Richard D. Pitcher

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INTRODUCTION Tuberculous (TB) meningitis is sometimes difficult to diagnose in young children. The decision to start anti-TB treatment of TB meningitis is usually made on clinical grounds and results of special investigations, such as cerebrospinal fluid examination and cranial computerized tomography (CT), because bacteriologic yield is low and the results(More)
A pilot study evaluating the use in paediatric polytrauma of the STATSCAN, a low-radiation dose, fan-beam digital radiography unit (Lodox Systems, Sandton, South Africa). Over 3 months, 23 polytrauma patients treated at the Emergency Unit of the Red Cross Children’s Hospital in Cape Town, South Africa, were imaged on the STATSCAN. Image quality, diagnostic(More)
The atlantodental interval (ADI) is assessed after trauma to the head and neck region to determine whether the transverse ligament of the atlas is intact. Atlantodental interval measurement from conventional screen-film radiographs is characterized by the need for magnification correction and by low reliability. Assessment of normal ADI values using digital(More)
We present a 3-year review of clinical paediatric experience with the Statscan (Lodox Systems, Johannesburg, South Africa), a low-dose, digital, whole-body, slit-scanning X-ray machine. While focusing on the role of the unit in paediatric polytrauma, insight into its applications in other paediatric settings is provided.
Neurosurgeons are familiar with the challenges presented by craniopagus twins, but other types of conjoined twins may also have neurosurgical implications. We report our experience in the management of ischiopagus and pygopagus conjoined twins. This is a retrospective review of the management of conjoined twins at Red Cross Children’s Hospital in Cape Town,(More)
AIM To describe the clinical presentation and outcomes of hospitalised patients infected with human metapneumovirus (hMPV) and human respiratory syncytial virus (hRSV) in a tertiary hospital in Cape Town, South Africa. METHODS hMPV was identified in 17 respiratory specimens submitted for viral studies during the period 2001-2003. These patients' medical(More)
Anorectal malformations are often associated with rectal pouch fistulas. Surgical correction requires accurate evaluation of the presence and position of such fistulas. Fluoroscopy is currently the chosen modality for the detection of fistulas. The role of MRI is unexplored. To compare the diagnostic accuracy of MR versus fluoroscopic fistulography in the(More)
BACKGROUND The chest X-ray (CXR) abnormalities of human immunodeficiency virus (HIV)-infected children in low/middle income countries (LMIC's) have not been well studied. OBJECTIVE To describe the CXR abnormalities and associated clinical/immunological features in HIV-infected South African children. MATERIALS AND METHODS A prospective study of(More)
BACKGROUND The global demand for diagnostic imaging exceeds the supply of radiologists and is of particular significance in poorly resourced healthcare environments where many radiographs are unreported. Delayed or absent reporting may negatively impact patient management. In well-resourced countries there is recognition that extending the role of(More)