Takayasu arteritis (TA) poses a diagnostic challenge as it may have myriad of clinical presentations. Dyspnea, an index presentation in TA, be secondary to the involvement aorta, myocardium, and/or pulmonary vessels, or can present manifestation infection with tuberculosis. Significant lymphadenopathy cannot attributed TA and serves point towards different diagnosis concomitant infection. Tuber...

OBJECTIVES To determine the incidence of tuberculous lymphadenitis in enlarged neck nodes. MATERIALS AND METHODS Continuous prospective study is carried out in the department of otorhinolaryngology head & neck surgery, Kathmandu Medical College, Kathmandu, during two years, from January 2006 to January 2008. The study included a group of 155 patients with cervical lymphadenopathy. Each patien...

A series of 1,2,3-trisubstituted indolizines (2a–2f, 3a–3d, and 4a–4c) were screened for in vitro whole-cell anti-tubercular activity against the susceptible H37Rv multidrug-resistant (MDR) Mycobacterium tuberculosis (MTB) strains. Compounds 2b–2d, 4a–4c active H37Rv-MTB strain with minimum inhibitory concentration (MIC) ranging from 4 to 32 µg/mL, whereas 4a–4c, ethyl ester group at 4-position...

Tubercular involvement of the thyroid gland is a rare entity. Tuberculosis of thyroid gland can present as cold abscess, multinodular goitre, acute abscess or generalized goitre. Clinically, these patients can be euthyroid, hypothyroid or hyperthyroid. Diagnosis is made by fine needle aspiration and demonstration of acid fast bacilli. Here, we report the case of a 46-year-old male who presented...

"Peritonitis fibrosa incapsulata", first described in 1907, is a condition characterized by encasement of the bowel with a thick fibrous membrane. This condition was renamed as "abdominal cocoon" in 1978. It presents as small bowel obstruction clinically. 35 cases of abdominal cocoon have been reported in the literature over the last three decades. Abdominal cocoon is more common in adolescent ...

Tuberculosis is a major infectious disease that globally causes the highest human mortality. From this aspect, this study was carried out to evaluate novel pharmacological activities/effects of artesunate and artemisinin causing anti-tubercular activity/effects against Mycobacterium tuberculosis (Mtb). The anti-Mtb activities/effects of artesunate and artemisinin were evaluated using different ...

we report a case of a 68-year-old female who was a known case of diabetes mellitus and chronic liver disease and presented with complaints of dry cough and other constitutional symptoms since one month. during initial investigations, the patient was found to have peripheral blood eosinophilia. upon investigating further,the patient was found to have mediastinal lymphadenopathy and fine-needle a...

current researches have showed that n3, n5-diaryl-2, 6-dimethyl -1, 4-dihydropyrine-3, 5- dicarboxamide analogues demonstrate notable anti-tubercular activity. in this study, hantzsch condensation was used to design and synthesize new analogues of dihydropyridine (dhp). different diary carboxamides were inserted at positions 3 and 5 of the dhp ring. 4(5)-chloro-2-ethyl-5(4)-imidazolyl moiety wa...

a 25-year-old female presented to the infertility opd with complaints of secondary infertility and pain lower abdomen with watery discharge for the past five days. she had history of undergoing hysterosalpingography in a private hospital ten days back. the interventions included drainage of pyometra, endometrial biopsy for routine and afb smear/ culture,  confirmation of diagnosis by m rna-base...

We present a case of tubercular arthritis who underwent numerous unnecessary investigations what is known as "victims of modern imaging technology" or VOMIT. Today there is an exponential rise in the volume of the medical imaging, part of which is contributed by unnecessary and unjustified indications. We discuss about the untoward effects of the uninhibited and careless use of modern imaging m...