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SETTING University Hospital, Kuala Lumpur, Malaysia. OBJECTIVE To determine whether 67Gallium (Ga) scintigraphy and high resolution computed tomography (HRCT) of the lung improve the diagnostic accuracy of sputum smear-negative active pulmonary tuberculosis. DESIGN Patients suspected of having active pulmonary tuberculosis but who were sputum(More)
Brief Reports 867 detecting lecitinase and urease production, were done to confirm the result. Although botulism, tetanus, and other clostridial diseases may arise exogenously, the source of most clostridial infections is the patient's own flora, and endogenous infections involving clostridia require special circumstances for the development of disease [5].(More)
  • C K Liam
  • 1993
Apart from Fauci's' series in which 6% of his 85 patients with Wegener's granulomatosis had oral ulcers as one of the presenting signs and symptoms, the oral manifestations of this disease are rarely reported.2'3 I wish to report a patient with the limited form of Wegener's gran-ulomatosis who presented with upper airway disease and hyperplastic gingivitis.(More)
Pulmonary alveolar microlithiasis (PAM) is a rare chronic disease with paucity of symptoms in contrast to the imaging findings. We present a case of a 24-year-old Malay man having an incidental abnormal pre-employment chest radiograph of dense micronodular opacities giving the classical "sandstorm" appearance. High-resolution computed tomography of the(More)
INTRODUCTION Prolonged use of oral corticosteroids is a risk factor for osteoporosis. However, the effect of inhaled corticosteroids (ICS) on bone mineral density (BMD) of asthmatic patients remains controversial. OBJECTIVES We aimed to determine the prevalence of osteopenia and osteoporosis in our patients with asthma receiving ICSs for more than one(More)
Nosocomial pneumonia (NP; encompassing hospital-acquired, health care-associated and ventilator-associated pneumonia) is one of the most common nosocomial infections and is associated with a mortality rate of 18.7%-40.8% in Asian countries. The burden of methicillin-resistant Staphylococcus aureus (MRSA) infections in Asia is high, and approximately 13% of(More)
Mucinous carcinoma of the lung, also known as colloid carcinoma, is an uncommon tumour that is rarely encountered in fine needle aspiration (FNA) cytological practice. A 64-year-old Chinese male presenting with blood stained sputum and hoarseness of voice was discovered to have a 3 cm sized mass in the left lung. Neither bronchial washings nor transthoracic(More)
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