Spontaneous cerebrospinal fluid rhinorrhea with pneumocephalus: an unusual manifestation of nasal tuberculosis.

An unusual case of spontaneous cerebrospinal fluid (CSF) rhinorrhea with a pneumocephalus is described in a middle-aged woman who presented with a watery nasal discharge for 1 week and headache, vomiting, and fever for 1 day. The neurological examination revealed meningeal signs and bilateral papilledema. The CSF picture suggested pyogenic meningitis, and computed tomography of the brain revealed pneumocephalus.

Pulmonary nocardiosis due to Nocardia farcinica in a renal transplant recipient.

Nocardia farcinica is an infrequent cause of nocardiosis among the renal transplant recipients and it has not been reported so far from India. We report a case of pulmonary nocardiosis due to N. farcinica in a 32-year-old woman with hypothyroidism and post-renal transplant status, currently on immunosuppressive therapy (prednisolone, azathioprine and tacrolimus).

Platelet count to spleen diameter ratio for the diagnosis of esophageal varices: Is it feasible?

Aim: To study the value of platelet count to spleen diameter ratio as a noninvasive parameter for diagnosing esophageal varices (EVs) in liver cirrhosis.

Methods: The laboratory and ultrasonographic variables were prospectively evaluated in 150 patients with liver cirrhosis. Only stable patients were included in the study.

Validation of Liano score in acute renal failure: a prospective study in Indian patients.

Aim: To validate Liano score as a prognostic scoring system in acute renal failure (ARF): a prospective study in Indian patients.

Patients And Methods: Prospective study including 100 patients over a period of 1 year, from March 2006 to July 2007. Inclusion criteria were patients with no previous renal disease or any systemic disease known to affect the kidney and who presented with acute rise (hours to days) in serum creatinine.

Dialysis disequilibrium syndrome presenting as a focal neurological deficit.

We report a patient suffering from chronic kidney disease who presented to us with severe pulmonary edema. His clinical, laboratory, and sonological parameters were suggestive of end-stage renal disease. Hemodialysis was initiated, and after 48 hours (3 sessions of hemodialysis) he became drowsy and a neurological examination revealed left upper limb monoplegia with left facial palsy.

Combined mucormycosis and candidiasis of the cecum presenting as a right iliac fossa mass in a patient with chronic kidney disease.

A combined infection with mucorales and candida is described involving the cecum in a patient with chronic kidney disease stage V, who was referred to us with history of diarrhea and abdominal pain of 2 weeks duration and had been found to have a tender mass in the right iliac fossa. Colonoscopy revealed an ulcerated and inflamed cecum and the biopsy from the ulcers showed a mixed infection with mucorales and candida. This case is reported because of the unusual site of presentation and the presence of mixed fungal infection.