286 e-Letters

  • No Incision No Drainage
    Lawrence O"Brien

    It has been known for years that kerion celsi can be misdiagnosed as bacterial infection and that incision and drainage is not only unnecessary but inappropriate treatment. (See these: Journal of Pediatric Surgery Volume 42, Issue 8, August 2007, Pages e33-e36; Feetham JE, Sargant N Kerion celsi: a misdiagnosed scalp infection Archives of Disease in Childhood 2016;101:503; and finally British Association of Dermatologists'...

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  • Letter to the Author: response to "Multidisciplinary approach to the management of a case of classical respiratory diphtheria requiring percutaneous endoscopic gastrostomy feeding"
    Bruno Galletti

    Dear Editor,

    We read with interest the work by Haywood et al.[1] dealing with the treatment of a 67 years old Caucasian woman with a 4-day history of sore throat, dysphagia, fever and nasal blockage. During the examination it was revealed a swollen neck and pharyngeal pseudomembranes, positive on culture for Corynebacterium ulcerans after a throat swab, with toxin expression confirmed on PCR and Elek testing. T...

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  • Endoscopic assisted Small Incision corneal reinnervation reduces vascularisation when combined with Keratoplasty and Gold weight implant
    Sunil R Moreker

    Cases with combined facial nerve and trigeminal nerve involvement do present with complex issues as elucidated by Allevi et al (1) . This article helped us immensely in managing our case and we are grateful to the authors and the journal.

    A male patient suffering from fifth nerve and seventh nerve palsy presented to us with similar issues with severely vascularised hypertrophic insensitive bulging cornea with...

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  • Regarding Artery of Percheron Infarction
    Deep Das

    Sir, Its with interest that I read the small and crisp description and medical images related to Artery of Percheron infarct.

    The diagnosis of this condition indeed is sometimes difficult and requires clinical suspicion accompanied by proper radiological imaging.

    What i would also like to highlight is the fact that its not only the imaging modality i.e MRI which is required,or the sequence DWI/ADC which...

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  • Perforation of Umbilical artery during insertion of UAC
    Mahesh Masand

    I would like to congratulate and thank you for taking the courage in publishing this case report for the benefit of the neonatal trainees and all neonatologist in general. I am not surprised that there aren't more case reports published as such cases tend not be published because of general feeling of guilt for negligence and not exposing the hospital for fear of bad name as the outcome is very poor as you rightly poi...

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  • Comment on the paper "Transient global amnesia following a whole-body cryotherapy session"
    Giovanni Lombardi

    Dear Editor,

    We read with interest the case report concerning a transient global amnesia (TGA) in an individual who was previously submitted to a session of whole body cryotherapy (WBC).1

    The scientific literature is already sufficiently wide to realize that the WBC is a safe procedure, while it could seem apparently dangerous due to very low temperature of the air used in the chambers during treatment...

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  • Deaths are rare in neurocysticercosis
    Ravindra K Garg

    I read with interest the case report about a fatal case of neurocysticercosis. I want to emphasize that deaths are rare in neurocysticercosis and in neurocysticercosis there is no malignant course. Lesion load seems to be quite low. In fact the patient not fully worked up for more likely diagnosis. For example miliary tuberculosis and miliary secondary malignancy. The CSF should have examined for malignant cells and Mycoba...

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  • Q: Retrospectively identified in the CT images?
    Peter M. Koehler


    I wonder whether that plastic toy could be spotted in the CT images by a reader who has been informed about it. Did the radiology department comment about this?

    I am pretty shure the cone cannot be detected on a plain x-ray. The ABS polymer used by toy manufacturers like Playmobile or Lego seems to have x-ray attenuation properties very near to human tissue (Saps et al., World J Clin Pediatr 201...

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  • PFO and Stroke in Sickle Cell Re Dattani and Jackson
    Michael M Dowling

    Dear Sir, We read with great interest the case report by Dattani and Jackson detailing a case of potential cardioembolic stroke in a young man with sickle cell anemia (SCA), without significant cerebral vasculopathy but with PFO. We have conducted a controlled clinical study to determine the prevalence of potential left-to-right shunting (intracardiac or intrapulmonary) in children with SCA and overt clinical stroke...

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  • Mg dose with 3 TBSP Epsom Salts is over 4000 mg -- Way too HIGH
    Andrea Rosanoff

    It is important to consider the very high dose of elemental magnesium (Mg) in this case of severe livery injury due to Epsom salt intake (1).

    Using information from the Epsom Salt Council that Epsom Salts is 10% elemental Mg by weight, and that one pound of Epsom Salts = 32 Tbsp, I calculate that 3 Tbsp. Epsom Salts would deliver 4,250 mg elemental Mg.

    This amount of supplemental Mg is definitely exces...

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