Abstract:In Bangladesh tuberculosis (TB) cases are fairly common but isolated hepatobilliary TB cases are extremely rare. Liver abscess due to TB without involvement of any other site causes diagnostic delay and can easily confuse with pyogenic or amoebic liver abscess or haepatocellular carcinoma. We present a case of a 44-years-old diabetic,normotensive male who presented with prolonged high grade fever with chill and rigor with tender hepatomegally. He was put on treatment for liver abscess but was not responding. Later on, histopathology was done and it turned out to be a case of tuberculous liver abscess.

Abstract

Introduction: Delusional parasitosis is a form of relatively rare psychiatric disorder in which the sufferer holds firms false believe of their skin being infested by parasite. On 1938 scientist Ekbom published a case report detailing 8 patients suffering from this delusional perception and hence this condition is also known as Ekbom’s syndrome. Case Presentation: We present a 67 years old normotensive non diabetic female patient who was brought to the outpatient Department by her son with complain that, insects are crawling under her skin. She has been suffering from this condition for three years and it was causing tremendous psychosocial and physical adverse consequences. She has never been on treatment by any specialist before but has received treatment from traditional village healers with little improvement. Conclusion: Ekbom’s syndrome is a rare yet important delusional disorder. This is a hard to treat condition that Doctors should be aware of.

Introduction: The year 2019 will be remembered in the human history by the mark of an unknown diseases plaguing the whole world with its devastation, namely coronavirus disease 2019 (COVID-19). This pandemic caused by a novel strain of RNA virus has caused a catastrophic health outcome for millions of world citizens but in many cases only the physical aspect of the disease came under consideration. Materials & Methods: This review is based on ample literature search of Medline, the Cochrane Database of Systemic Reviews, and citation lists of relevant publications. Discussion: COVID-19 pandemic has caused a variety of health problems including mental health issues. Initial panic about the completely unknown (Novel) virus plaguing the world was soon joined by an array of mental health problems like anxiety, depression, combined anxiety and depression, traumatic stress etc. Amidst the chaos of unpredictability, mortality, overstretched health facilities etc. we often downplay the importance of paying attention to the mental side of the disease spectrum. As a result, outcomes like child abuse, domestic violence and suicide can increase. Conclusion: It is of utmost importance to educate mass people about the coping strategies to go through this hard time, to ensure proper news sharing, to screen people who are at risk of developing mental health problems and to provide support to those who are in need. Local and International consensus guideline should be planned to deal with this issue. Medicine Today 2021 Vol.33(2): 169-171