Backgrounds: Pott's disease is a rare form of extrapulmonary tuberculosis, and presents with several clinical patterns. Delay in diagnosis and management may cause serious complications. We conducted a retrospective study between 1991-2006 to evaluate clinical presentation, radiologic and laboratory findings, and therapeutic approaches to spinal tuberculosis.Methods: We reviewed clinical presentation, radiological and laboratory findings of 58 patients with spinal tuberculosis retrospectively. The diagnosis of tuberculous spondylitis was based on characteristic histology or microbiologic evidence of the disease. The results of study were recorded, and statistically analyzed by SPSS 11.5.Results: The most frequent symptom was back pain (84%), with thoracic region being the most affected site (46%). Paravertebral abscess noted in 67% of cases and the average time for diagnosis was 16 months.Conclusions: The 42 cases of this study underwent surgery and all were treated with drug therapy for 12 months. There was no worsening of the neurologic status in any patient. All patients with tuberculous spondylitis began to improve 3 months after chemotherapy and healed within 12 months in nonsurgical and surgical groups.

Objective: To analyze the clinical and radiological features of paragonimiasis in children and raise the awareness of this disease.Methods: A total of 58 paragonimiasis patients were reviewed. They were 42 boys and 16 girls aged 2.0 to 15.3 years.Findings: Among these patients, 20 were diagnosed in the recent 5 years, 46 with a history of raw water or food ingestion. Except 2 patients without any complaint, the most common features involved the systemic (41, 70.7%) and respiratory systems (43, 74.1%), followed by abdominal, cardiac and nervous systems, with rash and mass. Eosinophilia was noted in 46 (79.3%) patients, granulocytosis in 45 (77.6%), anemia in 14 (24.1%), and thrombocytopenia in 3. Imageology showed pneumonia in 26 (44.8%) patients, pleurisy in 28 (48.3%), hydropericardium in 17 (29.3%), ascites in 16 (27.6%), and celiac lymphadenitis in 13 (22.4%). Besides hepatomegaly and splenomegaly, calcification and multiple lamellar low echogenic areas in the liver were noted, each in one patient. Abnormal brain imaging was noted in 4 of 10 patients. Karyocyte hyperplasia with eosinophilia was noted in all the 19 patients who received bone marrow puncture.Conclusion: Paragonimiasis should be considered in the differential diagnosis of patients with multiple organs or system lesions, especially those with eosinophilia, serous cavity effusion, respiratory, cardiac, digestive system, nervous system abnormality, and/or mass. Healthy eating habit is helpful for paragonimiasis prevention.

Nuclear medicine methods have important role in the evaluation of transplanted kidney. In this study 58 99mTc-DTPA scans were performed in 38 patients. This method has 90% sensitivity and 96% specificity. In the cases of normal transplanted kidneys, function correlation between Doppler sonography and scanning was more than dysfunction kidneys