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Disease Pattern in India
 
Treating Filarial Infection with Doxycycline
OP Kapoor
 
 

Long back I had read an article that a filarial leg could be treated with doxycycline 100 mg twice a day for 8 weeks with very good results. This is based on the theory that filaria need bacteria for their viability.

Since then, I have given this course to all the patients having this illness. I also give a course of Di-ethyl Carbamazine. I am not yet confident of prescribing doxycycline alone. Even if only the former drug is working, the results are far superior to those in the past.

By now I have seen dozens of cases of hydrocoele who have recovered without surgery, by taking only a course of Di-ethyl Carbamazine.

Since the cause of hydrocoele is yet unknown, I have started prescribing a course of doxycycline for two months to all patients, especially those who are not ready to undergo surgery. I am waiting for follow up results.
 
Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
 
 

LAPAROSCOPIC DONOR NEPHRECTOMY MINIMISES DONOR DISCOMFORT

Laparoscopic donor nephrectomy results in faster recovery, less fatigue, and a better quality of life for the donor than mini incision open donor nephrectomy. Kok and colleagues randomised 100 living kidney donors to laparoscopic donor nephrectomy or to mini incision muscle splitting open donor nephrectomy and followed them for one year. They also found that the functioning of the graft and survival rate of the graft in the recipient at one year did not differ, and they advocate laparoscopic donor nephrectomy for donation programmes using living kidney donors.

BMJ, 2006; 333 : 221.
 
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