Browsing by Author "Shah, Hetal"
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Item A Comparative Study of Laboratory Diagnosis ofGenital Chlamydial Infections InWomen By Immunofluorescence And By Conventional Staining Method.(2014-07) Bhavsar, Dr. H K; Sood, Dr. Nidhi K; Jain, Dr.Manisha M; Modi, Dr.Dhara J; Shah, HetalObjective: The major objective of this study was to carry out concurrent testing of cervical swab samples with both conventional and fluorescent staining method using Giemsa stain & direct fluorescent antibody stain (DFA) respectively. The study would enable us to establish an appropriate, effective and sensitive method of diagnosis of genital chlamydial infections within the present set-up.Material & methods: The study “A Comparative Study of laboratory Diagnosis of Genital Chlamydial Infections in Women by Immunofluorescence and Conventional Staining Method” was conducted on 50 patients attending the OPD of a tertiary care hospital of Ahmedabad. Results: Out of the total 50 cases tested, four samples were found positive containing dark-purple inclusion bodies of Chlamydia trachomatis surrounding the nuclei of the host cells in Giemsa and the same were positive for elementary bodies of C. trachomatis by the DFA staining. Based on these samples, the prevalence of is 8% only.Conclusion: The present comparative study of Giemsa and DFA staining for Chlamydia trachomatis infections in females showed that both methods are equally sensitive for the detection of the microorganism.Item Isolated tuberculous epididymo-orchitis.(2004-07) Shah, Hetal; Shah, Keyur; Dixit, Ramakant; Shah, Kusum VIsolated epididymo-orchitis is an unusual presentation of tuberculosis. We report a case of bilateral epididymitis with right sided orchitis and scrotal involvement due to tuberculosis in a young male patient who had infertility. The diagnosis was suspected on ultrasonography of scrotum and confirmed by histological examination of scrotal and testicular tissue biopsy.Item Pericardial tamponade after left posterolateral thoracotomy for left upper lobectomy for pulmonary aspergilloma.(2011-05) Neema, Praveen Kumar; Shah, Hetal; Sethuraman, Manikandan; Rathod, Ramesh ChandraPericardial tamponade limits diastolic filling of the heart; therefore, a high venous pressure is required to fill the ventricle. In presence of cardiac tamponade, therapeutic agents and manoeuvres that results in venodilation or vasodilation can severely compromise diastolic filling of the heart and might result in rapid cardiac decompensation. Equalization of central venous pressure and pulmonary artery diastolic pressure or equalization of pressures in all four chambers during diastole confirms cardiac tamponade. Transthoracic echocardiography can detect the site of tamponade and assist in pericardiocentesis. We describe acute pericardial tamponade in a young man who underwent left posterolateral thoracotomy for left upper lobectomy. Intraoperatively, mobilization of the left upper lobe was frequently associated with hypotension. Postoperatively, the patient suffered two more episodes of hypotension. The episodes of hypotension were attributed to surgical manipulation and epidural blockade. Hemodynamics normalized after discontinuing epidural infusion, volume resuscitation and lobectomy. On third postoperative day, the patient developed cardiovascular collapse; arterial blood pressure and central venous pressure were 70/50 and 12 mmHg. Investigations showed haziness of left lung, and severe respiratory acidosis. On opening of the left thoracotomy wound, pericardial tamponade was diagnosed. A pericardial window was created and tamponade was released with that the hemodynamics normalized. Episodes of unexplained hypotension after left upper lobectomy suggest a cardiac etiology and acute pericardial tamponade is a possibility which should be released immediately otherwise it can result in fatal outcome.Item Tuberculous abscess of rectus abdominis muscle.(2004-10) Dixit, Ramakant; Dixit, Kalpana; Shah, Hetal; Shah, KeyurTuberculosis of skeletal muscle is very rare. A case of tuberculous abscess in rectus abdominis muscle is described in a seven year old male child. The patient presented with an abscess in the anterior abdominal wall, which subsequently ruptured. The diagnosis was made by histological examination of the excised tissue following local debridement.