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Patent Blue Violet dye is commonly used for selective localization of the lymphatic system before sentinel lymph node biopsy. This procedure is routinely recommended for staging the axilla in early breast cancer. However, it has long been recognized that such dye is associated with anaphylaxis. Here, we present a case of an intraoperative grade 2 anaphylaxis which commenced 20 minutes following the subcutaneous periareolar injection of patent blue for sentinel lymph node detection during segmental mastectomy. The timing of the reaction, clinical signs, and results of skin testing confirm patent blue to be the triggering agent.

BackgroundBurns continue to be a serious public health problem in India. It persists as an endemic disease in spite of implementing various preventive measures at the individual and community levels. Etiology and factors influencing burns are varied. There is a paucity of data regarding the clinico-demographic profile of burns disease, especially from emergency tertiary care settings in India. ObjectiveTo assess the proportion of burn patients having longer hospital stays (>1 week) and the influence of clinicodemographic factors associated with it among the burn patients presenting to the emergency department of a tertiary care institute in south India. MethodologyAn institution-based cross-sectional analytical study was conducted among burns patients attending the Emergency Medicine Department (EMD) of a tertiary care center between January 2017 and December 2017. Information on clinico-demographic profile and duration of hospital stay were captured using semistructured data collection proforma. ResultsAll the 327 burns injury patients who presented to our EMD during the study period were included. Among the 327 patients, 259 (79%) were admitted to the EMD. Among 259 admitted patients, 142 (55%) patients were discharged home. Among these 142 patients, 106 (74.6%; 95%CI 66.8-81.2) had longer hospital stays (more than one week). Female gender and facial/inhalational burns were found to have an independent effect on the length of hospital stay even after adjusted analysis. ConclusionLength of hospital stay is independently influenced by female gender and facial/inhalational burns. This study also identified the need for better home safety, child-proofing, proper pre-hospital care, and dedicated burns units in the community.

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Cysticercosis is one of the common parasitic infections that can affect many sites in the human body, though often seen in the brain and the eyes. Myocutaneous form of cysticercosis is often rare since most of them are asymptomatic and often go unnoticed. They often present to the emergency department due to pain over the lesion or central nervous manifestations. Here, we report a case of subcutaneous swelling, initially thought of as lipoma/abscess, later diagnosed as cysticercosis with the ultrasound. Myocutaneous cysticercosis can mimic various conditions such as lipoma, abscess, epidermoid cyst, ganglion, tuberculous lymphadenitis, pyomyositis, or fat necrosis. Hence, differentiating this from others in the clinical setting is essential because treatment modality is different.