[CIS-PAGID] FW: some kind of arteritis in PNG

[fabrício prado monteiro]

Burning? (Maus-tratos?)

On 25 August 2011 21:03, John Ziegler <j.ziegler at unsw.edu.au> wrote:


>  Dear Colleagues****

>

> ** **

>

> Please see below an email message from a colleague who volunteers his

> services in New Guinea.  Madang, on the north coast, was captured by the

> Japanese in 1942.****

>

> ** **

>

> No tests have been done.****

>

> ** **

>

> John Ziegler****

>

> ** **

>

> -----Original Message-----

> From: John Whitehall [mailto:John.Whitehall at uws.edu.au]

> Sent: Wednesday, 24 August 2011 10:28 AM

> To: John Ziegler

> Subject: RE: some kind of arteritis in PNG****

>

> ** **

>

> Hello John,****

>

> Hope you are well. What do you think this girl has? I found the girl in

> Madang last year. According to the mother the hands became affected over

> about 2-3 days, going black. There has been no progress, nor any other

> issues. On examination, no other rash, lymph nodes, spleen etc. She is

> bright and relatively happy and is in no apparent pain. There is no family

> history. Mum does not appear to have HIV. I wondered if she might have been

> poisoned by some kind of ergot poisoning but assume it is some kind of

> immune arteritis. I will be interested in your opinion. ****

>

> ** **

>

> They come from a remote village and both English and Pidgin were poor. I

> discovered the mother and child hanging around the children's ward. They

> were not actually admitted but were living out the back where, I assume,

> there was free food etc. The child was about 2 and about 3/12 before had

> developed 'changes' in the hands and feet. They live about 2-3 days walk

> from Madang so by the time they arrived the hands and feet and isolated

> areas on the skin had gone black. I understand the child was never severely

> ill...certainly nothing to suggest collapse and peripheral ischaemia. The

> lesions had persisted without any change apart from progressive

> mummification. When I examined the child she was remarkably free of pain,

> was happy, eating etc and had no other physical abnormalities.****

>

> ** **

>

> I never got the impression she had been very sick...in the manner of

> meningoccaemia. I think she first went to an aid post and probably received

> anti-malarials and chloromycetin and then she received antibiotics in

> Madang. There was no history of being bitten or of eating anything

> unusual...I wondered if there might have been some ergot containing

> plant...even betel nut is vasoconstrictive but surely not to that extent

> unless there was some remarkable predisposition.****

>

>

> ______________________________________________________________________________________________

> ****

>

> From: John Ziegler [j.ziegler at unsw.edu.au]****

>

> Sent: Tuesday, 23 August 2011 5:15 PM****

>

> To: John Whitehall****

>

> Subject: FW: some kind of arteritis in PNG****

>

> ** **

>

> John****

>

> ** **

>

> Wow, is there any more history? How old is she? I think you are saying it

> didn’t progress any further. Do you know the outcome (tissue-wise)?****

>

> ** **

>

> I presume this is not meningococcaemia and that there is no history of

> drugs, poisonings or bites.****

>

> ** **

>

> Could it be Kawasaki (or infantile polyarteritis)?  I preume no tests were

> done or are possible.****

>

> ** **

>

> In this paper written by Mark W. the gangrene looked terrible but there was

> very little permanent tissue loss.****

>

> http://www.ncbi.nlm.nih.gov/pubmed?term=2450191****

>

> ** **

>

> Best wishes****

>

> ** **

>

> John****

>




--
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://seven.pairlist.net/mailman/private/pagid/attachments/20110827/f7765395/attachment.html>