Showing papers by "A. K. Gupta published in 1997"

Conservative Management Of Femoral Shaft Fracture By 90-90 Traction In Children - A Review

Abstract: Twenty one children aged 3 to 12 years (12 males, 9 females) with femoral shaft fractures were treated over a period of 3 years by applying 90o-90o lower femoral skeletal traction for 3 to 4 weeks till the fracture was sticky in good position, followed by one and a half spica immobilisation for the next 3 to 6 weeks, till fracture consolidation as evidenced by X-ray. The results were assessed in terms of the limb length discrepancy, angulation at the fracture site at the final followup, time period for union and complications. Nine (43%) patients had 'excellent results and Twelve (57%) had good results. No poor results were seen in this series. Complications included pressure sore in the heel in 2 patients, pin tract infection in 2 patients, placement of wire through lower femoral physis in one patient. We conclude that 90o-90o traction rnethod provides a reliable and excellent method of treating femoral shaft fracutes in children with good control of reduction and alignment of fracture fragments and union with negligible complications. This is a simple and proved methood that can be used at PIIC and Subdivisional level hospitals also, with safety.

Extraneural cryptococcosis: an unusual

Abstract: Cryptococcosis is a potentially life-threatening disease with neurological, cutaneous and ocular manifestations, usually affecting immunosuppressed individuals. An unusual case of cryptococcosis with iso- lated cutaneous and orbital masses, in a non-immunocompromised patient, is reported. Fine-needle aspiration cytology established a rapid definitive diagnosis. Prompt treatment with oral fluconazole resulted in complete reso- lution of the lesions. Introduction Cryptococcosis is an opportunistic systemic fungal infec- tion affecting predominantly immunosuppressed patients. It is caused by a saprophytic fungus Cryptococcus neoformans. The majority of cases present with central nervous system or pulmonary manifestations; 10-1 5% of cases present initially with cutaneous signs and symptoms which herald the onset of systemic mycosis.' It is rare to find cutaneous lesions without systemic involvement.' Isolated reports of orbital cryptococcosis arising from eth- moid osteomyelitis or sinusitis have been reported in the literat~re.~ A case of subcutaneous cryptococcosis with orbital involvement, in a non- immunocompromised patient, is reported. The clinical features, diagnosis and treatment of orbitocutaneous cryptococcosis will be highlighted. Case Report A 65-year-old woman presented with a painless swelling in the right temporal forehead with protrusion of the right eyeball of 6 months' duration. There was no history of fever, weight loss, anorexia or oral thrush. She was not on long-term steroids or immunosuppressants. The patient denied a history of intravenous drug use or blood transfusion prior to the presentation. She was not suffering from medical problems such as diabetes, tuberculosis or malignancy. She also denied any expo- sure to pigeon droppings or direct contact with animals.