An Epidemiological Study of Hearing Loss in a Peripheral Tertiary Care Hospital

The estimated prevalence of adult onset hearing deafness in India is 7.6% and childhood onset hearing loss is 2%. But there are very few studies which highlight the prevalence of various types of hearing loss. So a retrospective, cross-sectional study in a peripheral tertiary care hospital was designed to analyze the different types of hearing loss among patients with complaints of hearing disabilities attending and assess the more prevalent type of hearing loss according to severity. Out of total study population of 14,365 patients, Male patients with Mild hearing loss have the maximum correlation coefficient followed by Moderate, Moderately severe, Profound and Severe hearing loss. In the case of female patients Mild Hearing loss has the maximum correlation coefficient. Result of this study may be helpful in planning and management of different programs related to hearing disability prevention. As most of the hearing loss is mild variety and it slowly progress to other form of severe hearing loss, early intervention is very helpful in reducing the severity thus disability.

Primary cutaneous histoplasmosis simulating Molluscum contagiosum

Primary cutaneous histoplasmosis in a HIV positive patient ie isolated cutaneous involvement without any deeper structures is a very rare entity. Only a handful cases have been reported worldwide. This patient presented with cutaneous lesion simulating Molluscum but histopathology revealed Histoplasma capsulatum. The patient had no deep organ involvement. The patient was put on Itraconazole which caused rapid dissolution of the lesions. He was subsequently put on HAART and discharged.

Castlemans disease in HIV infected patient from eastern India

Castlemans disease is a rare lymphoproliferative disorder. We report a patient of Castlemans disease with advanced HIV infection who responded well to conventional HAART. This case is interesting because of the rarity of the disease in the eastern part of India and its good out come with antiretroviral therapy.