quinta-feira, 17 de setembro de 2015

A case of Molluscum Contagiosum in a HIV patient by Dr Pawan S Chandak


 

Dr. Pawan S. Chandak BHMS
‘Shradha’ Vishnu Nagar,
Basmat Road, Parbhani 431401,
Maharashtra
Email: ashachandak498@gmail.com
Website: www.modernhomoeopathy.com
Tel: +91-2452-222261, Cell: +91-9422924861
Fax: +91-2452-222261

    Introduction:

       Dr. Pawan S. Chandak is a clinician and social worker, dedicated for the propagation of Homoeopathic Community. He is graduated from Maharashtra University of Health Sciences Nashik. He had authoured a book ‘Gems of Modern Homoeopathy’ and he swear as National Secretary of Indian Homoeopathic Medical Association. His articles had been published in many Journals and he is a managing edition of an educational. website www.modernhomoeopathy.com

       A five years old female girl presented cystic swelling and fungating growth in and around the right upper eye lid. The right eye was closed and covered with the growth. The left eye, naso labial fold and corners of the mouth also presented few papules.

       The lesions were infected, painful, itching, discharging blood sticky secretion. Few lesions were matted together, discharge was highly offensive and excoriating. The regional lymph nodes upper cervical area was swollen. The child is greatly debilitated as she is unable to eat food on account of pain. Complaints < night.

       The child had itching all over the body. She is trembling and shivery, sensitive and emotional.

    Past History
       She had recurrent attacks of cold and cough. She had been treated for pulmonary tuberculosis under modern medicine for six months.
    Refer Plate I





    Family History
       Her parents passed away following HIV and she is under the Care centre for HIV patients. The child also has shown positive study for Serological examination. Refer Plate II and Plate III





    Physical Generals
    Appetite : Loss of appetite
    Thirst : Less
    Sweat : On forehead.
    Stool : Regular, two times, watery
    Urine : Burning micturation
    Thermal : Chilly
    Sleep : Disturbed due to pain

    Mental Generals
       Mild, Yielding, frightened easily

    General Examination
    Weight: 10 kgs
    Pulse: 100/min
    CVS: NAD
    Abdomen: distended.
    Chest: looks emaciated. With emaciation of lower limbs also.

    Totality of Symptoms
    Molluscum Contagiosum
    Cauliflower like growth in and around the right upper eye lid
    The lesions were infected, painful, itching, discharging blood sticky secretion
    The discharge was highly offensive and excoriating
    Complaints and pain < night, night aggravations
    Chilly patient
    Cervical lymph node swollen
    Loss of appetite
    Thirstless
    Frightens easily
    No weakness in anything
    Weakness and debilitated
    Trembling and shivering

    First Prescription: 8/05/2009
    Rx
    Nitric acid 200 3 pill tds on empty stomach
    Placebo for 15 days

    Follow Up 1 24/05/2009
    Appetite good
    The lesions started discharging around both eyes
    Left eyes slightly opened
    Eruption started breaking up and oozing
    Improvement in general
    Rx
    Nitric acid 200 3 pill tds on empty stomach
    Placebo for 15 days

    Follow Up 2 08/06/2009
    Infected molluscum on face are bursting and decreasing in size
    Eruption is drying up
    Swelling around both eyes comparatively decreased
    Now right eye slightly opened and left eye fully opened
    Rx
    Nitric acid 200 3 pill tds on empty stomach
    Placebo for 15 days

    Follow Up 3 25/06/09
    Molluscum below and around eyes decreased
    No swelling, no pain in eyes, no discharge
    Appetite: improved, both eyes are opened now.
    Patient can see properly from both eyes.
    Swelling of cervical lymph node decreased.
    Rx
    Nitric acid 200 3 pill tds on empty stomach
    Placebo for 15 days
    The patient is on treatment for further HIV studies.




    Before
    After
    Before
    After

    Discussion
    The drug selected is based on totality and prescribed on sycotic, syphilitic plethora has benefited the patient.
    Since the outward manifestations are better the deep seated miasmatic tendency expressed as AIDS also expected to give positive serological study. The treatment is on with way of hopes.