Aggression is an important problem that leads the patients to Psychiatric Emergency Services. Despite of the hospitalization, it may still happen inside the hospital, and cause physical and psychological problems to the staff and other patients. This research aimed to study the prevalence and the factors associated with aggression in the first 24 h of psychiatric hospitalization. A cross-sectional study conducted in the Psychiatric Service of the University Hospital of Santa Maria (HUSM) with 137 psychiatric inpatients, using the Overt Aggression Scale, comparing aggressive to non-aggressive patients was used. The prevalence of general aggression was 41.6%, and physical aggression was highlighted with 8.8%. The main associated factors were involuntary hospitalization, aggression of any kind within the week before admission, compulsive use of cannabis and cocaine in the past, smoking, diagnostic hypothesis of multiple substance use, bipolar disorder during a manic episode and psychotic disorder (for physical aggression only). Aggression within the first 24 h of admission is considerably prevalent. The associated factors are consistent with international literature. However, we suggest that nation-wide studies about aggression prevalence are necessary, due to local specificities.

Pulmonary tuberculosis is a significant cause of morbidity in present world especially in developing countries. Its incidence is also rising in developed countries secondary to international travel, development of drug resistance and increase in immunocompromised clinical conditions especially AIDS & diabetes mellitus. Tubercular hepatic abscess is rare due to relative hypoxic parenchymal conditions for bacillus and is usually a part of miliary tuberculosis or secondary to pulmonary or gastrointestinal tuberculosis. It appears as a solitary lesion usually in periportal location with thicker walls but without obvious edema or internal air/air-fluid level. It does not have any specific symptoms and can be easily missed or confused with amebic or pyogenic abscess. Hence, the knowledge of coexisting hepatic tubercular lesion is important not only for management but also for prognosis. In this article, we present a rare case of tubercular hepatic abscess coexisting with pulmonary tuberculosis.