We present a case of 54 year old male with chronic alcoholic disease and decompensate ascites admitted in our hospital for recurrent epistaxis.

A 57-year-old male, known diabetic and hypertensive presented with history of generalized weakness, bone pains and significant weight loss (19kg in two months). Examination showed pallor with no lymphadenopathy or visceromegaly.

Background: A middle aged male patient 45 years presented to emergency department with the complaints of non- healing ulcer right foot since 2 years.

Summary: Our patient, a 45 years old male presented with history of non- healing ulcer plantar aspect of right foot since 2 years .Patient had a history of trauma due to a log of wood one month before the development of ulcer, subsequent to which a swelling developed in his foot for which he underwent a surgical debridement and regular dressings at a peripheral health centre, but the wound never healed. Patient was investigated which revealed tuberculous origin of the ulcer. Patient was started with anti -tuberculosis therapy and responded well.

Conclusion: The case report indicated that when an ulcer does not heal in spite of conventional antibiotic therapy and local wound care(chemical and mechanical debridement) for long durations, chronic Tuberculous ulceration needs to be considered in a country where tuberculosis is endemic, or in those either visiting or migrating from such a region.

Acute pneumonia is known to medicine for more than two and a half millennium since the time of Hippocrates. All known old classic postulate that pneumonia is not contagious infection. And today, patients with acute pneumonia are not subjected to isolation and other precautions. Moreover, it is well known that the etiology of pneumonia is quite diverse. The causative agents of pneumonia are very numerous, are not a constant feature of the disease and, as a rule, belong to the representatives of symbiotic nonspecific micro flora.