A case of urogenital myiasis in a patient with transverse myelitis is reported from Imphal, Manipur, India. The larvae of Megaselia scalaris Lowe were recovered repeatedly from the urine of the patient and were reared to adult to facilitate identification. This is the first known case of urinary myiasis caused by M. scalaris in India.

Paragonimiasis is an important cause of pulmonary disease worldwide. Infection in humans mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. The disease is well known in endemic regions of Asian countries, where culturally based methods of food preparation foster human transmission. Three patients with clinical and radiological features compatible with pulmonary tuberculosis had been treated for tuberculosis without remedy despite an inability to demonstrate acid fast bacilli in sputum smears. All patients had history of ingestion of raw crabs and crayfish. The confirmed diagnosis of pleuropulmonary paragonimiasis was made based on the demonstration of Paragonimus eggs in the sputum, and high absolute eosinophilia in their peripheral blood and pleural fluid. All the patients had been treated with praziquantel successfully.

abnormal vessels which form an integral part of the lesion forming a 'haemangioneurofibroma'. Such pathology could explain the profuse bleeding encountered when excising this lesion. Malignant conversion to a sarcoma has been described in plexiform neurofibromas but these have been in children with the other signs of neurofibromatosis.4 Our patient will be reviewed indefinitely because the neurofibroma may recur, although the full syndrome of von Recklinghausen's neurofibromatosis is unlikely to develop at this age. 1 Boltshauser B, Stocker H, Sailer H, Valavanis A. Intracranial abnormalities associated with facial plexiform neurofibromas in neurofibromatosis type I. Neurofibromatosis 1989; 2: 274-7. 2 Porterfield JF. Orbital tumours in children: a report on 214 cases. Int Ophthalmol Clin 1%2; 2: 319-35. 3 Littlewood AH, Stilwell JH. The vascular features of plexiform neurofibroma with some observations on the importance of pre-operative angiography and the value of pre-operative intra-arterial embolisation.

No abstract

No abstract