Ten patients with idiopathic hypertrophic subaortic stenosis were studied with right and transseptal left heart catheterization. All patients had the expected increases in subvalvular systolic gradients with isoprenaline infusion, amyl nitrite inhalation, exercise, and performance of the Valsalva manoeuvre. These stimulatory procedures were repeated after intravenous infusion of practolol (6oo ...

Dados clínicos Paciente do sexo feminino, com sopro cardíaco auscultado de rotina aos 12 meses de idade, mantendo-se sem sintomas desde o nascimento e sem intercorrências clínicas. Ao exame físico, a paciente apresentou-se eupnéica, corada, e com pulsos normalmente palpados nos quatro membros. Seu peso era de 15 kg; altura, 100 cm; pressão arterial, 95/60 mmHg; e freqüência cardíaca, 86 bpm. A ...

background and objective: the aim of this study was to analyze our indications, surgical procedures, and clinical outcomes of patients undergoing reoperation after surgical correction of tetralogy of fallot (tof). methods: thirty seven consecutive patients who underwent reoperation late after intra-cardiac repair of tof within a period of 10 years were assessed. results: the most common indicat...

Simultaneous occurrence of leprosy and pulmonary tuberculosis is reported infrequently in the modern era. We report a case of pulmonary tuberculosis diagnosed in patient being treated with glucocorticoids for complications of leprosy (type II reaction). Physicians should recognize that the leprosy patients treated with glucocorticoid may develop tuberculosis.

BACKGROUND Although there was a report about the seasonal variation in Wuhan city, it only analyzed the prevalence data of pulmonary tuberculosis (TB) cases, and just studied the seasonality by subgroup of smear positive and negative from 2006 to 2010 by spectral analysis. In this study, we investigated the seasonality of the total newly notified pulmonary TB cases by subgroups such as time per...

Background TB-HIV co-infection is one of the biggest public health challenges in sub-Saharan Africa. Although there is a wealth of information on TB-HIV co-infection among settled populations in Africa and elsewhere, to our knowledge, there are no published reports on TB-HIV co-infection from pastoral communities. In this study, we report the prevalence of TB, HIV and TB-HIV co-infection among ...

A 68 year old non-diabetic physician with a known psychiatric history was found dead in his home. The death scene investigation revealed 3 used insulin syringes on the coffee table next to the body. The autopsy and the consecutive chemicaltoxicological investigation revealed that the deceased committed suicide by injecting an overdose of insulin in combination with a high therapeutic oral bolus...

Diffuse alveolar hemorrhage (DAH) is a rare presentation of acute pulmonary histoplasmosis. While histoplasmosis has been reported to cause hemoptysis and alveolar hemorrhage in children, the English language literature lacks any adult case reports documenting this association. We report a case of pulmonary histoplasmosis where the initial presentation was pneumonia with a subsequent diagnosis ...

BACKGROUND This study examined the association between incident pulmonary tuberculosis (TB) and social and behavioral characteristics in Almaty Oblast, Kazakhstan from 2012 to 2013. METHODS We used a matched case-control design to estimate the role of factors for acquiring pulmonary TB. Totally 324 individuals were recruited from Sep 2012 to Mar 2013. Participants included 110 TB index cases ...

English Bulldogs are the most common breed to have pulmonic stenosis. Previous studies showed that this congenital heart abnormality in Bulldogs frequently is caused by a circumpulmonary left coronary artery originating from a single right coronary artery. Fetal anasarca also occurs often in Bulldogs and might represent congestive heart failure, but the cause is unknown. To determine if fetal a...