INFECTIVE ENDOCARDITIS DUE T O SALMONELLA TYPHI

Rheumatic Heart Disease (RHD) remains an important predisposing lesion for infective endocarditis (IE)in developing countries. IE due to Salmonella typhi is rare but associated with potentially morbidcomplications.We report a case of Salmonella typhi in a patient with rheumatic heart disease. The diagnosisof IE was confirmed on the basis of Duke’s clinical criteria. She responded to ciprofloxacin and gentamicin.Key Words: Rheumatic Heart Disease, Infective endocarditis, Salmonella typhi.

Spectrum of cutaneous manifestations in lupus erythematous -a dermatologist perspective

Background: The cutaneous manifestations of lupus erythematosus (LE) specific skin disease consists of acute cutaneous LE (ACLE), Subacute cutaneous (SCLE) and Chronic cutaneous (CCLE). Objective: To evaluate the spectrum of cutaneous manifestation in patients of LE. Methods: A case series of 41 clinically diagnosed cases of LE attending the outpatient department of Dermatology, BPKIHS were evaluated for the specific and non-specific skin changes. Results: All the patients enrolled in the study were female,with the age ranging from 14-64 years. ACLE was detected in 22/41(78.04%). Malar rash was the frequent skin lesion. CCLE was seen in 6/41 (14.63%) patients with classical discoid lesions (localized and generalized) in 4/6(66.66%) and 2/6(33.33%) respectively. Non specific skin lesions were found in 30/ 41(73.17%) of patients. Mucosal ulcers were seen in 23/41(56.09%), Facial telangiectasias 20/41(48.78%), Raynaunds phenomena 22/41(53.65%), Chronic urticaria 9/41(21.95%), Nail changes 12/41(29.26%) and non scarring alopecia was seen in 6/41(14.63%) patients. Eye involvement was seen in 3/41(7.3%), cutaneous vasculitis in 5/41(12.19%) and scaring alopecia in 3/41(7.3%) patients. Conclusion: The cutaneous manifestations of patients with lupus erythematosus (LE) are very frequent, show a great variety and can occur at any stage of the disease. DOI: http://dx.doi.org/10.3126/hren.v10i1.5999 HREN 2012; 10(1): 8-11

Growth inhibitory action of saccharin and cyclamate on rats receiving a poor rice diet

1. The effect of saccharin and cyclamate on growth of young rats fed on a poor rice diet or a balanced diet was investigated.

2. Saccharin and cyclamate retarded the growth of rats on the multi-deficient diet but not of those on the well-balanced diet during an 8-week feeding period.

3. The sweeteners did not produce any macroscopic or microscopic changes in the liver, kidneys, intestines, spleen or lungs of the animals receiving the poor rice diet other than the changes resulting from the nutritional deficiency of the diet.

4. The sweeteners did not inhibit the liver xanthine oxidase activity of rats receiving the poor rice diet to an extent greater than the inhibition brought about by the deficiency of protein in the diet.

5. When given by intubation to healthy rats, the sweeteners inhibited the induction of liver tryptophan oxygenase; given in vitro, they inhibited the succinate dehydrogenase activity of rat liver mitochondria.