Acute febrile encephalopathy in adults from Northwest India.

Background: Acute onset fever with altered mentation is a common problem encountered by the physician practicing in tropical countries. Central nervous system (CNS) infections are the most common cause resulting in fever with altered mentation in children.

Aim: In this study, we have tried to analyze the cause of encephalopathy following short febrile illness in adults presenting to a tertiary care center in Northwestern part of India.

Spectrum of emergency department presentation in patients of acute intermittent porphyria: experience from a North Indian tertiary care center.

Of the porphyrias, acute intermittent porphyria (AIP) is the most frequently encountered porphyria. The clinical characteristics of thirteen patients of AIP who presented to the Emergency Department were analyzed. The most common precipitating factor was drugs.

A case of systemic lupus erythematosus with extensive brain stem involvement.

Systemic lupus erythematosus (SLE) is a multisystem, autoimmune connective tissue disorder. Neuropsychiatric SLE (NPSLE) has varied clinical and radiological manifestations. Clinical manifestations range from subtle abnormalities of neurocognitive functions and mood changes to overt psychiatric or neurological manifestations such as seizures, stroke, and psychosis.

Midodrine versus albumin in the prevention of paracentesis-induced circulatory dysfunction in cirrhotics: a randomized pilot study.

Objectives: Intravenous albumin has been used to prevent paracentesis-induced circulatory dysfunction (PICD) in cirrhotics; however, its use is costly and controversial. Splanchnic arterial vasodilatation is primarily responsible for PICD. There are no reports of use of midodrine in the prevention of PICD.

Pathophysiology of jaundice in amoebic liver abscess.

Jaundice in patients with amoebic liver abscess is a frequent occurrence. However, the pathophysiology of jaundice in these patients is not fully understood. Hepatic necrosis leads to damage to bile ducts as well as various vascular structures, which in turn leads to biliovascular fistula and jaundice.

Outcome of adult acute lymphoblastic leukemia with BFM protocol in a resource-constrained setting.

Cure rates for adult acute lymphoblastic leukemia (ALL) in developing countries are significantly lower because of problems unique to these countries. We assessed some of the problems in adult ALL patients (>12 years of age) in a tertiary care hospital of northwest India with modified BFM regimen. The diagnosis of ALL was made according to FAB criteria.

Dengue fever related acalculous cholecystitis in a North Indian tertiary care hospital.

Background And Aims: To document the clinical outcome and prognosis of acalculous cholecystitis in dengue fever.

Methods: Prospective analysis of 27 cases of dengue fever presenting to the medical emergency of a tertiary care referral hospital in Chandigarh, India.

Results: All patients with dengue fever presenting with abdominal pain in the year 2003 were studied by ultrasound examination for the presence of acalculous cholecystitis.