Non-fermenters in urinary tract infection.

Sixty four (4.4%) strains of non-fermenting gram negative bacteria (NFGNB) were isolated out of 1,380 bacterial isolates from 7,784 urine samples, of which 43 were isolated from male patients and 21 from female patients. P.

Mountain desert silicosis.

Objectives: To evaluate the radiological miliary shadows in the high landers of a Himalayan desert for the presence of silicosis.

Methods: Seventeen high landers attending the Medicine OPD of a multi-speciality medical camp at Kaza in Himalayas (height 12,500 feet above sea level) having radiological miliary shadows were included in the study. A detailed life time work place history was taken.

High altitude koilonychia.

Objective: To study the incidence of koilonychia in the residents of high altitude.

Methods: Nails of all the patients attending the Medical Outpatient Department (MOPD) of a multispeciality medical camp at Kaza in Himalayas (height 12,500 feet above sea level) were looked for the presence of koilonychia and were included for the study. Those residing below 10,000 feet were excluded from the study.

Seasonal behaviour of healed duodenal ulcer.

Incidence of peptic ulcer is more in people living at higher altitude and similarly relapse of healed duodenal ulcer is more in winter season. Seasonal behaviour of healed duodenal ulcer with or without maintenance therapy with H2 blockers was studied among subjects residing around Shimla (approximate altitude 7000 feet above mean sea level). Sixty-four subjects of endoscopically healed duodenal ulcer were alternatively advised placebo (32 subjects) and ranitidine 150 mg (32 subjects) at bed time as maintenance therapy for period of one year.

An epidemiological study of obesity in Shimla Town.

A cross sectional study of 888 randomly selected subjects in Shimla town was done to determine prevalence of obesity, its relation to age and physical activity. The prevalence of obesity was 21.5% using cut off levels of BMI 25.

Wrinkles due to idiopathic dermal elastolysis.

This report deals with the skin changes in a 9-year-old male patient, appearing clinically as a localized area of wrinkling of skin accompanied by follicular prominences over the involved skin, and characterized histopathologically by dermal loss of elastic tissue.

IgE levels of normal Indian children.

A number of factors, including age, sex and atopic status have been reported to influence levels of serum IgE. Serum samples were obtained from 350 (173 males, 177 females) non allergic normal Indian children of 0-15 years of age. Mean serum IgE value was 65.

Intestinal parasitism in Himachal Pradesh.

A total of 1629 cases were included in the study for the presence of intestinal parasites during 12 mobile camps in different areas of Himachal Pradesh. 47.08% were positive for parasites.

Sphincteric involvement in organophosphorus poisoning.

Neurological complications like type II paralysis are well described in organophosphorus poisoning. Sphincteric involvement is not described. We report two patients of organophosphorus poisoning who had sphincteric involvement as an unusual manifestation of type II paralysis.

Hemiplegia as a manifestation of acute mountain sickness.

A young mountaineer who developed right sided hemiplegia with aphasia at high altitude is reported. This is an uncommon nervous system manifestation in acute mountain sickness.

Lyme disease in a Shimla boy.

A patient with Lyme disease is described. He presented with meningitis-like picture, arthritis, and carditis (congestive cardiac failure and variable AV blocks without valvular lesions). Borrelia was present in the peripheral blood smear.

Hypoglycaemia following zinc phosphide poisoning.

Two cases with severe hypoglycaemia following zinc phosphide poisoning are reported. Both patients succumbed to toxic myocarditis.