eLetters

288 e-Letters

  • Mitral stenosis - still a challange with a myriad of features,
    Nitin Patil

    Rheumatic heart disease leading to mitral stenosis is seen more often in the developing countries than in the developed world. The patients are quite asymptomatic at rest until the 2nd or 3rd decade, when they may present with various signs and symptoms like dyspnoea on exertion, palpitations, easy fatigebility, dizziness, coughing up blood, chest pain or discomfort, and swelling in legs and upto 15% of patients may pr...

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  • Comment to "Fatal air embolism following local anaesthetisation: does needle size matter?
    Gernot Rott

    I read with interest your case report (1), however I have to make the critical comment, that patient position in your case indeed was one essential factor of air embolism. You attempted to biopsy a lung nodule of the left lower lobe in dorso- lateral position with patient placed in prone oblique position on the right side. You should have placed patient in ipsilateral-dependent position, in other words on the side of the n...

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  • 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

    Sirs,

    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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