1 Manchester Academic Health Science Centre (MAHSC), Salford Royal NHS Foundation Trust, University of Manchester, Manchester, UK, and University of Pretoria, Steve Biko Academic Hospital, Department of Paediatrics and Child Health, Pretoria, South Africa 2 Fundació, Hospital Sant Joan de Déu, Centre for Biomedical Research on Rare Diseases, CIBERER, Instituto de Salud Carlos III, Barcelona, Sp...

Sir, In contrast to the absence of cough at the time of presentation with complications of endobronchial tuberculosis, 1 a chronic 'barking' or 'hacking' cough may be a notable feature of endobronchial tuberculosis, 2–4 present in 61.1% of 121 patients in one study. 2 In that study, 24.8% of the patients had radiographic evidence of loss of lung volume, 58.7% had parenchymal infiltration and 8....

BACKGROUND Symmetrical peripheral gangrene is usually associated with underlying medical problems and it is seldom seen in pregnancy. Sepsis though common in a setting of delivery by unskilled midwife is rarely accompanied by symmetrical gangrene. CASE PRESENTATION We report a case of symmetrical peripheral gangrene which occurred in the winter, triggered possibly by sepsis and a single dose ...

Hyperparathyroidism jaw tumour syndrome is a rare autosomal dominant inherited endocrine neoplasia syndrome, which predisposes carriers to develop a triad of multiple ossifying fibromas of the maxilla and mandible, parathyroid adenomas and carcinomas (with consequent hyperparathyroidism) as well as renal and uterine tumours. The prevalence of this condition is unknown. Patients typically presen...

Eighty-one Nigerian patients with testicular torsion presented at the Urology Unit of the Lagos University Teaching Hospital between May 1983 and May 1985. The majority (62%) were young adults of 21 years and above with a mean of 21.3 +/- 5.2 years. Fifty-four testes found to be clinically non viable at exploration were excised and microscopically confirmed as haemorrhagic infarction due to the...

Open wounds represent a potential area of medicolegal risk if foreign bodies are not identified prior to wound closure. The importance of imaging of lacerations was underscored by a recent case where a 20-year-old male collided with a friend's mouth on a trampoline sustaining a simple, superficial scalp laceration. The wound was evaluated in typical fashion including irrigation and local explor...

INTRODUCTION Foreign body aspiration is common especially in children. The absence of history of choking does not rule out the diagnosis. Diagnosis required high index of suspicion. CASE PRESENTATION Undiagnosed foreign body aspiration mostly occurs in bronchial airway rather than larynx and can cause severe complications. In this article, we report a silent laryngeal foreign body aspiration ...