scholarly journals Nasal Dermoid Sinus Cyst expanding into Frontal Sinus: A Rare Presentation

2012 ◽  
Vol 5 (3) ◽  
pp. 123-126
Author(s):  
Ashok Gupta ◽  
Rijuneeta LNU ◽  
Grace Budhiraja ◽  
Abhilash Alex Francis
Keyword(s):  
Frontal Sinus ◽  
Care Center ◽  
Complete Removal ◽  
Clinical History ◽  
Sinus Tract ◽  
Combined Approach ◽  
Rare Presentation ◽  
Health Care Center ◽  
Dermoid Sinus ◽  
Rare Case Report

ABSTRACT Nasal dermoid sinus cysts are uncommon congenital anomalies that require interventions only when they present as complications. They frequently present in childhood as midline nasal masses requiring excision. They may present with intracranial as well as intraorbital extensions, making it necessary to subject the patient for proper radiological diagnosis preoperatively. Here, we present a rare case report of 28-year-old male patient who presented at our tertiary health care center with nasal dermoid cyst expanding into the frontal sinus causing proptosis and blurring of vision. The cyst was excised by combined approach, i.e. external nasal dermoid sinus tract excision and endoscopic nasofrontal sinusotomy for complete removal. The embryology, clinical history, diagnosis and surgical management are discussed. How to cite this article Gupta R, Gupta A, Budhiraja G, Francis AA. Nasal Dermoid Sinus Cyst expanding into Frontal Sinus: A Rare Presentation. Clin Rhinol An Int J 2012;5(3):123-126.

scholarly journals Rupture Spleen as Initial Presentation in A Patient of Chronic Myeloid Leukaemia: A Case Report

2016 ◽  
Vol 13 (2) ◽  
pp. 52-54
Author(s):  
Mohammad Ibrahim Khalil ◽  
Md. Nazmul Islam ◽  
Mafruha Akter ◽  
AZM Mostaque Hossain ◽  
Md. Amir Hossain
Keyword(s):  
Chronic Myeloid Leukaemia ◽  
Myeloid Leukaemia ◽  
Female Student ◽  
Care Center ◽  
Chronic Phase ◽  
Abdominal Distension ◽  
Emergency Laparotomy ◽  
Rare Presentation ◽  
Health Care Center ◽  
Common Presentation

A 22 years female student presented with sudden severe abdominal pain in left upper quadrant followed by abdominal distension. She attended in surgery unit of a tertiary health care center. On examination she was in shock and the abdomen was distended, tender. She was evaluated as  surgical acute abdomen and emergency laparotomy revealed rupture of spleen and splenectomy was done. Her CBC showed gross leucocytosis with predominance of neutrophils and significant number of myelocytes and the PBF showed the features of chronic phase of chronic myeloid leukaemia. BCR-ABL was positive from bone marrow that confirms the diagnosis. Splenomegaly is a common presentation of CML. However spontaneous rupture of spleen is a very rare presentation of CML. Journal of Science Foundation, 2015;13(2):52-54DOI: http://dx.doi.org/10.3329/jsf.v13i2.27935

scholarly journals Preauricular Sinus as Recurrent Postaural Abscess: A Rare Presentation

2014 ◽  
Vol 6 (2) ◽  
pp. 84-86 ◽  
Author(s):  
Sharanabasappa Rudragouda Malipatil
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Rare Case ◽  
Sinus Tract ◽  
Recurrent Infections ◽  
Rare Presentation ◽  
Treatment Patient ◽  
Preauricular Sinus ◽  
Rare Case Report ◽  
Surgical Extirpation

ABSTRACT Preauricular sinus (PAS) is not uncommon congenital anomaly. It is usually asymptomatic and does not require any treatment. Patient presenting with discharge, recurrent infections and preauricular abscess will require management with antibiotics and surgical extirpation of the sinus tract. Here, it is a rare case report of PAS presenting as a recurrent postaural abscess. How to cite this article Malipatil SR. Preauricular Sinus as Recurrent Postaural Abscess: A Rare Presentation. Int J Otorhinolaryngol Clin 2014;6(2):84-86.

scholarly journals Preauricular Sinus as Recurrent Postaural Abscess: A Rare Presentation

2015 ◽  
Vol 7 (1) ◽  
pp. 26-28
Author(s):  
Sharanabasappa Rudragouda Malipatil
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Rare Case ◽  
Sinus Tract ◽  
Recurrent Infections ◽  
Rare Presentation ◽  
Treatment Patient ◽  
Preauricular Sinus ◽  
Rare Case Report ◽  
Surgical Extirpation

ABSTRACT Preauricular sinus (PAS) is not uncommon congenital anomaly. It is usually asymptomatic and does not require any treatment. Patient presenting with discharge, recurrent infections and preauricular abscess will require management with antibiotics and surgical extirpation of the sinus tract. Here, it is a rare case report of PAS presenting as a recurrent postaural abscess.

scholarly journals Clinical Profile of Children with Acute Febrile Encephalopathy in a Tertiary Health Care Center of Nepal

2016 ◽  
Vol 35 (3) ◽  
pp. 224-230 ◽  
Author(s):  
Poonam Sharma ◽  
BK Sarmah ◽  
Pawana Kayastha ◽  
Asim Shrestha ◽  
Damodar Tiwari
Keyword(s):  
Bacterial Meningitis ◽  
Viral Encephalitis ◽  
Hospital Admissions ◽  
Care Center ◽  
Clinical History ◽  
Clinical Findings ◽  
Respiratory Pattern ◽  
Health Care Center ◽  
Altered Sensorium ◽  
Geographical Regions

Background: Acute febrile encephalopathy is a common and severe neurological syndrome that is associated with significant morbidity and mortality in children. The etiologies differ according to geographical regions and appropriate and efficient protocols for investigations and management requires proper understanding of various potential etiologies.Methods: In this prospective observational study, 54 children of one month to 14 years presenting to the hospital with acute onset of fever with altered sensorium were clinically evaluated and investigated. Clinical examinations included temperature, pulse rate, heart rate, blood pressure, coma severity by GCS, respiratory pattern and detail systemic and CNS examination. Etiology of acute febrile encephalopathy was based on clinical history, examination and relevant laboratory investigations.Results:  The incidence of acute febrile encephalopathy was 5.5% of the total hospital admissions. There were 35(64.8%) boys and 19(35.2%) girls. The maximum number of children 24(44.4%) were between one to five years of age. The most common presenting complains besides fever and altered sensorium were seizures and vomiting which was present in 59.3% and 46.3% of children respectively. Signs of meningeal irritation, hypertonia, brisk deep tendon reflexes and extensor plantar response was present in 50%, 24%, 29.6%, and 44.4% respectively. The diagnosis based on clinical findings and laboratory investigations were viral encephalitis 34(63%), bacterial meningitis 12(22.2%), cerebral malaria 4(7.4), enteric encephalopathy 3(5.6%) and hepatic encephalopathy 1(1.9%).Conclusion: Viral encephalitis and bacterial meningitis are the most common cause of acute febrile encephalopathy. Preventive strategies can be done to decrease the incidence.J Nepal Paediatr Soc 2015;35(3):224-230

scholarly journals Peri-operative Considerations in Intracranial Hemorrhage in Dengue Virus Infected Patients: A Prospective Mini Case Series

2016 ◽  
Vol 13 (1) ◽  
pp. 43-46
Author(s):  
Shyam C Meena ◽  
Suresh C Dulara ◽  
Sachindanand Gautam ◽  
Sharad Beldar
Keyword(s):  
Intracranial Hemorrhage ◽  
Care Center ◽  
Case Series ◽  
Operative Management ◽  
Toxic Encephalopathy ◽  
Rare Presentation ◽  
Health Care Center ◽  
Excellent Outcome ◽  
Neurologic Status ◽  
High Dependency

Dengue is one of the most common mosquito-transmitted arboviral diseases of tropical and few subtropical areas of the world. It is estimated that 100 million cases occur every year and 2.5 billion people are at risk. Hemorrhagic complications causing encephalopathy is quite a rare presentation but usually fatal. We discuss the peri-operative management of 8 uncommon cases of intracranial hemorrhage (ICH) in dengue. High index of suspicion is required for prompt diagnosis and treatment.Eighteen dengue serology positive patients who presented with neurological manifestations were managed in neurosurgery unit of our tertiary health care center in six months duration. Most of the patients had deranged prothrombin time and thrombocytopenia. They were given platelet concentrates for correction of thrombocytopenia. All vital parameters and neurologic status were closely monitored in high dependency unit. Eight of these patients had deterioration in neurologic status; five of them underwent surgery.All patients who underwent surgery had excellent outcome. Rest of the patients including one patient of cervical extradural hemorrhage were managed conservatively with intravenous fluid and cerebral decongestants. Two patients with deep-seated bleed deteriorated very rapidly and died. Rest who were managed either surgically or conservatively including cervical EDH improved well without any residual deficit.High index of suspicion of ICH is required in dengue especially during convalescence. Special attention should be given to those patients who are disoriented and have altered sensorium and should not be misinterpreted as fever delirium or toxic encephalopathy. It needs immediate attention and investigation. Timely diagnosis and intervention can save lives.Nepal Journal of Neuroscience 13:43-46, 2016  

scholarly journals Extrapulmonary Tuberculosis Manifests as Middle Ear Tuberculosis: A Rare Case Report from Secondary Health Care Center at Sub-Himalayan Region

2022 ◽  
Vol 7 (1) ◽  
pp. 9-11
Author(s):  
Shivbrat Sharma ◽  
Shachita . ◽  
Parul Bhardwaj
Keyword(s):  
Middle Ear ◽  
Care Center ◽  
Extrapulmonary Tuberculosis ◽  
Himalayan Region ◽  
Rare Entity ◽  
Health Care Center ◽  
Prompt Treatment ◽  
Rare Case Report ◽  
Secondary Health Care ◽  
Keywords Tuberculosis

Tuberculosis of ear is a rare entity. Early diagnosis and prompt treatment can prevent many serious complications. Here we report a case of 45 year old female with middle ear tuberculosis which was cured with mastoid exploration followed by anti tubercular treatment. Keywords: Tuberculosis, TB, Extrapulmonary Tuberculosis, Middle Ear Tuberculosis, Sub-Himalayan Region

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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