Bilateral Ramsay Hunt syndrome in a diabetic patient

BACKGROUND: Herpes zoster oticus accounts for about 10% cases of facial palsy, which is usually unilateral and complete and full recovery occurs in only about 20% of untreated patients. Bilateral herpes zoster oticus can sometime occur in immunocompromised patients, though incidence is very rare. CASE PRESENTATION: Diabetic male, 57 year old presented to us with bilateral facial palsy due to herpes zoster oticus. Patient was having bilateral mild to moderate sensorineural hearing loss. Patient was treated with appropriate metabolic control, anti-inflammatory drugs and intravenous acyclovir. Due to uncontrolled diabetes, glucocorticoids were not used in this patient. Significant improvement in hearing status and facial nerve functions were seen in this patient. CONCLUSIONS: Herpes zoster causes severe infections in diabetic patients and can be a cause of bilateral facial palsy and bilateral Ramsay Hunt syndrome. Herpes zoster in diabetic patients should be treated with appropriate metabolic control, NSAIDS and intravenous acyclovir, which we feel should be started at the earliest. Glucocorticoids should be avoided in diabetic patients

pi+ + d --> p + p reaction between 18 and 44 MeV

A study of the reaction pi+ + d --> p + p has been performed in the energy range of 18 - 44 MeV. Total cross sections and differential cross sections at six angles have been measured at 15 energies with an energy increment of 1 - 2 MeV. This is the most systematic data set in this energy range. No structure in the energy dependence of the cross section has been observed within the accuracy of this experiment.Comment: 20 pages, 7 Postscript figure

A THREE-CHANNEL (pp, NƊ, πd) K-MATRIX ANALYSIS OF THE DIBARYON RESONANCES

Nous effectuons une recherche de pôle dibaryon pour les états Jp = 2+ et 3- par une simulation de matrice K pour les trois canaux (pp, NƊ, πd) pour l'analyse en déphasage des amplitudes pp-pp, pp- πd et πd- πd. Nous avons trouvé des pôles dans les régions de masse NN(2170) pour 2+ et NN(2250) pour 3-. Il est remarquable d'obtenir de faibles élasticités pp (≤ 0,02 pour 2+ et ≤ 0,04 pour 3-).A dibaryon-pole search in the complex energy plane has been performed for Jp = 2+ and 3- states in terms of the three channel (pp, NƊ, πd) K-matrix simulation of the pp-pp, pp-πd and πd-πd amplitudes of the phaseshift analysis. We have found the resonance poles in the mass region of NN(2170) for 2+ and of NN(2250) for 3-. One remarkable finding is small pp elasticities (≤ for 2+ and ≤ 0.04 for 3-)