Brittain described a method of ischio-femoral arthrodesis in 1941, and in 1948 reported successful fusion in eighty-four of 105 hips. Comparable figures were reported by Freiberg (1946) in six cases, by Foley (1949) in nineteen cases and by Cholmeley (1956) in fifty-five cases. The purpose of this paper is to review the cases of sixty-four patients who underwent arthrodesis of the hip at Wright...

Incidence of tuberculosis (TB) of spleen is a rare entity and isolated splenic tuberculosis is an unusual phenomenon, especially in immunocompetent individuals. We came across a case of 63-year-old male who presented with high grade fever, loss of weight, and generalized weakness of one-month duration. When physically examined, he had pallor and moderate nontender splenomegaly without any other...

PATIENT 1 A previously healthy 70-year-old housewife presented with dry cough and dyspnoea. She had finger clubbing, was dyspnoeic at rest, and had basal crackles. A chest radiograph showed bilateral reticulonodular shadowing. Spirometry showed a restrictive picture; transfer factor was very low at 3 55 ml/min/mm Hg (1 19 mmol min-' kPa-1). Pao2 at rest was 55 mm Hg (7 32 kPa), Paco, 40 mm Hg (...

Childhood tuberculosis is common in our community. The diagnosis in most cases is still based on clinical evidence alone. The present study was designed to study clinical profile, laboratory investigations and outcome of pediatric tuberculosis. A prospective study was conducted among the children admitted in Nepal Medical College from April 2007 to March 2011. The prevalence of tuberculosis was...

A 24-year-old woman presented with a 5-year history of painless, nonpruritic swelling of her lips (Figure 1). The swelling was initially intermittent but became progressive and persistent. It began on her upper lip and gradually extended to the lower lip and right inner cheek. She was otherwise well and reported no gastrointestinal or respiratory symptoms. Physical examination showed a rubbery,...

A 23-year-old man presented with central retinal vein occlusion. The retinal haemorrhages worsened and signs of retinal vasculitis appeared later as vision dropped from 6/60 to Counting Fingers. No signs of systemic disease were observed. Routine Mantoux test and chest radiograph were negative for tuberculosis. Fundus flourescein angiogram confirmed presence of retinal vasculitis. Both systemic...

A previously healthy 3-year-old boy was referred by his general practitioner to the paediatric outpatient clinic because of a 6-month history of moderate to severe constipation. It was associated with mild central abdominal pain and slight weight loss. He had been treated with Movicol, with minimal effect. There were no other symptoms or history of foreign travel. He appeared well, but had a no...

The conception of this book was an excellent one. Specialization leads to an advancement of knowledge but also segregation of that knowledge amongst the select few. The present book is an attempt to counter this second, and unfortunate, tendency. Short though it is the book is divided into three parts: in the first the gross pathology of pulmonary tuberculosis is explained with the aid of diagr...

465 It is obvious that active tuberculosis (TB) disease must be fully treated with at least 6 months’ of anti-TB medications. What is less clear and inconsistently practiced is the screening and treatment of latent TB infection (LTBI). Swarna Nantha, in a review article published in this issue of MJM, appeals for targeted case screening of LTBI in certain high risk populations particularly our ...