N-acetylcystein in dengue associated severe hepatitis.

Although, N-acetylcystein (NAC) has shown benefit in non-acetaminophen related liver failure, it was not well studies in dengue associated severe hepatitis. We report a case of dengue hemorrhagic fever associated severe hepatitis (encephalopathy grade 2-drowsy and intermittent disorientation) treated with NAC resulted in good outcome without hepatic transplantation.

Surgical emphysema and pneumomediastinum following mastoidectomy.

Surgical emphysema and pneumomediastinum are rare complications of mastoidectomy probably resulting from the use of a compressed air-powered mastoid drill. Early diagnosis and appropriate management according to the severity is vital.