scholarly journals Pott’s Disease with Psoas Abscess in a Diabetic Patient: A Conservative Approach

2014 ◽  
Vol 13 (2) ◽  
pp. 67-69 ◽  
Author(s):  
Mohammad Moin Uddin ◽  
Nusrat Sultana ◽  
Rezwan Rehan ◽  
Aminuddin A. Khan
Keyword(s):  
Developing Countries ◽  
Glycaemic Control ◽  
Physical Examination ◽  
Diabetic Patient ◽  
Psoas Abscess ◽  
Conservative Approach ◽  
Mri Imaging ◽  
Tuberculosis Case ◽  
Poor Glycaemic Control ◽  
History Of

Pott’s disease, also known as tubercular spondylitis, is a well known condition in developing countries. Here we report a case of Pott’s disease with bilateral psoas abscesses in a 51 years diabetic male with poor glycaemic control. Diagnosis is done on the basis of history, physical examination, plain radiology & MRI imaging and history of exposure to a tuberculosis case. He was treated conservatively and responded well to anti-tubercular chemotherapy.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21073

scholarly journals One too many diabetes: the combination of hyperglycaemic hyperosmolar state and central diabetes insipidus

2018 ◽  
Vol 2018 ◽  
Author(s):  
Snezana Burmazovic ◽  
Christoph Henzen ◽  
Lukas Brander ◽  
Luca Cioccari
Keyword(s):  
Diabetes Mellitus ◽  
Glycaemic Control ◽  
Specific Gravity ◽  
Diabetes Insipidus ◽  
Urine Osmolality ◽  
Central Diabetes Insipidus ◽  
Urine Specific Gravity ◽  
List Type ◽  
Poor Glycaemic Control ◽  
History Of

Summary The combination of hyperosmolar hyperglycaemic state and central diabetes insipidus is unusual and poses unique diagnostic and therapeutic challenges for clinicians. In a patient with diabetes mellitus presenting with polyuria and polydipsia, poor glycaemic control is usually the first aetiology that is considered, and achieving glycaemic control remains the first course of action. However, severe hypernatraemia, hyperglycaemia and discordance between urine-specific gravity and urine osmolality suggest concurrent symptomatic diabetes insipidus. We report a rare case of concurrent manifestation of hyperosmolar hyperglycaemic state and central diabetes insipidus in a patient with a history of craniopharyngioma. Learning points: In patients with diabetes mellitus presenting with polyuria and polydipsia, poor glycaemic control is usually the first aetiology to be considered. However, a history of craniopharyngioma, severe hypernatraemia, hyperglycaemia and discordance between urine-specific gravity and osmolality provide evidence of concurrent diabetes insipidus. Therefore, if a patient with diabetes mellitus presents with severe hypernatraemia, hyperglycaemia, a low or low normal urinary-specific gravity and worsening polyuria despite correction of hyperglycaemia, concurrent diabetes insipidus should be sought.

scholarly journals Hipertensión portal secundaria a sarcoidosis hepática

2020 ◽  
Vol 50 (1) ◽  
Author(s):  
Sofía G Rivarola ◽  
Mariano N Veltri ◽  
Ignaci Saguier Padilla ◽  
Alejandra Avagnina ◽  
Mariano Biagioni ◽  
...  
Keyword(s):  
Developing Countries ◽  
Liver Disease ◽  
Physical Examination ◽  
Chronic Liver Disease ◽  
Developed Countries ◽  
Hepatic Biopsy ◽  
Portal Site ◽  
History Of ◽  
Hepatic Granulomas

The etiology of hepatic granulomas varies depending on the epidemiology. In developed countries, primary biliary chol­angitis (PBC) is the main cause followed by sarcoidosis. In developing countries, it is tuberculosis. We present the case of a patient with chronic liver disease, whose anatomo­pathological diagnosis was compatible with sarcoidosis. It was a 55-year-old woman, with a history of type 2 diabe­tes (DBT), insulin-requiring and overweight. Her disease debuted with SAE, subsequently presenting HDA of vari­ceal origin. She was referred to our institution for study. Physical examination has hepatosplenomegaly and in the laboratory FAL and yGT augmented with non-reactive anti-LKM and AMA. Ultrasonography of the abdomen showed hepatosplenomegaly, without focal images. Hepatic biopsy puncture was performed, which reported numerous portal-site granulomas. The ECA dose was increased. The diagnosis of sarcoidosis was established and treatment with deflazacort was started. She presented an upper gastrointes­tinal bleeding causing her death.

scholarly journals Successful medical drainage and surgical treatment for vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by klebsiella pneumoniae in a diabetic patient

2019 ◽  
Vol 65 (5) ◽  
pp. 678-681
Author(s):  
Wei-Yang Yu ◽  
Ke-Jun Zhu ◽  
Qiao-Ping Li ◽  
Chao Lou ◽  
Deng-Wei He
Keyword(s):  
Klebsiella Pneumoniae ◽  
Minimally Invasive ◽  
Antibiotic Therapy ◽  
Diabetic Patient ◽  
Psoas Abscess ◽  
Vertebral Osteomyelitis ◽  
Psoas Muscle ◽  
Spinal Fixation ◽  
Gas Formation ◽  
History Of

SUMMARY OBJECTIVE: We describe the case of a diabetic patient who developed vertebral osteomyelitis and bilateral psoas abscess with gas formation due to klebsiella pneumoniae. METHODS: A 64-year-old woman with a 4-year history of type-2 diabetes mellitus was admitted to the Emergency Department. The subject had a 2-day history of high-grade fever associated with chills and a 5-hour history of consciousness. She received empirical treatment with febrifuge, after which her fever decreased. RESULTS: Her fever recurred after an interval of three hours. A computed tomography scan of the abdomen revealed vertebral osteomyelitis and bilateral psoas muscle abscess with gas formation. Blood culture and purulent fluid described the growth of the Klebsiella pneumoniae. The patient received antibiotic therapy and bilateral drainage therapy after the drainage catheter was placed into the abscess cavity by CT-guidance. Due to the serious damage to the vertebral column and permanent pain, the patient underwent minimally invasive internal spinal fixation and recovered successfully. CONCLUSION: A case of vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by Klebsiella pneumoniae in a diabetic patient. Antibiotic therapy, drainage, and minimally invasive internal spinal fixation were performed, which enabled a good outcome.

scholarly journals Haemoglobin A1C Levels Constantly Below Lower Reference Limit in a Diabetic Patient With Microcytic Anaemia

2019 ◽  
Author(s):  
Frank Sheng Fan ◽  
Chih-Hao Chen ◽  
Hui-Chun Yang
Keyword(s):  
Glycaemic Control ◽  
Diabetic Patient ◽  
Daily Practice ◽  
Blue Staining ◽  
Haemoglobin A1c ◽  
Microcytic Anaemia ◽  
Laboratory Assessment ◽  
Reference Limit ◽  
Cresyl Blue ◽  
History Of

Introduction: Haemoglobin A1C (A1C), as a parameter of long-term glycaemic control, has been adopted to guide diabetic therapy all over the world. However, falsely high or low A1C could be troublesome in daily practice. Case description: A 75-year-old male diabetic patient affected by a reasonably inferred life-long history of microcytic anaemia was found to have abnormally low A1C values in the previous 5 months. Subsequent laboratory assessment with brilliant cresyl blue staining and haemoglobin electrophoresis detected haemoglobin H disease as the underlying cause of both the microcytic anaemia and the disturbed A1C measurement. Discussion: Enhanced erythrocyte destruction such as in haemoglobin H disease could explain a falsely decreased A1C level very well. Upon facing a questionable A1C value, physicians dealing with diabetes should consider the possibility of undiscovered underlying causes rather than too tightly glycaemic control.

Intraocular tuberculosis, a challenge in diagnosis and treatment

2020 ◽  
Vol 3 ◽  
pp. 4
Author(s):  
Martina Larroude ◽  
Gustavo Ariel Budmann
Keyword(s):  
Developing Countries ◽  
Clinical Signs ◽  
Steady Increase ◽  
Ocular Tuberculosis ◽  
Industrial Countries ◽  
Choroidal Granuloma ◽  
History Of ◽  
And Migration ◽  
Ocular Tb

Ocular tuberculosis (TB) is an extrapulmonary tuberculous condition and has variable manifestations. The incidence of TB is still high in developing countries, and a steady increase in new cases has been observed in industrial countries as a result of the growing number of immunodeficient patients and migration from developing countries. Choroidal granuloma is a rare and atypical location of TB. We present a case of a presumptive choroidal granuloma. This case exposes that diagnosis can be remarkably challenging when there is no history of pulmonary TB. The recognition of clinical signs of ocular TB is extremely important since it provides a clinical pathway toward tailored investigations and decision making for initiating anti-TB therapy and to ensure a close follow-up to detect the development of any complication.

IMPACT OF NATIONAL DISASTER COVID-19, INDONESIA TOWARDS ECONOMIC RECESSION

2020 ◽  
Author(s):  
endang naryono
Keyword(s):  
Developing Countries ◽  
Economic Recession ◽  
Developed Countries ◽  
Social Distancing ◽  
Poor Countries ◽  
Corona Virus ◽  
The World ◽  
History Of ◽  
National Disaster

Covid-19 or the corona virus is a virus that has become a disaster and a global humanitarian disaster began in December 2019 in Wuhan province in China, April 2020 the spread of the corona virus has spread throughout the world making the greatest humanitarian disaster in the history of human civilization after the war world II, Already tens of thousands of people have died, millions of people have been infected with the conona virus from poor countries, developing countries to developed countries overwhelmed by this virus outbreak. Increasingly, the spread follows a series of measurements while patients who recover recover from a series of counts so that this epidemic becomes a very frightening disaster plus there is no drug or vaccine for this corona virus yet found, so that all countries implement strategies to reduce this spread from social distancing, phycal distancing to with a city or country lockdown.

Female Christian prose today: A failed search for new women’s subjectivity?

2020 ◽  
Vol 1 (1) ◽  
pp. 132-149
Author(s):  
E. Chelpanova
Keyword(s):  
Social Context ◽  
Social System ◽  
Family Values ◽  
The State ◽  
Current Work ◽  
Conservative Approach ◽  
Female Subjectivity ◽  
Female Characters ◽  
The Social ◽  
History Of

In her analysis of books by Maya Kucherskaya, Olesya Nikolaeva, and Yulia Voznesenskaya, the author investigates the history of female Christian prose from the 1990s until the present day. According to the author, it was in the 1990s, the period of crisis and transformation of the social system, that female Christian writers were more vocal, than today, on the issues of the new post-Soviet female subjectivity, drawing on folklore imagery and contrasting the folk, pagan philosophy with the Christian one, defined by an established set of rules and limitations for the principal female roles. Thus, the folklore elements in Kucherskaya’s early works are considered as an attempt to represent female subjectivity. However, the author argues that, in their current work, Kucherskaya and other representatives of the so-called female Christian prose tend to choose different, objectivizing methods to represent female characters. This new and conservative approach may have come from a wider social context, including the state-imposed ‘family values’ program.

Demographic Factors Associated with Congenital Malformations Among Young Infants in Fallujah Maternity and Children Hospital, Fallujah City, Iraq

2020 ◽  
pp. 1-5
Author(s):  
Samira T.Abdulghani ◽  
Samira T.Abdulghani
Keyword(s):  
Developing Countries ◽  
Congenital Anomalies ◽  
Prevalence Rate ◽  
Gestational Hypertension ◽  
Heart Defects ◽  
Demographic Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Young Infants ◽  
History Of

Background: Congenital anomalies are a major cause of infant morbidity and mortality in developing countries including our country. Registries and data on these anomalies are still primitive and poorly collated. In this study we aimed to assess the important demographic factors associated with the development of congenital anomalies. Methods: This was a cross-sectional hospital-based study involving 880 infants in the 1st year of life registered in the birth defect unit in Fallujah Maternity and Children Hospital in the period between 1st of January 2017 to the 31st of December 2019. The prevalence rate, the pattern of anomalies and the factors associated with their occurrence were determined. Results: The prevalence rate of the group enrolled in this study was 31/1000 total births, congenital heart defects was the commonest followed by central nervous system anomalies, 58% of the infants were males, 65% had ≥ 2.5 kg birth weight & 95% were singletons. Family history of congenital anomalies was found in 31.25% of cases. The largest group of mothers (55.7%) were 21-30 years old & 92.5% of fathers were less than 45 years old. Parental consanguinity reported in 64.3% of the total cases. Only 4.5% of mothers reported history of fever during pregnancy, and none of them had history of exposure to x-ray or teratogenic drug use. Gestational hypertension was reported in 10% of the total (880) mothers, hypertension and diabetes mellitus in 0.3%, while hepatitis C, hepatitis B, toxoplasmosis and epilepsy, each was reported in only one mother (0.1% of the total). Regarding the outcome of pregnancy, 66.6% were live births, 24.2% were abortions and 9.2% were stillbirths. History of previous abortions was reported in 22% of cases. Urban residents accounted for 63% of the families of congenitally abnormal infants while 37% were rural. Conclusion: Congenital anomalies are still a major cause for concern and tension in Fallujah society, there is serious need to establish a surveillance and good statistical system for congenital anomalies and efforts should be made to raise awareness of their occurrence and the associated risk factors in Iraq and other developing countries.

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