat Shrestha

Tuberculosis is a common infectious disease in South-Asian region which can involve different organs. Splenic tuberculosis is a rare clinical entity. Here we report a case of tuberculous abscess of spleen in a 72 year old diabetic male. It was disseminated type, it was confirmed by ultrasonography guided aspiration of abscess for gene x-pert test, which was positive. Patient was given antitubercular treatment after the confirmation of the diagnosis and is improving with given treatment.  


2013 ◽  
Vol 04 (03) ◽  
pp. 061-070 ◽  
Author(s):  
Prashanth Prabakaran ◽  
Nalini Guda ◽  
Jacob Thomas ◽  
Charles Heise ◽  
Deepak Gopal

AbstractObscure gastrointestinal bleeding (OGIB) can present as a diagnostic dilemma and management can be challenging. The search for causes of OGIB is usually centered on visualizing the small bowel, and in the past decade, the technology to visualize the entire small bowel has significantly advanced. Moreover, small bowel endoscopic imaging has replaced, in many instances, prior radiographic evaluation for obscure GI bleeding. These new modalities, such as small bowel capsule endoscopy (CE), balloon-assisted deep enteroscopy [double balloon enteroscopy (DBE) and single balloon enteroscopy (SBE)], and overtube-assisted deep enteroscopy (spiral enteroscopy), are paving the way toward more accurately identifying and treating patients with OGIB. We will review the diagnostic modalities available in evaluating a patient with OGIB and also propose the management based on clinical and endoscopic findings.


2020 ◽  
Vol 144 (10) ◽  
pp. 1166-1190 ◽  
Author(s):  
Gerald J. Kost

Context.— Point-of-care testing (POCT), diagnostic testing at or near the site of patient care, is inherently spatial, that is, performed at points of need, and also intrinsically temporal, because it produces fast actionable results. Outbreaks generate geospatial “hotspots.” POC strategies help control hotspots, detect spread, and speed treatment of highly infectious diseases. Objectives.— To stop outbreaks, accelerate detection, facilitate emergency response for epidemics, mobilize public health practitioners, enhance community resilience, and improve crisis standards of care. Data Sources.— PubMed, World-Wide Web, newsprint, and others were searched until Coronavirus infectious disease-19 was declared a pandemic, the United States, a national emergency, and Europe, the epicenter. Coverage comprised interviews in Asia, email to/from Wuhan, papers, articles, chapters, documents, maps, flowcharts, schematics, and geospatial-associated concepts. EndNote X9.1 (Clarivate Analytics) consolidated literature as abstracts, ULRs, and PDFs, recovering 136 hotspot articles. More than 500 geospatial science articles were assessed for relevance to POCT. Conclusions.— POCT can interrupt spirals of dysfunction and delay by enhancing disease detection, decision-making, contagion containment, and safe spacing, thereby softening outbreak surges and diminishing risk before human, economic, and cultural losses mount. POCT results identify where infected individuals spread Coronavirus infectious disease-19, when delays cause death, and how to deploy resources. Results in national cloud databases help optimize outbreak control, mitigation, emergency response, and community resilience. The Coronavirus infectious disease-19 pandemic demonstrates unequivocally that governments must support POCT and multidisciplinary healthcare personnel must learn its principles, then adopt POC geospatial strategies, so that onsite diagnostic testing can ramp up to meet needs in times of crisis.


Dental Update ◽  
2020 ◽  
Vol 47 (2) ◽  
pp. 165-169
Author(s):  
Marialena Cresta ◽  
Robert Philpott ◽  
Eleni Besi

Nasopalatine cysts (NPCs) present as maxillary midline radiolucencies and are the most common radiolucency of non-odontogenic origin. The proximity of these radiolucencies to the apical region of the maxillary anterior teeth may complicate diagnosis. We are presenting two cases of maxillary midline radiolucencies with a similar presentation but different diagnoses. Reaching a definitive diagnosis may be complicated, even when a detailed clinical examination has been carried out. The use of CBCT has been a valuable addition to the diagnostic armamentarium which can help clinicians reach more accurate diagnoses in such cases. A definitive diagnosis may be established following histopathological analysis, which is indicated in symptomatic cases. CPD/Clinical Relevance: This article highlights the importance of careful assessment of apical radiolucencies associated with the maxillary midline, leading to the correct diagnoses and appropriate treatment planning.


2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Changming Zhou ◽  
Huijian Cheng ◽  
Genming Zhao ◽  
Qi Zhao ◽  
Biao Xu ◽  
...  

The objective is to evaluate the validity of the signals generated by Shewhart chart to detect the increase in febrile children with patients with common infectious diseases. There were 28,049 and 42,029 reports for febrile patients in the two study counties during the 2-year period. The sensitivity were 29.03% and 34.78%. The PPVs were 64.29% and 53.33%. The sensitivity of signals in the syndromic surveillance system was low using the Shewhart model while the PPV was relatively high which suggested that this syndromic surveillance system had potential ability to supplement conventional case report system in detecting common infectious disease outbreaks.


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