Age: – 18 months, Sex: – Male
Date: 4/11/2009
ODP: Complaints started with coryza, with fever treated with allopathic medicine and patient remained normal for 4days. After 4 days same complaints reoccurred followed by dyspnoea.
- Chest X ray – right lung effusion.
- Hb – 5.7 gm%
- Patient underwent ICU admission and ICD on 14/10/2009.
- Patient was discharged on 05/11/2009 and was suggested for right lung decortications.
Milestone – delayed talking and walking. Always remains sick.
- PRETERM LSCS Delivery.
- LBW – 1.75 kg.
Past history – Jaundice after birth ; sr.bilirubin – 20. underwent NICU stay for 15 days.
- rattling after sleeping since 1 month of age.
- H/O recurrent coryza with fever < change of weather; during which he becomes dull with sleepy, appetite reduced, thirstless and thermal hot.
- Patient received blood transfusion, inj. pipzo, vancomycin, Augmentin, Syp Azithral.
Family history – Tubercular background in family both maternal as well as paternal side.
Perspiration – profuse over scalp, forehead and upper lips.
Desires – Banana, maagi, milk, earth, pungent things.
Aversion – sweet.
Thirst – Thirsty but thirstless in acute conditions.
Mind – anger when contradicted = violent anger and used to beat his head on ground.
- follows all instruction given by his relatives.
- Attached to mother.
- Plays alone.
- Always remains happy.
- Does not like to play with girls.
O/E Chest – Air entry on right side is less.
Investigations:-
CT scan Chest: – dated 14/10/2009.
– ICD in situ on right side.
– Consolidation collapse of right lung with shift trachea & mediastinum to opposite side.
– Right pleural effusion.
– Consolidation involving posterior basal segment of left lung.
– Screening of abdomen reveals gaseous distention of bowel loops.
X. Ray Chest: – dated 14/10/2009.
– Right gross pleural effusion with collapse underlying lung.
X. Ray Chest: – dated 24/10/2009.
– Cavitatory lesions in right mid zone & right lower zone suggestive of? Pneumotocoele with surrounding consolidation.
– Right pleural effusion.
X. Ray Chest: – dated 28/10/2009.
– Patchy opacities with pneumotoceles in right lung.
– Right pleural effusion.
As compared to previous radiograph there is no significant changes.
CT scan Chest: – Dated 03/11/2009.
- Thick walled cavities with septae & air fluid level within right upper & middle lobes with air fluid level & surrounding consolidation suggestive of multiple lung abscesses.
- Fibrotic changes in right lobe.
- Minimal right sided pleural effusion.
Pleural fluid analysis:-
S/O Exudative, 4.8 protein, plenty of pus cells, 10-15 RBC.
Diagnosis of diseases: – Right lung abscesses.
Phase of disease: – Acute reversible.
Diagnosis of miasm: – Tubercular.
Diagnosis of susceptibility: Moderate.
Diagnosis of remedy: – Pulsatila, Lycopodium, Sulphur, Lachesis, carb.veg, bryonia alba .
Selection of remedy: – Pulsatila 6c 3 dose stat.
Date with Sr.no | Observation & interpretation |
Prescription given |
10/11/2009 | CXR of 9/11/2009 noted
– Cavities in right mid zone with surrounding Consolidation. – Right pleural effusion. Weakness improved, Appetite improved, dullness Reduced, irritability decreased, thirst increased. No fever, no cough, Chest – Clear |
S.L |
17/11/2009 | No fever, no cough, no breathlessness.
Activity increased, appetite increased, sleep normal. Chest – AEEBS/ clear. No history of recurrent coryza / fever even though there is change of weather. |
S.L |
22/11/2009 | Sneezing since yesterday.
Coryza since today Desires magi, pungent, apple, banana, milk. Aversion sweet, Thirsty, Hot. Chest – Clear. |
Pulsatila – 200 1
Dose. |
2/12/2009 | CXR of 1/12/2009 Noted.
Cavitatory lesion with surrounding consolidation in right mid & lower zone. Coryza since yesterday. Sneezing +, cough +, thirsty +, Hot. No fever. Chest – Clear. |
Pulsatila – 200 1
Dose. |
1/1/2010 | CXR of 16/12/2009 noted.
? Cavitatory lesion in right mid zone H/O eating groundnut yesterday. Irritability since yesterday = sleepy. Appetite decreased, feverish, Hot, thirsty, wants to be carried. No coryza, no cough. Chest – Clear. |
S.L |
11/1/2010 | CXR of 8/1/2010 noted
No significant abnormality Patient had no any |
S.L |
Further follow up is given below the reports and x ray films given below.
Scanned copy of printed reports & photo copy of x ray films of patient are attached.
Before Treatment.
First. Date: – 14/10/2009. Sr. No – 474.
Before Treatment.
Second. Date:- 24/10/2009. Sr. N0 – 755
Before Treatment.
third. Date:- 28/10/2009. Sr. N0 – 896.
Before Treatment.
During Treatment.
Fourth. Date:- 9/11/2009. Sr. N0 – 279.
During Treatment.
Fifth. Date:- 1/12/2009. Sr. N0 – 16.
During Treatment.
sixth. Date:- 16/12/2009. Sr. N0 – 617.
During Treatment.
Seventh. Date:- 8/01/2010. Sr. No – 284.
Date :- 28/02/2010.
H/o eating ice cream.
Coryza with watery discharge since 2 days.
Cough < lying down.
Sneezing +
Fever since 2 days.
Thirsty +
No drowsy / dullness.
Sweating over – upper lips, forehead, neck.
Lips red.
Chest – clear.
Remedy given – pulsatilla 200 1 dose.
Date:- 14 / 03/ 2010.
H/o fright due his mother try to beat him in evening.
Next day morning he get fever with convulsion.
Activity decreased, fever, chills, shivering, thirsty.
Thirsty during fever.
Sleepiness ++
Desires to lying on abdomen.
Fever with coryza.
Chest X. ray done – No abnormality detected.
Remedy given – opium -200 1 dose.
Date – 17 / 03 / 2010.
No any complaints.
No fever
No coryza
Remedy given – S.L.
Dear Dr Sanjay,
Thanks for sharing a wonderful clinical case presentation.
In today’s era of clouding over the objectivity of homeopathic efficacy, such cases with imaging evidences will always help at various platforms.
I was curious to know, why did you shift from 6c to 200th potency directly [on 22 Nov]? For 6c, i guess, you were thinking of the structural pathology in mind.
Best regards,
Dr Amit Karkare
I want to ask the author as to whether the patient was also on antibiotics or any other allopathic medicine during the time, he was taking homeopathic medicine ‘Pulsatilla’ ? Thanks!
Dear Sanjay
Congrats dear!!!
This is an excellent achievement and wonderful presentation of the case!
I believe in your extra ordinary talent and hats off to your patience throughout till date to achieve this milestone in your career.
I am sure you have even more such amazing cases and I hope to see them soon on this portal online.
Great work and good luck.
Warm Regards,
Geeta
Dear Dr Sanjay,
Thanks for wonderful case presentation with good works and imaging evidences.
It help in our various platform.
with best regards.
Prof Dr Shaikh S Rahman
U A E.
Dear Dr. Sanjay Gavaji Padole M.D.
I am very moved by your confidence and observation power. Good work. I am very inspired by your work. I am working with FOP, do you have any experience? If yes then pls share with me.
DEAR SIR!
You did’nt mention that on what symptoms you moved towards OPIUM.plz would you tell me?
Dear sir,
It is already been mentioned in case that he had one episode of “convulsion” and hence was given the OPIUM as he was having FEVER.
Thank you for the responce.
Dr.Sanjay Padole
Dear Dr.Sanjay PADOLE
I am very happy for wounderful case with good work. I belive in your hard work in H-PATHY I hope you will be successin different difficult cases and best wishes for further work.
i like homeopathy very much. being a veterinarian i also use h.remedies for animals. it is polite type of treatment. i love homeopathy. and want to become expert. and i hope u will guide me thank u very much. Muhammad aadil Mann student DVM university of agricultre faisalabad Punjab Pakistan