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Primary calvarial tubercular osteomyelitic abscess presenting as scalp swelling—a rare case 以头皮肿胀为表现的原发性颅骨结核性骨髓炎脓肿——一例罕见病例
Pub Date : 2022-07-01 DOI: 10.4103/jacp.jacp_12_22
Ankit Bhatia, Sharad Joshi, Nitesh Tayal, M. Vaish
Abstract Tuberculosis (TB) is a well-known endemic problem in India. Skeletal tuberculosis constitutes about 1% incidence of all cases of tuberculosis, however, tuberculosis involving the skull bones is very uncommon even in endemic areas like India. The frontal and the parietal bones are the most commonly involved bones. We, hereby, report a young male presenting to us with scalp swelling in the left temporal region after a small trauma. The radiology revealed an abscess within the left right temporal bone and an associated bony defect. A temporal craniotomy was done and Gene-Xpert as well as Mycobacterium culture confirmed tubercular pathology. There was no reoccurrence on antitubercular therapy.
摘要结核病是印度一个众所周知的地方病。骨结核约占所有肺结核病例的1%,然而,即使在印度等流行地区,涉及颅骨的肺结核也非常罕见。额骨和顶骨是最常见的受累骨骼。在此,我们报告一名年轻男性在小创伤后出现左颞部头皮肿胀。放射学检查显示左、右颞骨内有脓肿和相关的骨缺损。做了颞叶开颅手术,基因Xpert和分枝杆菌培养证实了结核病理。抗结核治疗没有复发。
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引用次数: 0
Pulmonary manifestations of systemic sclerosis 系统性硬化症的肺部表现
Pub Date : 2022-07-01 DOI: 10.4103/jacp.jacp_20_22
S. Sarkar
Abstract Systemic sclerosis (SSc) is an autoimmune connective tissue disease that primarily involve skin. Pulmonary involvements are important as they influence the outcome of SSc. Interstitial lung diseases (SSc-ILD), pulmonary arterial hypertension (PAH), aspiration pneumonia are common pulmonary lung diseases found in SSc.
系统性硬化症(SSc)是一种主要累及皮肤的自身免疫性结缔组织疾病。肺部受累是重要的,因为它们影响SSc的结果。间质性肺疾病(SSc- ild)、肺动脉高压(PAH)、吸入性肺炎是SSc常见的肺部疾病。
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引用次数: 0
Bronchus sign on HRCT thorax: presenting sign of Wegener granulomatosis with lung involvement — misdiagnosed as TB in presence of acino-nodular pattern on imaging 胸部HRCT支气管征象:表现为累及肺部的韦格纳肉芽肿病征象,影像学表现为腺泡结节型误诊为结核
Pub Date : 2022-07-01 DOI: 10.4103/jacp.jacp_3_22
G. Gondhali
Abstract Tuberculosis is the most common diagnosis in India in presence of constitutional symptoms such as cough, fever, and weight loss with lung parenchymal abnormality irrespective of microscopy or nucleic acid amplification test abnormalities in high TB prevalent tropical settings. Pulmonary manifestations of systemic vasculitis have very diverse involvement ranging from the nodule to consolidation. Bronchus sign is classically described in lung malignancies than Wegener disease. The acino-nodular pattern is classical of pulmonary tuberculosis, sometimes documented in fungal infections. In this case report, a 45-year-old female, presented with constitutional symptoms with lung parenchymal nodules, without mycobacterial microscopic or genome documentation, received empirical antituberculosis treatment with the progression of the disease without clinical or radiological response. Bronchoscopy workup is inconclusive and tropical screen for bacterial, fungal, TB, and malignancy was negative. Vasculitis workup was done in view of the presence of persistent fever and documented PR3-ANCA positive with very highly raised titers. We have started on steroid and cyclophosphamide and clinical response documented with near-complete resolution of shadows in 12 weeks. Pulmonary manifestations of Wegener disease are rare and underestimated and early pickup of the entity in course of illness will have a good outcome with an excellent prognosis.
摘要结核病是印度最常见的诊断,在高结核病流行的热带地区,无论显微镜检查或核酸扩增检测异常如何,都会出现咳嗽、发烧和体重减轻等体质症状,并伴有肺实质异常。系统性血管炎的肺部表现有很多种,从结节到实变。与韦格纳病相比,支气管征在肺部恶性肿瘤中更为常见。腺泡结节型是肺结核的典型表现,有时也见于真菌感染。在本病例报告中,一名45岁的女性出现肺实质结节的体质症状,没有分枝杆菌显微镜或基因组记录,接受了经验性抗结核治疗,疾病进展无临床或放射学反应。支气管镜检查没有结论,细菌、真菌、结核病和恶性肿瘤的热带筛查呈阴性。鉴于存在持续发烧,并记录了PR3-ANCA阳性,滴度非常高,因此进行了血管炎检查。我们已经开始使用类固醇和环磷酰胺,并在12周内记录了几乎完全消除阴影的临床反应。韦格纳病的肺部表现是罕见的,被低估了,在疾病过程中早期发现该实体将有良好的结果和良好的预后。
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引用次数: 1
Sleep patterns in table chronic obstructive pulmonary disease patients at a tertiary care center: a hospital-based observational study 三级医疗中心慢性阻塞性肺疾病患者的睡眠模式:一项基于医院的观察性研究
Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_19_21
A. Verma, Abhisek Singh, S. Chaudhri, AnujKumar Pandey, N. Kumar, S. Kant, S. Chaudhary
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引用次数: 0
A study of perception of stress in COVID-19 suspected and confirmed patients during the process of screening, diagnosing, and treatment in a tertiary care center during the COVID-19 pandemic 新冠肺炎大流行期间某三级医疗机构筛查、诊断和治疗过程中疑似和确诊患者的压力感知研究
Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_30_21
K. Vivek, A. Deepa, B. Arun, C. Nagaraja, B. Shashibhushan
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引用次数: 0
Diffuse alveolar hemorrhage secondary to immune thrombocytopenic purpura: a case report and literature review 免疫性血小板减少性紫癜继发的弥漫性肺泡出血1例报告并文献复习
Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_35_21
S. Chaurasia, R. Raghavan, M. Thimmappa
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引用次数: 0
Do the symptoms affect SARS-CoV-2 RT-PCR results? 症状会影响SARS-CoV-2 RT-PCR结果吗?
Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_37_21
Melike Aloğlu, S. Gulgosteren, Ş. Atikcan
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引用次数: 0
COVID-19 and tuberculosis − a double trouble COVID-19和结核病是双重麻烦
Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_57_21
G. Vishnukanth, Muniza Bai, A. RamyaPriya, M. Rajaram
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引用次数: 0
Propensity score-matched case–control study of convalescent plasma in treatment of patients with moderate and severe COVID-19 倾向评分匹配的康复期血浆治疗中重度COVID-19患者的病例对照研究
Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_44_21
Nishant Raman, K. Kishore, S. Rana, V. Vardhan, Sandeep Thareja, K. Padmaprakash, J. Muthukrishnan, K. Rajmohan, M. Agarwal, K. Ashta, Anirudh Anilkumar
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引用次数: 0
Pulmonary mucormycosis: a rare case report 肺毛霉病1例报告
Pub Date : 2022-01-01 DOI: 10.4103/jacp.jacp_7_21
V. Jethani, Deependar Sharma, S. Pant, Sanket J. Joshi
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引用次数: 0
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The Journal of Association of Chest Physicians
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