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  Citation statistics : Table of Contents
   1995| April-June  | Volume 41 | Issue 2  
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Disseminated mucormycosis in healthy adults.
GR Verma, DR Lobo, R Walker, SM Bose, KL Gupta
April-June 1995, 41(2):40-2
Three patients of disseminated mucormycosis are described. None had predisposing factors. Two of them presented with nonspecific symptoms along with acute renal failure and peritonitis. Third patient had fulminating primary cutaneous mucormycosis which disseminated later. Development of acute renal failure with smooth enlargement of both kidneys in an apparently healthy individual or appearance of mould in a wound should raise the suspicion of mucormycosis. The hallmark of the infection was vascular invasion and thrombosis. Antemortem diagnosis could be made in one patient only. All patients had progressive downhill course despite supportive treatment, antibiotic and amphotericin in-B in one patient.
  10 9,118 162
Thyroid abscess.
OS Rohondia, RS Koti, PP Majumdar, T Vijaykumar, RD Bapat
April-June 1995, 41(2):52-4
Thyroid abscess arising from Acute Suppurative Thyroiditis (AST) is a rare clinical disorder. The ability of the thyroid gland to resist infection is well known and infection in the thyroid gland is rare, particularly so with the advent of widespread usage of antibiotics. An internal pharyngeal fistula (Pyriform sinus fistula) is the most common underlying abnormality in patients with AST. We report a case of an adult male who presented with a thyroid abscess. The causal organism was found to be Staphylococcus aureus. Intravenous antibiotics and, incision and drainage of the abscess led to an uncomplicated recovery.
  9 11,418 230
Situs inversus with cholelithiasis.
KA Pathak, R Khanna, N Khanna
April-June 1995, 41(2):45-6
Situs inversus totalis is a form of heterotaxia which is usually detected accidentally while investigating for any associated condition. If undetected, this condition can create a diagnostic puzzle. We report one such case in which situs inversus was associated with cholelithiasis.
  3 8,150 146
A case for partial patellectomy.
VA Mittal
April-June 1995, 41(2):31-3
The treatment of fractures of the the patella is a subject of controversy. Partial patellectomy with retention of a major fragment and suture of the quadriceps to it, seems reasonable. 18 cases of patella fracture underwent such a procedure. The average age of the patients was 47 years. Maximum recovery took an average of 5 months. There were 6 excellent results, 9 good, 3 fair. Results were assessed on the basis of pain, muscle wasting, quadriceps power, and range of knee motion. Total patellectomy and patella fixation as alternative modes of treatment are discussed. Partial patellectomy, whenever possible, is a good choice.
  3 17,599 151
Isolated jejunal varices.
SS Bhagwat, SS Borwankar, RH Ramadwar, AS Naik, GI Gajaree
April-June 1995, 41(2):43-4
Isolated jejunal varices are an uncommon manifestation of portal hypertension. A one and a half year old boy presented with recurrent, massive gastrointestinal bleeding from jejunal varices. The bleeding site was identified at exploratory laparotomy. Jejunal resection and anastomosis resulted in complete resolution of the bleeding and there has been no recurrent bleeding over an eight month follow-up period.
  2 6,229 116
Effect of Blalock Taussig shunt on clinical parameters, left ventricular function and pulmonary arteries.
H Kulkarni, R Rajani, B Dalvi, KG Gupta, A Vora, P Kelkar
April-June 1995, 41(2):34-6
Twenty children (mean age 3.25 years) with congenital cyanotic heart disease undergoing modified left Blalock-Taussig (BT) shunt were studied. The mean follow-up period was 9.5 months (range 6 months to 1 year). The shunt was performed for cyanotic spells in 15 (75%) and hypoplastic pulmonary arteries in 5 (25%) patients. There were no immediate or late complications. None had cyanotic spell after the shunt. The mean arterial oxygen saturation improved from 66.47 +/- 11.9 to 76.97 +/- 8.16% (p = 0.0003) and mean hematocrit decreased from 51.55 +/- 9.5 to 46.5 +/- 9.7 (p = 0.002) after the shunt. The left atrial systolic volume and left ventricular diastolic volume also increased significantly following the shunt (from 15.82 +/- 6.37 to 20.83 +/- 8.91 ml p = 0.006 and from 36.13 +/- 16.08 to 41.08 +/- 20.07 ml (p = 0.01) respectively. There was significant growth of main, right and left pulmonary arteries and pulmonary valve annulus after the procedure.
  2 12,438 142
Anterior urethral valve in an adolescent boy.
SV Punekar, NR Rao, AR Kelkar, PM Gavande, AR Prem
April-June 1995, 41(2):46-7
A 14 year old boy with a relatively uncommon anterior urethral valve is described herein.
  1 7,215 114
Rectal duplication.
B Kulkarni, SN Oak, SJ Karmarkar, AP Desai, SS Deshmukh
April-June 1995, 41(2):49-51
Duplications of the alimentary tract are of a great rarity, particularly so in the rectum. Because of its rarity, the difficulty of making a correct diagnosis and of selection of proper approach for treatment, this entity bears a special significance. The present case report deals with a female newborn who presented with imperforate anus and a rectovestibular fistula and a mass prolapsing at the introitus. Complete excision of the mass was carried out through the perineal approach and the child then underwent, a PSARP for the correction of the rectal anomaly. Histology confirmed the mass to be a rectal duplication.
  1 9,613 189
Evaluation of solitary pulmonary nodule.
GS Gaude, MJ Pinto
April-June 1995, 41(2):56-9
  1 15,326 215
Fracture of the entire posterior process of the talus.
TR Jimulia, AN Parekh
April-June 1995, 41(2):54-5
A 25 year old, who had sustained a fracture of the entire posterior process of the talus, is presented. THe fracture was successfully managed conservatively.
  - 8,693 103
Fracture sacrum.
AS Dogra, AR Karkhanis, RV Asurlekar
April-June 1995, 41(2):47-9
An extremely rare case of combined transverse and vertical fracture of sacrum with neurological deficit is reported here with a six month follow-up. The patient also had an L1 compression fracture. The patient has recovered significantly with conservative management.
  - 10,467 136
Antimicrobial resistance--a strident alarm.
R Soman
April-June 1995, 41(2):29-30
  - 6,188 122
Family planning: views of female non-acceptors in rural India.
S Kartikeyan, RM Chaturvedi
April-June 1995, 41(2):37-9
A study conducted on eligible rural women who were unwilling to accept family planning methods revealed that many women were concerned about child survival and viewed children as a source of support in old age. Family size was usually decided by in-laws. Pressure from in-laws to have more children was significantly higher in families where the women were less educated or illiterate.
  - 8,530 117
Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow