Author Archives: Dr. Swapan Samanta

Effect of Oral Ribavirin in Hospital Stays of Measles Cases

Ribavirin is a broad-spectrum virustatic antiviral agent with a low toxicity. It has multiple mechanisms of action, and therefore viral resistance rarely develops. It can be administered orally, intravenously or with a nebuliser. Its efficacy varies in treatment of several diseases, such as…

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Case Study: BCG Vaccine-Induced Tuberculosis Takes Life of a 4-Month-Old Boy with Wiskott-Aldrich Syndrome

By Dr. Swapan Samanta
BCG vaccination is believed to give some protection against tuberculosis, and for this reason, the Universal Immunization Program includes this vaccine. However, recently I had a very sad experience while dealing with a case of disseminated tuberculosis; better to say that the little baby’s body was just converted into packets full of AFB! In the course of investigation, we found that…

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Quick Case: Kikuchi-Fujimoto Disease (KFD) Mistaken and Treated as a Case of Tuberculosis

By: Dr. Swapan Samanta
A 21-year-old female presented with fever, bilateral cervical tender lymphadenopathy, skin rashes and headache for 7 days. High ESR and neutrophilic leucocytosis were noted. Mantoux test was negative. Chest X-ray was normal. FNAC from one of the lymph nodes yielded thick pus-like material. The smears were full of…

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Quick Case: Black Cirrhosis in a Khaini Abuser

By: Dr. Swapan Samanta
A 64-year-old female presented with ascites, loss of weight, loss of appetite and severe weakness for the last 3 years. Upper and lower GI endoscopic findings were within normal limits. Macrocytic hypochromic anemia, elevated ESR, massive hepatomegaly and moderate spenomegaly were found, but no…

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Case Study: Solitary Pulmonary Hamartoma with Complications in a 14-year-old Girl

By Dr. Swapan Samanta
Pulmonary hamartomas are rare, benign lesions of the lung and may be multiple in number. Recently, a 14-year-old girl presented with clinical symptoms of tuberculosis, and after transthoracic biopsy, the diagnosis was confirmed as…

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Case Study: Faucial Diphtheria Complicated with Myocarditis and Cardiac Failure

By Dr. Swapan Samanta and Dr. Malay Acharyya
Due to universal immunization, cases of diphtheria are rare now-a-days. Recently a 12-year-old male with incomplete vaccination history presented with a fever, sore throat and “bull-neck.” Investigations confirmed the diagnosis of…

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Quick Case: Adenocarcinoid of Appendix in a 34-year-old Female

By: Dr. Swapan Samanta
A 34-year-old woman underwent an operation for recurrent appendicitis. She was suffering from frequent pain and a vague lump feeling in the right iliac fossa region for the last…

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