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1.
Anil K Jain Ravindra S Chauhan Ish K Dhammi Aditya V Maheshwari Ruma Ray 《The spine journal》2007,7(2):249-253
BACKGROUND CONTEXT: Pseudoaneurysm of the aorta in association with vertebral tuberculosis is a rare phenomenon. With the resurgence of human immunodeficiency virus (HIV) and associated resistant tuberculosis, this life-threatening complication requires greater awareness. PURPOSE: Our purpose is to report the rare presentation and successful management of tubercular pseudoaneurysm of the aorta in association with vertebral tuberculosis, and to highlight the clinicoradiological features for early and prompt diagnosis of this potentially fatal, but treatable, disease. STUDY DESIGN: A single case report and overview of the disease comprises the design of this study. PATIENT SAMPLE: The patient, already surgically intervened, is a 27-year-old male with increasing abdominal and back pain, upper motor neuron signs, and constitutional signs and symptoms. OUTCOME MEASURES: At 33 months follow-up, there is complete resolution of the signs and symptoms, and the patient is back to his previous vocation. METHODS: The diagnosis was confirmed by magnetic resonance imaging and contrast computed tomography. Endoaneurysmorrhaphy of the pseudoaneurysm along with a complete course of antitubercular treatment was given to the patient, and he has presently been followed up for 33 months. RESULTS: The patient's signs and symptoms have been completely resolved without any recurrence. CONCLUSION: Despite the use of modern chemotherapy and imaging techniques, this disastrous complication still occurs and reinforces the need for early suspicion, diagnosis, surgical resection, and antitubercular therapy along with close postoperative follow-up to prevent recurrence. With the resurgence of HIV (and other immunocompromised states) associated and resistant tuberculosis, we should be more alert than ever to this life-threatening complication. 相似文献
2.
M Puvaneswary J Gani IK Kalnins 《Journal of Medical Imaging and Radiation Oncology》1998,42(4):367-369
Glomus vagale are rare vascular tumours of the paraganglion cells of the vagus nerve, and they usually occur in the carotid space. Tumours can be familial, multicentric, malignant but rarely hormonally active. A rare case is reported of glomus vagale presenting as a supraclavicular mass. 相似文献
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4.
Rehan Ul Haq Prashant Modi IK Dhammi Anil K Jain Puneet Mishra 《Indian Journal of Orthopaedics》2013,47(3):302-306
Conjoint bicondylar Hoffa fracture is an extremely rare injury. Only one case has been reported previously in the pediatric age group. We describe this injury in a 17-year-old male who presented following a fall with direct impact on his semiflexed right knee. Plain radiographs were inadequate to define the exact pattern of injury. Computed tomographic (CT) scans demonstrated the coronal fracture involving both the femoral condyles which were joined by a bridge of intact bone. The patient was treated with open reduction and internal fixation using swashbuckler (modified anterior) approach. Union occurred within 3 months and at final followup (at 18 months) the patient had a good clinical outcome. The possible mechanism of injury is discussed. 相似文献
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6.
Cubitus varus: problem and solution 总被引:2,自引:0,他引:2
Jain AK Dhammi IK Arora A Singh MP Luthra JS 《Archives of orthopaedic and trauma surgery》2000,120(7-8):420-425
A lateral closing wedge osteotomy was performed in 39 children with cubitus varus deformity resulting from a supracondylar
fracture. All had a deformity of 15° or more, with 5 having more than 30° of varus. The osteotomy was fixed by three different
methods. In 8 cases the osteotomy was fixed with 2 parallel Kirschner wies (group K). A modified French technique (group TBW)
was used in 25 cases and held with a figure-of-8 wire loop tightened over the screw heads. In the last 6 cases the osteotomy
was fixed with an external fixator (group EF). The only poor result (i.e. loss of carrying angle of more than 10° and loss
of flexion and extension of 20° or more) was in group K due to pin tract infection and loosening of the K-wires. In the TBW
group 5 patients lost some degree of correction, and none became infected. In the EF group no patient suffered pin tract infection
or loss of correction. Based on our experience and results, we feel that the best age at which to correct cubitus varus deformity
was 6–11 years and that the external fixator is a safe, effective and reliable method to fix the osteotomy. We propose this
method of fixation as a good alternative method to the modified French technique, especially in cases of severe cubitus varus
deformity, where removal of a large wedge can produce a big step at the osteotomy site, increasing the possibility of disengagement
of the stainless steel wire from the screw head. In addition, minor postoperative modifications of correction, if required,
can also be performed. It also avoids a second operation for implant removal.
Received: 5 August 1999 相似文献
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8.
A significant recent advance that has occurred world over in the continuously evolving field of Magnetic Resonance Imaging (MRI) practice is the introduction of Cardiac applications. Cardiac MRI has moved to the centre stage of clinical management strategy by non-invasively imaging the structure as well as function of the heart. It has a wide range of specific applications such as delineation of morphological anatomy, quantification of flow and pressure across cardiac valve dysfunction, evaluation of myocardial function, assessment of infarcts, mapping coronary arteries and so on. Evaluation of congenital heart disease (CHD) is an important application of Cardiac MRI since the morphological details of chambers, septum, defects and anomalous connections are depicted accurately. Besides, flow information across valves, chambers, outflow tracts and shunts are also provided. This article describes our experience in the use of cardiac MRI in congenital heart disease.Key Words: Cardiac MRI, Congenital heart disease, Cyanotic and Acyanotic heart disease 相似文献
9.
H. Yasemin BALABAN Abdullah Tark ASLAN efika AYAR Osman DA Alpaslan ALP Cem MEK Cavanir VAHABOV Tolga YILDIRIM Hakan G
KER Yahya BÜYÜKAIK Halis MEK 《Turkish Journal of Medical Sciences》2021,51(3):1229
Background/aim Hepatitis B virus (HBV) vaccination rates are insufficient in high-risk patients worldwide. This study aimed to investigate the screening, immunization, and vaccination rates in three high-risk groups for HBV infection: allogeneic hematopoietic stem cell transplantation (AHSCT), renal transplantation (RT), and chronic hepatitis C (CHC) groups. Materials and methods The serological data of consecutive patients between 2014 and 2019 were reviewed using the hospital database. Results The HBV screening rates were 100.0%, 90.4%, and 82.4% in the AHSCT, CHC, and RT groups, respectively (p = 0.003). The immunization rates against HBV through either previous exposure or vaccination were 79.5%, 71.7%, and 46.5% in the AHSCT, RT, and CHC groups, respectively (p < 0.001). The HBV vaccination rate was significantly low in the CHC group (71.5%, 69.0%, 34.6% in the AHSCT, RT, and CHC groups, respectively, p < 0.001). If patients lost their immunity due to immunosuppressive therapy were accounted, the vaccination rates increased to 95.2% in the AHSCT group and 72.9% in the RT group. The rate of annual screening for HBV status was 97.9% in the AHSCT group, but it was only 23.9% in the RT group. Conclusion HBV screening and vaccination rates were significantly lower in the RT and CHC groups than in the AHSCT group. 相似文献
10.
Paton NI; Cheong IK; Kong NC; Segasothy M 《QJM : monthly journal of the Association of Physicians》1996,89(7):531-538
To determine the incidence, types and risk factors for infection in
systemic lupus erythematosus (SLE) patients in Kuala Lumpur, Malaysia, we
retrospectively reviewed the medical records of 102 patients with definite
SLE attending a specialist clinic. Details of major infections (pneumonia
or severe infection requiring intravenous therapy) and minor infections,
and their time of onset in relation to immunosuppressive therapy and
disease flares were recorded. There were 77 major and 163 minor infections
during 564 patient-years of follow-up. In the month following a course of
pulse methylprednisolone, the incidence of major infection was 20 times
higher and the incidence of minor infection was 10 times higher than at
other periods (p<0.0001). In the month after disease flare, the
incidence of major infection was 10 times higher and the incidence of minor
infection six times higher than at other times (p<0.0001). After
allowing for methylprednisolone therapy and disease flares, there was no
increase in the rate of infections during treatment with azathioprine, oral
or intravenous cyclophosphamide. There was no effect of renal involvement
on infection rate.
相似文献