Patient with primary tonsillar and gastric syphilis

1997 ◽  
Vol 111 (8) ◽  
pp. 766-768 ◽  
Author(s):  
Tadashi Ishimaru ◽  
Yasutsugu Mizuno ◽  
Hideaki Shiga ◽  
Ikuo Nagayama ◽  
Mitsuru Furukawa
Keyword(s):  
Antibiotic Therapy ◽  
Male Patient ◽  
Gastric Lesion ◽  
Gastrointestinal Symptoms ◽  
Malignant Neoplasm ◽  
Oral Sex ◽  
Primary Syphilis ◽  
Smear Preparation ◽  
Left Tonsil

AbstractA male patient with syphilitic lesions in the tonsil and stomach is presented. The patient was infected while practising oral sex with heterosexual friends. He complained of nausea and snoring; his left tonsil was enlarged. Spirochetes were detected in a smear preparation from the left tonsil. As a gastric lesion, initially believed to be cancer, appeared to result from spirochete ingestion, the case is considered to represent primary syphilis. After antibiotic therapy with ampicillin, the left tonsil returned to normal size and gastric changes were no longer evident endoscopically. Gastroscopy should be considered if syphilis of the tonsil is observed, particularly when gastrointestinal symptoms are present. Both the oral and the gastric lesion can be mistaken for malignant neoplasm.

scholarly journals Gastric Cancer Presenting as Isolated Ascites: A Diagnostic Challenge

2019 ◽  
Author(s):  
Ines Duarte ◽  
Cristina Outerelo
Keyword(s):  
Gastric Cancer ◽  
Abdominal Pain ◽  
Gastric Carcinoma ◽  
Male Patient ◽  
Gastrointestinal Symptoms ◽  
Malignant Ascites ◽  
Rapid Onset ◽  
Clinical State ◽  
Diagnostic Challenge ◽  
Gastric Endoscopy

Malignant ascites is a rare first manifestation of gastric carcinoma and is usually associated with symptoms which include early satiety, abdominal pain and deteriorating clinical state. The authors describe the case of a male patient presenting with malignant ascites of rapid onset which was the sole presentation of gastric cancer, highlighting the importance of upper gastric endoscopy even in the absence of gastrointestinal symptoms.

scholarly journals MANAGEMENT OF RECURRENT PILONIDAL SINUS WITH KSHARALEPA: A CASE REPORT

2020 ◽  
Vol 11 (6) ◽  
pp. 4-6
Author(s):  
Poornima Jalawadi ◽  
Aiyanna PP
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Male Patient ◽  
Pilonidal Sinus ◽  
Prevalence Rate ◽  
Surgical Practice ◽  
High Prevalence Rate ◽  
High Prevalence

Pilonidal Sinus (PNS) is a commonest presentation in surgical practice with a high prevalence rate at more than 1 million cases per year in India, where as incidence is about 26 per 1,00,000 population. A 30-year-old male patient presented with PNS after an unsuccessful excision followed by antibiotic therapy. The challenge in this case was not only to excise the tract but also preventing its recurrence. Adopting the principles of Vranopakramas using Ksharakarma, Utsadana karma described in Ayurveda helped to manage the PNS effectively without any recurrence after 32 months of follow-up.

scholarly journals SARS-CoV-2 and Norovirus Co-Infection after Lung Transplantation

2020 ◽  
Vol 1 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Carolin Steinack ◽  
René Hage ◽  
Christian Benden ◽  
Macé M. Schuurmans
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Transplant Recipient ◽  
Antibiotic Therapy ◽  
Lung Transplantation ◽  
Lung Transplant ◽  
Gastrointestinal Symptoms ◽  
Lung Transplant Recipient ◽  
Disease Evolution ◽  
Moderate Disease ◽  
Thoracic Transplantation

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is spreading as a pandemic in 2020. Few reports on infections in thoracic transplantation have been published so far. We present a case of COVID-19 in a 55-year old female lung transplant recipient infected 5 months posttransplant, who additionally was co-infected with a Norovirus. Respiratory and gastrointestinal symptoms were observed without need of therapeutic escalation except for antibiotic therapy. We observed a moderate disease evolution likely due to triple immunosuppression.

scholarly journals Pigmented Lesion of Buccal Mucosa

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Manas Bajpai ◽  
Malay Kumar ◽  
Manish Kumar ◽  
Deshant Agarwal
Keyword(s):  
Differential Diagnosis ◽  
Male Patient ◽  
Case History ◽  
Buccal Mucosa ◽  
Malignant Neoplasm ◽  
Aspiration Cytology ◽  
Pigmented Lesions ◽  
Pigmented Lesion ◽  
Laboratory Investigations

Pigmented lesions are commonly found in the mouth. Such lesions represent a variety of clinical entities, ranging from physiologic changes to manifestation of systemic illness and malignant neoplasm. Diagnosis of such lesions requires a proper case history, extraoral and intraoral examination, and, in some cases, biopsy, aspiration cytology, and laboratory investigations. Here we present a case of purple lesion on the buccal mucosa of a 34-year-old male patient which was provisionally diagnosed as mucocele but on the basis of histopathological picture it was finally diagnosed as angiofibroma, and we also discuss the clinical and histopathological differential diagnosis.

scholarly journals A Case Report: An Unusual Presentation of Purple Urinary Bag Syndrome

2020 ◽  
Vol 1 (1) ◽  
pp. 25-28
Author(s):  
Juliano Alhaddad ◽  
Fares Kosseifi ◽  
Nehme Raad ◽  
Antoine Noujeim
Keyword(s):  
Risk Factors ◽  
Antibiotic Therapy ◽  
Male Patient ◽  
Urine Analysis ◽  
Clinical Status ◽  
Female Gender ◽  
Unusual Presentation ◽  
Indwelling Catheters ◽  
Urethral Strictures ◽  
Catheter Exchange

Background: The Purple Urinary Bag Syndrome (PUBS) is an uncommon and under-reported syndrome. It results from the purple discoloration of urine by tryptophan-oxidizing bacteria in a favorable alkaline milieu and usually affects patients with indwelling catheters. Other risk factors include female gender, chronic constipation, tryptophan-rich diet, and cognitive impairment. Although asymptomatic in the majority of cases, PUBS may be the sole and earliest sign of an aggressive urinary tract infection, especially in elderly patients where the presentation may be atypical and associated with resistant organisms, such as Pseudomonas aeruginosa and Vancomycin-resistant Enterococci (VRE). Proper treatment consists of catheter replacement and antibiotic therapy, which is indicated only in the setting of symptomatic infections. Case Presentation: We report an unusual presentation of PUBS in a 79-year-old male patient with no classical risk factors. The patient had a supra-pubic catheter for urinary retention secondary to urethral strictures. Every month, by the time of catheter exchange, the patient developed an asymptomatic purple discoloration of the urinary bag, which was not investigated until he presented at our facility. Urine analysis revealed acidic urine. Appropriate antibiotic therapy was initiated after the development of urinary symptoms, and the catheter was replaced. No recurrent urine discoloration occurred. Conclusion: This case represents the rare occurrence of PUBS in the setting of a suprapubic catheter in a male patient. It also highlights that even in atypical presentations, antibiotic therapy should be tailored to the clinical status of the patient and not the mere presence of bacteriuria. Raising awareness about this “esoteric” syndrome is essential for early diagnosis and proper management.

Clinical case of Fournier’s gangrene in a patient with adenocarcinoma

2021 ◽  
pp. 51-62
Author(s):  
Grigory Vladimirovich Rodoman ◽  
Sergej Kensarinovich Zyrjanov ◽  
Gleb Aleksandrovich Pucman ◽  
Marina Aleksandrovna Ivzhits ◽  
Leonid Vladimirovich Kornev ◽  
...  
Keyword(s):  
Antibiotic Therapy ◽  
Antimicrobial Therapy ◽  
Mucinous Adenocarcinoma ◽  
Clinical Case ◽  
Malignant Neoplasm ◽  
Fournier’S Gangrene ◽  
Empirical Antibiotic Therapy ◽  
Fournier's Gangrene ◽  
Elderly Age ◽  
Difficult Cases

The article describes a clinical case of Fournier’s gangrene in a 65-year-old man with rectal mucinous adenocarcinoma. Given the presence of a malignant neoplasm, elderly age and the general severity of the patient’s condition, the widest empirical antibiotic therapy was prescribed, the spectrum of which overlapped the most probable pathogens. The patient was discharged from the hospital on the 32nd day. The article discusses the rational tactics of antimicrobial therapy in such difficult cases for treatment.

scholarly journals A rare case of thymic carcinoid presenting with gastrointestinal symptoms and pericardium effusion

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qun-yan Xiang ◽  
Jin Xu ◽  
Ling Liu
Keyword(s):  
Rare Case ◽  
Pulmonary Veins ◽  
Gastrointestinal Symptoms ◽  
Malignant Neoplasm ◽  
Ventricular Myocardium ◽  
Pathological Examination ◽  
Thymic Carcinoid ◽  
Rare Type ◽  
Positron Emission ◽  
Multiple Imaging

Abstract Background Thymic carcinoid is one of an extremely rare type of malignant neuroendocrine tumor with a poor prognosis. Invasion of thymic carcinoid to other organs could lead to devastating consequences. It has been reported that thymic carcinoid mainly invaded to the pleura, lungs, liver, pancreas and bone, while rarely to the cardiac, especially to the ventricle. Case presentation A 53-year-old man presented with gastrointestinal symptoms and persistent pericardial effusion. Multiple imaging tools, including chest computed tomography (CT), magnetic resonance imaging (MRI), 18F-Fluorodeoxyglucose positron emission tomography/CT (18F-FDG PET/CT) showed a malignant neoplasm arising from the thymus invading into the biventricular myocardium, pericardium, and left superior pulmonary veins. The tumor was finally diagnosed as a thymic carcinoid through pathological examination. Conclusion This is a rare case of thymic carcinoid invading the ventricular myocardium, which presented as subacute heart failure. The observations in this case would be useful for differential diagnosis of primary heart disease and invasion of heart due to thymic carcinoid.

scholarly journals Pediatric inflammatory multisystem syndrome associated with COVID-19: A report of 10 cases in a Peruvian hospital

Medwave ◽  
2021 ◽  
Vol 21 (02) ◽  
pp. e8142-e8142
Author(s):  
Consuelo Luna-Muñoz ◽  
Giuliana Reyes-Florian ◽  
Martin Seminario-Aliaga ◽  
Angie Stapleton-Herbozo ◽  
Lucy E. Correa-López ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Latin America ◽  
Severe Acute Respiratory Syndrome ◽  
Antibiotic Therapy ◽  
Gastrointestinal Symptoms ◽  
Case Series ◽  
Rare Condition ◽  
Immunoglobulin M ◽  
Serological Tests ◽  
Control And Prevention

Pediatric inflammatory multisystem syndrome temporally associated with COVID-19 is a potentially severe and rare condition that still needs a better understanding to guide its management. Reports worldwide, and especially in Latin America, are still scarce. This report presents ten cases of pediatric inflammatory multisystem syndrome temporally associated with COVID-19 in children between 2 and 12 years old treated in a Peruvian hospital, diagnosed using the Centers for Disease Control and Prevention criteria. Severe acute respiratory syndrome coronavirus 2 was detected through serological tests (immunoglobulin M or G). Most had gastrointestinal symptoms. Therapeutics consisted mainly of intravenous immunoglobulin, corticosteroids, ivermectin, hydroxychloroquine, digoxin, and antibiotic therapy. Three patients underwent mechanical ventilation; no mortality occurred in this case series. In conclusion, the manifestations presented here are similar to those reported in the literature. A timely diagnosis is necessary for proper management.

scholarly journals Low Grade Central Mucoepidermoid Carcinoma

2015 ◽  
Vol 5 (1) ◽  
pp. 31-34
Author(s):  
Kartik Poonja ◽  
Janaki Subramanian Iyer ◽  
Leela Poonja
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Male Patient ◽  
Mucoepidermoid Carcinoma ◽  
Salivary Gland Tumor ◽  
Malignant Neoplasm ◽  
Low Grade ◽  
Gland Tumor ◽  
Malignant Salivary Gland Tumor ◽  
Central Mucoepidermoid Carcinoma

ABSTRACT Mucoepidermoid carcinoma (MEC) is the most common malignant salivary gland tumor, comprising about 15% of all salivary gland tumors and 30% of all salivary malignancies. Most of the MEC arise in the parotid gland. Rarely, it originates in the mandible and maxilla as an intraosseous variant, referred to as ‘central mucoepidermoid carcinoma’ or ‘intraosseous mucoepidermoid carcinoma’. Central mucoepidermoid carcinomas (CMECs) are extremely rare, but well-known entity, comprising 2 to 3% of all MECs reported. Histopathologically, this malignant neoplasm is characterized by mucous, intermediate and epidermoid cells. In this report, we present a case of a male patient diagnosed as low grade CMEC. How to cite this article Iyer JS, Poonja K, Pathak J, Patel S, Poonja L. Low Grade Central Mucoepidermoid Carcinoma. J Contemp Dent 2015;5(1):31-34.

Sign in / Sign up

Export Citation Format

Share Document