The Journal of the Association of Physicians of India
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J Assoc Physicians India · Aug 2010
Letter Case ReportsUlcerative colitis presenting as toxic megacolon.
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Obstructive sleep apnoea (OSA) is a common medical disorder associated with considerable morbidity and is being recognized and diagnosed with increasing frequency. Patients with OSA are frequently overweight and usually present with longstanding history of snoring and excessive daytime sleepiness along with accompanying obesity. ⋯ The most important factor in the pathogenesis of OSA is a narrow and floppy pharyngeal airway. Of the several treatment modalities which are available presently, the most successful is the application of continuous positive airway pressure (CPAP) during sleep.
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J Assoc Physicians India · Jul 2010
Case ReportsFocal myelomalacia and syrinx formation after spinal anaesthesia.
Spinal cord injury is an uncommon complication of post epidural lumbar anesthesia with acute and delayed progressive neurological complications described. Few cases of post spinal anaesthesia syrinx formation have been reported in literature. We report an interesting case of focal myelomalacia with syrinx formation occurring post lumbar anesthesia in a thity five year old female undergoing open cholecystectomy.
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J Assoc Physicians India · Jun 2010
Case ReportsMixed movement disorder as the presenting manifestation of non-ketotic hyperglycemia.
Focal neurological symptoms may provide the first clue to the presence of nonketotic hyperglycemia (NKH). We report a patient with hemichorea-hemiballism (HC-HB) as the first manifestation of NKH. ⋯ This condition resolved after correction of hyperglycemia. The possible mechanism by which NKH causes this condition is discussed.
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J Assoc Physicians India · Jun 2010
Profile of patients of leptospirosis in sub-Himalayan region of North India.
Leptospirosis is an emerging zoonosis world wide; it is being reported in many areas of south-east Asia now. A recent surge in the number of patients with leptospirosis has been noted in the Sub-Himalayan region of North India which was uncommon. We present here a case series of 13 patients who were positive for leptospirosis either by IgM Elisa or PCR method. ⋯ Leptospirosis was unexpectedly found to be positive in many of our patients who were having pyrexia during the monsoons. A recent surge has been noted in the number of cases with leptospirosis in this state. The possibility of co-infection especially with scrub typhus must be considered in cases with atypical presentation and severe illness. Most of the patients were from rural background with poor hygienic conditions. There was no mortality and main complication was Weil's syndrome in 77 percent.