فهرست مطالب سید جلال اسحق حسینی

Abscess of the spleen is a rare disease, which its selective treatment is splenectomy. In this disease, medical treatment alone is not enough. In this study, the patient had an appropriate response to medical treatment and the symptoms of the patient were completely eliminated.
Case Report: the patient was a 35 year-old female, who presented at 26 weeks gestation with fever and left upper quadrant pain. Radiological examinations demonstrated a lesion near to hilum of the spleen, which was suggestive of an abscess. Antibiotic treatment was started for the patient, and if the patient did not respond appropriately, percutaneous drainage (PCD) of the abscess was carried out under radiological guidance, but the symptoms of the patient recovered within 72 hours and PCD was cancelled. Follow-up imaging showed that the lesion was disappeared and patient delivered at 39 week's gestation without any complication. Therefore, it can be concluded that although medical treatment is inadequate for the treatment of splenic abscess, it can be appropriate for selected patients without a predisposing factor, who appropriately respond to the treatment.

Malaria is one of the most important protozoan diseases that has been ranked by WHO among the most important diseases after tuberculosis and AIDS. Currently, Malaria is common in 101 countries. 300-500 million clinical cases of malaria are reported each year, even in countries where malaria has been eradicated. Case Report: The patient is a 22-year-old man with complaint of abdominal pain who referred to hospital about 3 weeks ago. The pain was severe, generalized, and vague. At this time, the patient had experienced abdominal pain as intermittent and attack. Also, he had complaint of fatigue, weight loss, headache, and fever. He reported nausea and vomiting, along with the generalized abdominal pain. Meanwhile, he had complaint of mild dysuria without urinary frequency and mild pain and cramps of abdominal muscles. There was no superficial abdominal tenderness, but deep tenderness was positive. Many treatments and evaluations were performed for the patient, but the patient still had complaint of the lack of improvement. Finally the patient was treated after diagnosis of Malaria according to his blood smear test.Malaria is one of the most important infectious diseases in tropical areas. This disease has been eradicated in west countries but is common in 100 tropical countries, which Iran is among them. The case reported in this study showed that taking a complete and accurate history has a critical role in diagnosis of Malaria, so we can prevent late diagnosis, creation of numerous problems, inappropriate treatment, unnecessary costs, and also patient’s wandering.

Background and objectives Local pain and painful defecation are common patients complaints after anal surgery. Topical diltiazem a calcium channel blocker can decrease the tonicity of smooth muscles of anal sphincter and probably decrease the aforementioned painful condition. This study evaluates the efficacy of topical diltiazem gel on these complaints. Methods In this double-blind randomized placebo-controlled study patients received either diltiazem gel or placebo (a gel not containing diltiazem) in inch at the site of operation twice per day. All patients were followed up on 2nd and 7th postoperative days for scoring of complaints. Results The pain and painful defecation decreased significantly in second day in patients received diltiazem. Pain was completely alleviated in all patients received diltiazem in 7th postoperative day. But in the placebo group pain was reported by some of the patients in this day. No unwanted effect was reported in patients received diltiazem. Conclusion Topical 2% diltiazem gel is effective on alleviation of pain and pain during defecation after standard anal surgery.