Acute streptococcal myocarditis presenting as acute ST-elevation myocardial infarction

Acute streptococcal myocarditis is an uncommon diagnosis in the developed world. Its presentation masquerading as acute myocardial infarction is still uncommon. We describe a case of a young male presenting with a recent diagnosis of streptococcal pharyngitis followed by a classical presentation of post streptococcal myocarditis. This is an unusual presentation of acute rheumatic fever (ARF) masquerading as acute myocardial infarction, with a discussion on its diagnosis and management.     

Case report: endoscopic management of seminal vesicle stones with cutaneous fistula

Stones in the seminal vesicle are rare. Open surgery to remove either the seminal vesicle or the stone usually is required. We report a case of seminal-vesicle stones compounded by cutaneous fistula that was treated by ureteroscopy, intracorporeal lithotripsy, and fulguration of the fistulous tract.     

Laparoscopic repair of vesicovaginal fistula

Vesicovaginal fistula (VVF) may be a complication of prolonged repair or urogynecologic surgery. Failing conservative management, it may be repaired using an abdominal or vaginal approach. We herein report laparoscopic repair of VVF following vaginal hysterectomy and detail the operative steps.     

Birth weight of Indian babies born in hospitals

Summary From 20 hospitals in different towns and cities representing the States in the country, data on live-birth-weight were obtained. Data on length, head and chest circumference, plurality and sex of the babies were also available. In addition, information on religion and socioeconomic status of the parents, prenatal care, maternal complications and deaths which occurred during the stay in the hospital, was recorded on each live-birth card. Data on 10,756 babies—5,656 males and 5,100 females—were analysed. Birth-weights were classified into weight-groups 250 G. up to 3000 G. and by 500 G. above that. Percentage distrlbutions were made for each state and sex. There was a wide difference in the total percentages of births between the two birth-weight groups 2001–2250 G. and the next group 2251–2500 G. This observation led to the consideration of lowering the limit for “prematurity” of “low birth-weight” from the WHO standard of 2500 G. or less, to 2250 G. or less To lend support to this, some of the influencing factors like period of gestation, mortality rate, maternal complication, prenatal care, whether birth was from first pregnancy or not, were all studied in relation to the birth weight distribution. The results indicated that for Indian babies, 2250 G, or less could be fixed as a suitable limit for prematurity, under the conditions prevailing in the country. From the Statistical Unit, Indian Council of Medical Research, New Delhi, 16.