Tuberculosis (TB) is still endemic in many developed countries. Involvement of the hand and wrist at presentation is extremely rare, and the diagnosis is often missed. Operative findings of “rice bodies, millet seeds, or melon seeds” are highly suggestive of tuberculous tenosynovitis. Six patients with TB of the hand and wrist at various stages of disease with characteristic operative findings are reviewed. Four patients had underlying immunosuppression. One patient had previous pulmonary TB, whereas 3 patients had radiographic evidence of previously undiagnosed pulmonary TB. The interval to presentation ranged from 1 week to 2 years. Two patients had median nerve irritation, 3 patients had osteomyelitis, and 1 patient had flexor tendon rupture. Mycobacterial cultures were positive in 4 patients; acid-fast bacilli stain, and polymerase chain reaction were positive in remaining 1 patient; and both stain and culture were negative in the last patient who had history of pulmonary TB. All 6 patients were managed with combination therapy comprising antituberculous chemotherapy and at least 1 debulking tenosynovectomy. Two patients had 2 debridements. Of these 2 patients, 1 underwent wrist arthrodesis during the second procedure. Mean follow-up was 4 years. There were no recurrences after the most recent debridement. The diagnosis of TB of the hand and wrist is often missed. The surgeon has to be aware of the significance of loose bodies when performing routine excision of innocuous looking wrist ganglia. Combination therapy comprising thorough excisional debridement and antituberculous chemotherapy will minimize recurrence of this difficult-to-treat disease.
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Melons planted in soil that’s been enriched with composted manure will benefit from all that nitrogen. Nitrogen encourages the growth of vines. When the plants are further along and are beginning to flower, they will need fertilizer that is higher in phosphorus and potassium than nitrogen in order to set fruit. Look for an organic fertilizer with an NPK (nitrogen, phosphorus, potassium) ratio that has a lower first number than the second and third numbers. Follow the manufacturer’s instructions when applying: More does not equal better and can instead be detrimental.
Melon vines need plenty of room to roam. Plant seeds or seedlings so you end up with two or three plants on mounds with room to spread out in all directions, or space them in rows, one plant every foot with about 6 feet between rows.
Athena is a cantaloupe that’s known for its resistance to Fusarium wilt, powdery mildew and cracking, and its long shelf life. Athena matures in 79 days.
Root-knot nematodes form galls in melon roots, where they steal nutrients. If you go heavy on water and fertilizer, an affected melon plant may still be able to produce. It’s said that interplanting French marigolds in the garden will repel nematodes. However, if you know nematodes are present, plant resistant varieties or practice crop rotation by refraining from planting nightshades in that garden bed for three or four years, so the nematode population subsides.
What are your secrets to successfully growing melons? Let us know in the comments below.
Keep the seedlings under grow lights so the plants don’t reach for the light. In low-light conditions, plants will become leggy and weak. Running a fan over the seedlings is also helpful as it prevents damping-off disease, which can be fatal to seedlings before they grow their first true leaves.
Moon & Stars looks like a typical pink-fleshed watermelon when you cut into it, but on the outside, the skin is deep green with a big yellow dot (the moon) and lots of little yellow dots (the stars). Each fruit can be up to 40 pounds. It matures in 100 days.
Avoiding overhead watering will cut down on melon diseases, but disease issues may continue to arise. Melons also have a few pests that love them too. Melon aphids colonize quickly so be vigilant in inspecting your plants, especially under the leaves and on the vines. Insecticidal soap is a good treatment but you have to make contact with the aphids for control.
The basic soil preparation starts about 3 months before transplanting melon seedlings. Farmers plow well at that time. Plowing improves soil aeration and drainage. At the same time, plowing removes rocks and other undesirable materials from the soil. One week before planting, many farmers apply a pre-planting fertilizer such as manure or synthetic commercial fertilizer, always after consulting a local licensed agronomist. Since melon plants need a lot of space to grow, farmers plant them at predefined distances. Consequently, there is no reason to apply the pre-planting fertilizer to the entire field. A good technique is to mark the areas you are going to plant and then apply the fertilizer towards the lines. The next day is probably the right time to install the drip irrigation pipes. Following the installation, some farmers can apply soil disinfection substances through the irrigation system, in case soil analysis has revealed soil infection problems (ask a licensed agronomist in your area).
Growing Μelons from Grafted Seedlings
They appear very often in the United States and Southern Canada. The adult beetles chew the foliage, flowers, and the fruit of the melon, causing serious damage. However the damages these beetles cause are not only tissue injuries from chewing. They also transmit a dangerous pathogenic bacterium called Erwinia tracheiphila. This bacterium causes one of the most threatening diseases of melons. It causes bacterial wilt of cucurbits. Furthermore, they transmit squash mosaic virus, which is responsible for the squash mosaic, another major disease of melons and squash.
Melon Fertilizer Requirements
Cucumber mosaic is a disease caused by Cucumber mosaic virus (CMV), usually transmitted by aphids. Symptoms include curling of the foliage. In most cases, the latter has already developed a characteristic yellow mosaic on it. We may also observe smaller leaves than those on healthy plants. Flowers can also be affected. Their petals may turn green and distorted. Management includes the control of aphids population on the field and hygiene measures such as tools disinfection and destroying of infected plants.