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J Lobo

Publications and source records attributed to J Lobo.

41 records · Page 3Linked to original sources
PubMedDate not supplied

[A case of peritoneal histoplasmosis].

The clinical history of 24 year old patient diagnosed as having peritoneal histoplasmosis is presented. This has been described as an infrequent clinical entity. In our patient, the only apparent clinical manifestation is the presence of an enlarged abdomen due to free ascites. Hepatic and peritoneal granulomas are found. The case is discussed and diagnostic difficulties and the prognosis analyzed. The prognosis depends on the condition of the patient and the speed with which treatment (Ketoconazole) is begun. Bibliography is revised.

Adult↗
PubMedDate not supplied

[Giardiasis duodenitis: is the endoscopic diagnosis possible?].

60 patients (p) with ages ranging between 19 and 73 (32 females and 28 males) were selected and randomized for a prospective study about he confirmation of endoscopic wounds reported like giardiasic duodenitis: a nodular whitish puncture over the mucous with a focal or diffuse pattern over. We tested the correlation between the endoscopic findings and the results of histopathology and fecal tests. A duodenoscopy until the second portion was made with an Olympus GIF-Q equipment, 2 biopsies were taken from the duodenal bulb and from the second portion. 45 (p) exhibited a typical aspect before mentioned. In this group we found the protozoa in the biopsies of 35 (p) (77.78%). The fecal test were positive for 22 of these (p) (48.88%) and negative for 23 (51.12%). 15 (p) had a normal duodenoscopy; 13 of these (p) had a negative biopsy (86.66%) and only two cases (13.33%) resulted in a positive biopsy for giardia. The results for the fecal tests were negative in 93.34% (p). The most common symptoms were: upper-abdominal pain (67.50), acidity (62.50%), pyrosis (25%) diarrhea (10%) and constipation (10%). The results of our study confirm that endoscopic lesions of duodenum observed as a whitish nodular puncture, over the mucous with a focal or diffuse pattern were compatible with a duodenitis caused by giardia lamblia. It was confirmed in the majority of cases with biopsy and in almost 50% of fecal test performed.

Adult↗
PubMedDate not supplied

Iodine deficiency disorders in Car Nicobar (Andaman and Nicobar Islands).

BACKGROUND: The term 'Iodine deficiency disorders' (IDDs) reflects the spectrum of health effects due to iodine deficiency at all ages. So far, no survey for IDD has been carried out in the Andaman and Nicobar Islands (A&N). Therefore, we aimed to determine the status of IDDs at Car Nicobar Island and to assess the iodine content of salt available for consumption on the island. METHODS: The study population comprised tribal school children between 7 and 18 years of age in government schools of Car Nicobar, A&N. Children were selected from each school by the simple random sampling method using the random number table. The same sampling method was used for each school till completion of the desired sample size for that school. Casual urine samples (in screw-capped plastic bottles for iodine estimation) and blood samples (on No. 3 Whatman filter paper for TSH estimation) were collected from a randomly selected sub-sample of students. Salt samples for iodine estimation were collected from 'captains' (village headman) of each village and the headmasters of the schools and 'canteens' in government retail outlets in the villages. RESULTS: Of the 969 children surveyed, 160 (16.5%) had goitre. The prevalence was significantly more among females (23.6%) than males (9.7%). Analysis of 105 urine samples showed that the median urinary iodine excretion level was 7.0 micrograms/dl. The median TSH values in subjects was 5.7 mU/L. Fifty (82.5%) of the 54 salt samples had adequate iodine (> or = 15 parts per million). CONCLUSIONS: IDDs pose a mild-to-moderate public health problem in Car Nicobar Island. The supply of iodized salt and its iodine content was found to be satisfactory at the time of the study.

Adolescent↗