1.Muscle Eye Brain Disease; a Rare Form of Syndromic Congenital Muscular Dystrophy
Gosal Gurinder S ; Shah Hitesh H
Malaysian Orthopaedic Journal 2011;5(1):67-70
Congenital muscular dystrophy (CMD) is a heterogeneous group of disorders characterized by muscular hypotonia since birth and the histologic features of muscular dystrophy. Syndromic congenital muscular dystrophies are clinically similar autosomal recessive disorders characterized by congenital muscular dystrophy, lissencephaly, and eye anomalies. We present a case of a rare form of syndromic congenital muscular dystrophy in an eight year old girl, born of firstdegree consanguinity. She had: global develop
Orthopaedic
2.Post-operative Hypertension following Correction of Flexion Deformity of the Knees in a Spastic Diplegic Child: A Case Report
Vipin Mohan ; , Sujendra DM ; Imthiaz VK ; Hitesh-Shah
Malaysian Orthopaedic Journal 2016;10(3):46-48
An adolescent boy with spastic diplegic cerebral palsy
presented with crouch gait. He had bilateral severe flexion
deformities of knees and hips. He was treated with single
event multilevel surgery for the correction of deformities.
Surgical procedures included bilateral adductor release,
iliopsoas lengthening, bilateral femoral shortening and
patella plication. Persistent hypertension was noted in the
post-operative period. All causes of secondary hypertension
were ruled out. Having persistent hypertension following the
femoral shortening procedure is unusual. Antihypertensive
medication controlled his blood pressure 15 months after
surgery. Hypertension following correction of knee flexion
deformity and limb lengthening is well known. Hypertension
has not been described with the shortening osteotomy of the
femur. Hypertension is a rare complication following the
corrective surgery for the treatment of crouch gait. Blood
pressure should be monitored during the post-operative
period to detect such a rare complication.
Hypertension
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Cerebral Palsy
3.A child with Erysipelothrix arthritis-beware of the little known
Chiranjay MUKHOPADHYAY ; Hitesh SHAH ; Ke VANDANA ; Frenil MUNIM ; Sandeep VIJAYAN
Asian Pacific Journal of Tropical Biomedicine 2012;(6):503-504
Erysipelothrix rhusiopathiae is an established animal pathogen while the zoonotic infections in humans are rarely reported. Infections occur after exposure to animals or animal products that are mostly occupational in adults. Here we report in a child for the first time septic arthritis and osteomyelitis without an identifiable risk factor. A 5-year-old male child was admitted with pain in the left hip joint and inability to bear weight on the limb. Clinical examination followed by radiological and magnetic resonance imaging was suggestive of septic arthritis. Erysipelothrix rhusiopathiae grew from peroperative joint specimen. The infection was resolved following arthrotomy, joint lavage and antibiotic therapy.