Congenital abnormalities are relatively rare in general pathology. Despite this they can be an underlying cause of serious disease of any organ or system in human body. The proportion of those affecting the lung is between 5% and 18.7%. Their clinical manifestation depends on both the severity of the malformation changes and a lot of additional factors. Severe respiratory distress shortly after birth or asymptomatic course to adulthood could be among them.
Tooth avulsion is amongst the serious dental injuries which have a physical as well as psychological impact on the patient. It is frequent in the age group of 7-14 years with maxillary anterior teeth being the most commonly affected. Management of avulsed permanent tooth often presents a challenge. Replantation of the avulsed tooth is the best conservative treatment available. Prognosis of replantation is directly related to parameters like physiological status of periodontal ligament, extraoral handling of affected tooth, length of extraoral dry time and the storage medium. The purpose of the article is to describe the management of 22 year old female with avulsed maxillary lateral incisor which was reimplanted 19 hours after the injury.
The study presents a rare case of a gravida five with bad obstetric history and presenting with idiopathic polyhydramnios. She had history of fresh still births in the first, second and fourth pregnancies and a spontaneous abortion in the third pregnancy. The present antenatal course, ultrasonography observation and maternal examination supported the diagnosis of idiopathic polyhydramnios with congenital myotonic dystrophy. DM1 is a rare genetic disorder and is difficult to diagnose in reproductive women without a previously known family history. Idiopathic polyhydramnios with foetal loss should lead to clinical suspicion of myotonic dystrophy. These cases with, ultrasonography evidence of hypotonia, should be offered DNA testing for the myotonic dystrophy mutation.
Tuberculosis is a disease that is caused due to bacteria named Mycobacterium tuberculae which is a harmful bacterium which changes its structure by time and spreads very quickly. They are of 2 types disseminating tuberculosis in which the disease spreads all over the body within no time and the other one is nodal tuberculosis in which there is the formation of lymphomas and the diseased cells are clustered in that node itself. A male patient x of 34 years old was reported with pulmonary tuberculosis 6 months ago and was on regular treatment with AKT4 by DOTS and CAT. The patient has admitted with chief complain of 1 episode of seizures with clenching of teeth with loss of conscious, backache and abdominal pain. After diagnosis, he was detected with multiple CNS tuberculomas, pulmonary Koch’s and hyperbilirubinemia. He was initially taken to primary care hospital for seizure treatment and was shifted to multispecialty hospital for further management.