Maternal mortality in the developing world – what circumstances lead to the death of this young woman?

By Midhun Mohan – Student Editor Read this case about a 25-year-old anaemic woman who died from a massive atonic postpartum haemorrhage How and why did this happen? The case report states that on a national scale a culmination of three factors are responsible for the state of healthcare in India, especially in regard to […]

Read More…

A case of an erroneous preference diagnosis?

“Misdiagnosing patients’ preferences may be less obvious than misdiagnosing disease, but the consequences for the patient can be just as severe”, states a new publication from the Kings Fund – Patients’ preferences matter: stop the silent misdiagnosis. The author, Al Mulley, argues that well informed patients make different choices about their treatment. Also, patients’ may […]

Read More…

Global Health: Acute hypokalaemic quadriparesis in dengue fever

Here are two cases of hypokalaemic quadriparesis complicating Dengue fever in India. The authors discuss the neurological complications arising from this virus transmitted by mosquitoes in the sub-tropical regions of the world where over 2.5 billion people (two fifths of the world’s population) are at risk. Seema Biswas Editor-in-Chief Acute hypokalaemic quadriparesis in dengue fever […]

Read More…

Global Health: An elderly woman with Prevotella bacteraemia secondary to pyometrium

Here an 87 year old lady with an abdominal mass present for 20 years presents with sepsis and vaginal discharge in Spain. With the help of some eye-catching images the authors discuss the aetiology and natural history of pyometrium. Seema Biswas Editor-in-Chief An elderly woman with Prevotella bacteraemia secondary to pyometrium […]

Read More…

Global Health: PCR negative cerebral malaria in a traveller returning from Mumbai

A 21 year old man returns from India agitated, confused and nearly unconscious. He is intubated and empirically treated for bacterial meningitis and viral encephalitis. Three days later, with no improvement, intravenous quinine is started and the patient begins to recover… The medical challenges of global travel… Seema Biswas Editor-in-Chief PCR negative cerebral malaria in […]

Read More…

Global Health: Mycobacterium TB – sometimes, a hidden culprit

We learn as medical students to include TB in the differential diagnosis of virtually all conditions. In the current state of global health where reducing the global incidence of TB by 50% by 2015 is a millennium development goal, this report in our images in section illustrates, in spectacular fashion, this great mimicker of disease. […]

Read More…

Global Health: Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis

A 16 year old Egyptian girl presents with shortness of breath and fatigue and is found to be anaemic. She has lost 23kg over a year. A story of multi-system disease unfolds… Seema Biswas Editor-in-Chief Tuberculous pericarditis associated with hoarseness of voice due to left recurrent laryngeal nerve paralysis […]

Read More…

Global Health: A 10-month-old with rotavirus gastroenteritis, seizures, anasarca and systemic inflammatory response syndrome and complete recovery

After pneumonia, diarrhoea is the most common cause of mortality in children under five years of age worldwide. Here the authors present a case of rotavirus gastroenteritis resulting in systemic complications. Happily, this infant makes a full recovery. Seema Biswas Editor-in-Chief Global Health: A 10-month-old with rotavirus gastroenteritis, seizures, anasarca and systemic inflammatory response syndrome […]

Read More…