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Sangeeta, A.
- Disseminated Histoplasmosis A Case Report
Authors
1 Dept.of Medicine, T.N.Medical College, Dr.A.L.Nair Road, Mumbai Central, Mumbai-400 008., IN
Source
The Indian Practitioner, Vol 67, No 6 (2014), Pagination: 376-378Abstract
Histoplasmosis is a disease of worldwide occurrence. It is a systemic mycosis caused by Histoplasma capsulatum. Although the majority of cases present as a mild to moderate flulike disease requiring only supportive therapy, approximately 5% of patients experience more serious pulmonary and extra pulmonary disease that can be life-threatening if diagnosis is delayed or if treatment is not initiated rapidly. Definitive diagnosis is usually made by a combination of culture, detection of the organism in tissues, measurement of antibodies, or detection of antigen. In India, till now only sporadic cases are reported. Most of the cases of disseminated histoplasmosis described were in patients with HIV disease or known predisposing factors for cellular immune deficiency. In India, disseminated histoplasmosis is rarely suspected. Herewith, we report a case of disseminated histoplasmosis treated successfully.
- To Study the Incidence and Prevalence of Iron Deficiency Anaemia in Adult Males - a Prospective Study
Authors
1 Dept. of Medicine, T.N. Medical College, Mumbai 400 008, IN
Source
The Indian Practitioner, Vol 68, No 1 (2015), Pagination: 24-26Abstract
Objectives: To find the incidence and prevalence of iron deficiency anaemia (IDA) among adult males followed up in a tertiary teaching hospital of Mumbai. To study aetiological factors and clinical profile of iron deficiency anaemia in adult male patients and correlate with haematological parameters.
Methods: This was a prospective control study performed in a tertiary care hospital in Mumbai over a period of 1 year. The study included 100 iron deficiency anaemia male patients (indoor & outdoor) above age 14 years. Informed consent was taken from each patient according to the Helsinki protocol. After the valid consent of the patients, data was recorded in the proforma.
Inclusion Criteria: 1) All male patients with age > 14 yrs, 2) Haemoglobin < 13 gm% (normal 13-17 g/dl) with MCV < 75 fl (normal 76-96 fl).
Exclusion Criteria: 1)Patients with iron deficiency anaemia due to liver or kidney diseases. 2) Haematological malignancy causing anaemia. 3) Dimorphic anaemia.
Results: This study concludes that 72.0% of the cases had moderate anaemia as their range of Haemoglobin was between 6-10 g/dl. 18.0% of the subjects whose haemoglobin was in range 10-13 g/dl were suffering from mild anaemia. 10.0% of the cases were severe anaemic as their haemoglobin levels dropped below 6 g/dl.
Conclusions: The findings of high prevalence of anaemia (72.0%) in adult males need further investigation and corroboration in other studies.