INTRODUCTION: Leukorrhoea develops due to physiological and pathological conditions among women of reproductive age.Due to its presentation, determining the source and cause of discharge is crucial, therefore, differential diagnosis and microbiological prole would aid in its management. AIM: To identify etiological agents and estimate their proportions in leucorrhoea among women of reproductive age for better treatment of genital tract infection. MATERIALS AND METHODS: The study was conducted at the OBG Department of a tertiary medical hospital from January 2018 to December 2018. Vaginal swabs were collected sterilely from 152 patients complaining of abnormal vaginal discharge or any other associated ailment. Samples were processed for culture as per standard recommendations. Bacterial vaginosis(BV)was diagnosed by clinical composite criteria (Amsel's criteria) and Gram stain (Nugent's score). RESULTS: Among the 152 patients, infectious etiology was observed in 65.8%, normal ora in 28.9% & no growth in 5.3% in culture media. BV (44%) had higher prevalence followed by Candidiasis (26%) and Trichomoniasis (2%). Amsel's criteria identied 28.9% of BV compared to Nugent's criteria (25%).A considerable increase in non-albicans Candida species (53.8%) was observed compared to Candia albicans(46.2%). Other organisms isolated included, Acinetobacter spp. (3.6%), Pseudomonas spp. (14.3%), E. coli (39.3%), Klebsiella pneumoniae (10.7%), MSSA (10.7%), Enterococcus spp. (21.4%). CONCLUSION:Bacterial vaginosis was the prominent cause of infection in leukorrhoea among the women of reproductive age. Timely diagnosis and appropriate management avert serious complications and risks of ectopic pregnancy, infertility, chronic pelvic pain, and abdominal discomfort.
Desmoplastic fibromas of bone are extremely rare, slow growing, locally invasive, benign primary bone tumours, bearing close resemblance to the extra-abdominal desmoid tumours of soft tissue. They typically occur in patients around 30 years of age, and most commonly affect the mandible, pelvis and meta-diaphyseal region of long bones. En bloc or wide resection has typically been the treatment of choice to avoid recurrence, however, recent reports support curettage with bone grafting and adjuvant therapy to minimise functional loss. We report a 9-year-old child with a desmoplastic fibroma of right radius. This is an unusual age group for this bone tumor. The tumor was managed with en bloc resection and reconstruction with a non-vascularised fibula autograft. The patient had good functional outcome and no recurrence at 1-year follow-up. Level of Evidence: Level V (Therapeutic)
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