A case of pseudo-tumor cerebri is reported in a woman being treated with minocycline and tretinoin for acne who also ingested liver as a self-treatment for her condition. A possible cumulative effect between these agents is postulated.

Plasma procalcitonin (PCT) is a highly specic marker for the diagnosis of bacterial infection and sepsis. Studies have demonstrated its role in the setting of sepsis and acute pancreatitis. This study aims to analyze and compare the prognostic efcacy of serum procalcitonin level in acute pancreatitis. A prospective observational study was conducted in the department of general surgery of Kempegowda Institute of medical Sciences and Research Centre from March 2021 to August 2022.Plasma procalcitonin was estimated. The study included a total of 51 patients diagnosed to have acute pancreatitis. Data was collected and statistically analyzed using SPSS version 17. All patients were males with a mean age of 42.29 years (range, 18-62 years) and all had ethanol-induced pancreatitis. Plasma PCT values were found to correlate better than Ranson's scoring system with the total duration of hospitalization, ITU, and ICU stay, as well as with the progression to severe acute pancreatitis. A cut off for plasma PCT of >0.5 ng/mL was found to be 100 % sensitive and 100 % specic and a cut off for Ranson's score was 3 out of 11 with 94 % sensitive and 92 % specic for predicting the progression to severe acute pancreatitis. Plasma PCT also correlated well with number of days of hospitalization when compared to Ranson's scores. Plasma procalcitonin is an early and reliable prognostic indicator in acute pancreatitis.

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