Amœbic Hepatitis and Associated Pericarditis
نویسنده
چکیده
was made only at autopsy. The case reported here was one of amcebic hepatitis and associated acute dry pericarditis: The pericarditis was secondary to extension of the hepatitis. The patient was cured with ?injections of emetine hydrochloride. The rarity of the incidence of amcebic pericarditis secondary to amoebic hepatitis warrants the present publication. Case history K. K., 17 years, Hindu female, married, was admitted to Shri Janki Devi Bhagat Mahila Seva Sadan, Agra, for confinement. She delivered a living child who suffered from infantile diarrhoea and expired after 25 days. She started running a temperature 2 days after the confinement. An intramuscular injection of quinine bihydrochloride (10 grains) was given, but the temperature persisted. An examination of her vaginal smear showed pus cells in large number, a few extra-cellular Gram-positive diplococci, staphylococci and Gram-negative bacilli. A diagnosis of puerperal sepsis was made and she was put on sulphanilamide tablets of which she got a total dose of 40 grammes. In spite of this her temperature continued. At this stage a clinical diagnosis of typhoid fever was entertained. The following investigations were done : Blood : Total white cells 7,450 (polymorphonuclears 72 per cent, lymphocytes 22 per cent, large mononuclears 3 per cent, eosinophils 3 per cent); no parasites. Urine showed nothing of significance. Widal test (18th day of fever)
منابع مشابه
A Case of Amœbic Pericarditis
Rupture of an amoebic absccss of the liver into the pericardial cavity has been recorded on rare occasions. Two recent cases have been reported in the Indian Medical Gazette of July and August 1946, in which a definite pericarditis had been established by finding the E. histolytica. A similar case has come under my observation recently. The patient was admitted to hospital on 1st August, 1946, ...
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