OBJECTIVE To determine the frequency of tuberculosis in recurrent fistula-in-ano. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY This study was conducted in Surgical Ward-3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from 1998 to 2007. PATIENTS AND METHODS The study included 100 cases of recurrent fistula-in-ano not responding to conventional surgery. Patients with othe...

The prevalence of Mycobacterium tuberculosis infection in Taiwan has increased in recent decades. Extrapulmonary infection accounts for 40% of all tuberculosis cases. Here we report a seven-year-old girl with culture-proven tuberculous myositis manifested as progressive enlargement of chest wall mass. No congenital or acquired immune deficiency could be traced at presentation. After surgical ex...

Endobroncheal tuberculosis is defined as tuberculous infection of the tracheobronchial tree with microbial and histopathological evidence. The disease is usually mistaken for other lung diseases including lung cancer. Bronchial stenosis is a common complication of this type of tuberculosis despite the use of effective anti-tuberculous chemotherapy. We are presenting a case of endobronchial tube...

We present a 14-year-old boy, a known case of idiopathic thrombocytopenic purpura (ITP) for five years, and was treated with intermittent oral steroids. He presented with left upper abdominal pain of three months' duration. The pain was dull, aching and non-radiating. There were no other associated features. Before this presentation, he was receiving oral steroids for a month. The patient had b...

1 Valdes L, Sanjose E, Alvarez D, Sarandeses A, Pose A, Chomon B, et al. Diagnosis of tuberculous pleurisy using the biologic parameters adenosine deaminase, lysozyme, and interferon gamma. Chest 1993; 103:458-65 2 Piras MA, Gakis C, Budroni M, Andreoni C. Adenosine deaminase activity in pleural effusions: an aid to differential diagnosis. Br Med J 1978; ii:1751-52 3 Van Keimpema AR, Slaats EH,...

BACKGROUND In the USA, Mycobacterium tuberculosis infection is more likely to be found in foreign-born individuals, and those co-infected with human immunodeficiency virus (HIV) are more likely to have tuberculous meningitis. The literature is lacking in details about the clinical workup of patients presenting with tuberculous meningitis with encephalopathic features who are co-infected with HI...

Adenosine deaminase (ADA) activity and tuberculostearic acid (TSA) levels in pleural effusions were measured in 18 patients with active tuberculous pleuritis, 16 patients suspected of having tuberculous pleuritis, 14 patients with carcinomatous pleuritis, and 19 patients suffering from pleuritis of non-malignant and non-tuberculous etiology. In the patients with active tuberculous pleuritis, AD...