Year : 2018 | Volume
: 15 | Issue : 3 | Page : 121-
Editor in Chief, Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi, India
R N Srivastava
Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi
|How to cite this article:|
Srivastava R N. Editorial.Apollo Med 2018;15:121-121
|How to cite this URL:|
Srivastava R N. Editorial. Apollo Med [serial online] 2018 [cited 2019 Sep 16 ];15:121-121
Available from: http://www.apollomedicine.org/text.asp?2018/15/3/121/240948
The present issue of Apollo Medicine includes three review articles. Swain et al. have discussed the uncommon problem of extranodal tuberculosis of the head and neck. Lymph nodes are most frequently affected by tuberculosis in the neck, which is readily detected and the diagnosis confirmed. Involvement of oropharynx, larynx, sinonasal tract, and salivary glands is uncommon and often unsuspected. The clinical features are nonspecific and present diagnostic challenges. The underlying causative condition needs to be differentiated from malignancies and various granulomatous lesions. The authors discuss various clinical and diagnostic aspects and the imaging procedures that help in the treatment. A further review describes nasal myiasis, an opportunistic infestation caused by housefly larvae, which is often seen in countries having a tropical climate with warm and humid air. Poor sanitation, chronic sinusoidal disease, and immunocompromised status are the predisposing factors. Endoscopic examination is diagnostic. Appropriate local treatment measures are discussed.
Kushwaha et al. have reviewed the therapeutic role of dinutuximab in the management of neuroblastoma, a common solid tumor in children below the age of 5 years. Its efficacy has been confirmed in improving survival of patients with high-risk neuroblastoma. Gupta et al. report their observations on the prevalence of opportunistic enteric parasitic infections in HIV-infected subjects. Cryptosporidium, Isospora, Cyclospora, and Microsporidia were detected in 52% of stool specimens. Such infections were more frequent in those with low CD4 cell counts. Mani et al. report the results of managing distal femoral fractures with fixing them by locking compression plate. They suggest that this method is the treatment of choice and has good functional outcomes. Khan has used in vitro testing using immunoCAP, which employs highly purified allergens, in patients with allergic rhinitis and asthma. They found such testing to be of value in detecting sensitization to a large variety of allergens including house dust mites, Parthenium, and cockroach, which may guide appropriate immunotherapy.
Ahmed and Dutta report their experience with the management of nonmissile, penetrating brain injury among civilians. Such injuries were caused in a variety of ways and led to multiple complications. Urgent neurosurgical measures and long-term observations are emphasized. Barker has described the management of neglected clubfoot using Ilizarov device without osteotomy. He obtained good results and suggests that the procedure may be particularly useful in countries where prompt early treatment of clubfoot is not made available for various reasons.
Several reports of rare and instructive cases are included. Aditya et al. report a patient in whom celiac axis stenosis was detected on computed tomographic (CT) scan before undertaking surgery for distal cholangiocarcinoma. They emphasize looking out for its presence preoperatively. Reddy describes a case of hilar cholangiocarcinoma (Klatskin tumor) in a 60-year-old woman that was suspected on axial contrast-enhanced CT and subsequently confirmed histologically.
Varma reports a case of wandering spleen with pancreatic volvulus. The abnormally located spleen in the abdomen or pelvis is due to laxity of intraperitoneal ligaments and carries a risk of torsion of the pedicle and splenic infarction. Aydin reports a 47-year-old patient having diverticulitis who developed perforation of the right colon and emphasizes diagnostic challenges.
Bakshi describes a case of a 52-year-old man with isolated retro-orbital fungal granuloma caused by Aspergillus versicolor that responded satisfactorily to surgical excision followed by treatment with itraconazole. Masodkar et al. report the occurrence of mucoepidermoid carcinoma of the vermillion border of the upper lip in a 34-year-old woman. Such tumors are rare and usually arise from the salivary tissue.
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