Pyoderma gangrenosum associated with osteomyelitis in a paediatric patient: a case report

Pyoderma gangrenosum is a rare ulcerative skin disorder mainly occurring in adults. It is seen less frequently in children. The cause is unknown but it may occur in association with several disorders. Osteomyelitis is a very rare association. We report a case of pyoderma gangrenosum associated with osteomyelitis in a two-year-old girl.     

Insulinoma-a case report

BNM, a 40 years Hindu male presented with history of intermittent fainting attacks and had increase in body weight for last 2 years. He used to take a lot of sweets to recover from the attact. His body wht was 100 kg. His fasting blood sugar was 50 mg/dl and insulin glucose (I/G) ratio was 0.6. CT scan of abdoman showed one solitary tumour in the body of pancreas near its tail. Laparotomy was done. The tumour was found to be a benign insulinoma on microscopic examination. Though the postoperative period was uneventful but he succumbed probably due to pulmonay embolism.     

Holoprosencephaly--a case report

A newborn female with delayed initiation of respiration was presented. She was born at term, normally of an uncomplicated pregnancy. Her head circumference was 40.5 cm. X-ray skull showed sutural separation. CT-scan of brain showed a large monoventricle occupying most of the cranial cavity. The case had typical features of albolar holoprosencephaly with hydrocephalus. The baby was treated for birth asphyxia.     

Tuberculous prostatitis--a case report

Tuberculous prostatitis is a rare condition. A 55 years-old man admitted into a surgery unit of Mymensingh Medical College Hospital with features of prostatism. After clinical examination and investigations, it was diagnosed as a case of benign enlargement of prostate (BEP) and surgery was decided to do. During exploration a large cystic cavitation found in prostate and the intact median lobe taken out for histopathological examination, which revealed tuberculous granuloma. The patient had no evidence of past or present pulmonary tuberculosis. He was treated with anti-tubercular chemotherapy and responded well. No such case is found reported in Bangladesh yet in through medline search database. So, the case is reported here.