Poncet’s Disease: A Case Report

2020 ◽  
Author(s):  
Henuka Verma ◽  
Nikhil Rajvanshi ◽  
Vyas Kumar Rathaur ◽  
Monika Pathania ◽  
Nowneet Kumar Bhat
Keyword(s):  
Infectious Disease ◽  
Differential Diagnosis ◽  
Case Report ◽  
Joint Pain ◽  
Organ System ◽  
X Rays ◽  
Separate Entity ◽  
Pulmonary Tb ◽  
System Diagnosis ◽  
Poncet’S Disease

Abstract Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (MTB). It spreads from one person to the another through the air while coughing, spitting, speaking or sneezing. TB most commonly affects lungs but it can affect any organ system. Diagnosis of TB is made on the basis of microbiological evidence of MTB on microscopic examination, cultures and chest X-rays. Poncet’s disease is a separate entity in which joints are involved in the form of joint pain and swelling without any microbiological evidence of MTB. It usually occurs in the background setting of pulmonary TB. This case focuses on importance of considering Poncet’s disease in the differential diagnosis of paediatric polyarticular arthritis in TB endemic regions or if there is a history suggestive of TB exposure and infection.

scholarly journals Acute Arthritis of the Temporomandibular Joint due to Lyme Disease: A Case Report and Literature Review

2021 ◽  
Author(s):  
Christina Weise ◽  
Matthias C. Schulz ◽  
Karin Frank ◽  
Marcel Cetindis ◽  
Bernd Koos ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Differential Diagnosis ◽  
Case Report ◽  
Lyme Disease ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Relevant Literature ◽  
Maxillofacial Surgery ◽  
Delayed Diagnosis ◽  
Acute Arthritis

Abstract Lyme disease is the most frequent tick-borne infectious disease in Europe. It often presents with a wide variety of symptoms. For this reason, affection of the temporomandibular joint (TMJ) caused by Lyme disease (LD) can be misdiagnosed as a common temporomandibular disorder (TMD). The purpose of this case report of a 25-year old woman presenting to the Departments of Orthodontics and Maxillofacial Surgery with extensive symptoms of Temporomandibular Disorder is to illustrate the delayed diagnosis of Lyme disease, which was only made after extensive therapy of the temporomandibular joint. The specialist literature only reports a few cases of patients suffering from Lyme disease with TMJ manifestations. This case report and the relevant literature review aim to emphasize the importance of accurate request of medical history and differential diagnosis of acute TMJ arthritis and arthralgia. Early interdisciplinary diagnosis of Lyme disease and early antibiotic therapy are essential to avoid misdiagnosis and unnecessary, sometimes invasive, therapies.

scholarly journals Lyme disease, An Emerging Infection in Nepal: A Case Report

2020 ◽  
Vol 8 (02) ◽  
pp. 90-92
Author(s):  
Prabin Khatri ◽  
Chandra Mohan Sah ◽  
Rano Mal Piryani ◽  
Shatdal Chaudhary ◽  
Puspa Raj Dhakal ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Joint Pain ◽  
Histological Findings ◽  
Multisystemic Disease ◽  
Tingling Sensation ◽  
History Of ◽  
The Given

ABSTRACT Lyme disease, an infectious multisystemic disease is caused by "Borrelia burgdorferi". It is a spirochete transmitted by the Ixodes tick. Until today, only one case has been reported from Nepal. Here we report case of a 50-year female from Gulmi, who presented with a history of fever, multiple joint pain, tiredness, tingling sensation, and a painful brownish raised lesion over the neck and anterior chest. The clinical diagnosis was confirmed by histological findings typical of erythema chronicum migrans and by serology. The patient was treated successfully with doxycycline. This is the second case report of Lyme disease from Nepal and the first documented case who presented with typical erythema chronicum migrans. We suspect that Lyme disease might not have been considered in the differential diagnosis of fever with rash and joint pain in Nepal and suggest that it is to be kept as a differential in the given scenario.  

scholarly journals Cytomorphological features of papillary cystadenocarcinoma of parotid gland: A case report with review of literature

CytoJournal ◽  
2016 ◽  
Vol 13 ◽  
pp. 12 ◽  
Author(s):  
Usha Joshi ◽  
Sanjay Singh Chufal ◽  
Naveen Thapliyal ◽  
Harsh Khetan
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Case Report ◽  
Malignant Neoplasm ◽  
Separate Entity ◽  
Review Of Literature ◽  
Cystic Neoplasms ◽  
Cytological Features ◽  
Slow Growing ◽  
Nuclear Features

Papillary cystadenocarcinoma is a very rare slow growing malignant neoplasm characterized by cysts and intraluminal papillary projections. It is defined by WHO as a separate entity. On FNA, cytological features can mimic with various papillary and cystic neoplasms of salivary gland. It is also difficult to distinguish from benign salivary gland neoplasms as it has bland nuclear features. Thus we present cytomorphological features and discuss its differential diagnosis with neoplasms having prominent papillary architecture with review of literature.

scholarly journals Bronchoesophageal Fistula due to Esophageal Tuberculosis

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Pathik Desai ◽  
Prachi Mayenkar ◽  
Thomas F. Northrup ◽  
Vijaya Mallela
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Bronchoesophageal Fistula ◽  
Pulmonary Tb ◽  
Esophageal Tuberculosis ◽  
Important Differential Diagnosis ◽  
Immunocompetent Patients

This is a case report regarding a patient who presented with 6 months of dysphagia and subsequent 40-pound weight loss. The patient underwent imaging, suggestive of pulmonary TB. Further workup of his dysphagia with esophagogastroduodenoscopy and bronchoscopy revealed two bronchoesophageal fistulas. Tuberculosis is an important differential diagnosis of prolonged dysphagia in immunocompetent patients.

THE "SAPHO" SYNDROME: A CASE REPORT OF A PATIENT WITH AN ACCIDENTAL FINDING OF HYPEROSTOSIS IN PLAIN X-RAYS OF THORAX

2008 ◽  
Vol 11 (01) ◽  
pp. 29-35
Author(s):  
M. Pyrgioti ◽  
E. Mahaira ◽  
G. Papagiannakis ◽  
A. Syrou ◽  
I. H. Alexandris ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Health Status ◽  
Bone Tissue ◽  
Laboratory Tests ◽  
Chronic Recurrent Multifocal Osteomyelitis ◽  
Sapho Syndrome ◽  
X Rays ◽  
Multifocal Osteomyelitis ◽  
Histopathologic Findings

The authors describe the clinical, bone scintigraphy, and histopathologic findings of chronic recurrent multifocal osteomyelitis (CRMO), which is considered to be part of the SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis) syndrome. Knowledge of this disorder may help in the differential diagnosis of arthritis, and it will help avoid repeated biopsies. We report the case of a 52-year-old man who was admitted to hospital due to an accidental finding in plain X-rays during his first check-up of his health status. He underwent laboratory tests, imaging examinations, and biopsy and histopathologic examinations of bone tissue; and was diagnosed with the SAPHO syndrome (CRMO).

scholarly journals Clinical Evaluation of Efficacy of Ayurvedic Management of Jalodara W.S.R. to Tuberculosis induce Ascites: A Case Report

2019 ◽  
Vol 7 (01) ◽  
Author(s):  
Hemlata Soni ◽  
Kartar singh Bansal
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Clinical Evaluation ◽  
Older Patients ◽  
Specific Treatment ◽  
Gastrointestinal Involvement ◽  
Pulmonary Tb ◽  
Oral Medications ◽  
Tb Treatment ◽  
Extra Pulmonary

 Tuberculosis (TB) is a serious infectious disease. The diagnosis of TB is a challenge among older patients because of its nonspecific presentation, especially for cases of extra pulmonary TB.  Gastrointestinal involvement had been reported to be 55%-90% in patients with active pulmonary TB before the advent of specific anti-TB treatment. But it was regressed to 25% after the development of specific drugs. TB ascites is known as Jalodar or Dakodar in Ayurvedic system. Ayurvedic management for this disease includes oral medications as well as Virechan for specific treatment to reduce accumulation of fluid, as well as treatment to remove the obstruction Ksheerapan for diet regulation plays an important part of management of this diseases. The present case is uncomplicated tuberculosis induce ascites since 6 month. Patient was treated with “Punarnava Mandura” (250gm), “Gudadraka Yoga” (6gm), “Pippali Vardhman Rasayan” (1to5gm) and “Arand Tail” (25ml) for 30days. The patient got relief from after 7 days of treatment.

scholarly journals Diagnosis of Adult Onset Still’s Disease in a Patient Who has recovered from Coronavirus-19

2021 ◽  
Vol 14 ◽  
pp. 117954762199630
Author(s):  
Abdullah Alshablan ◽  
Reem Jabbad ◽  
Sarah Tayeb ◽  
Tariq Albeshri ◽  
Suvarna Raju Yelamanchili ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Sore Throat ◽  
Joint Pain ◽  
Improve Patient Care ◽  
Inflammatory Disorder ◽  
Still’S Disease ◽  
Still's Disease ◽  
Adult Still's Disease ◽  
Improve Patient

Introduction: Adult Still’s disease (ASD) is an uncommon inflammatory disorder characterized by fevers, a salmon-colored rash, and arthritis. Cytokines storm syndrome related to Coronavirus-19 (COVID-19) usually occur in acute period of COVID-19 and can mimic clinical features of ASD. Case report: We present a case of a 27-year-old male who was hospitalized in July 2020 due to fever, sore throat, multiple joint pain, and body rash for 2 weeks. Patient recovered from COVID-19 8 weeks ago but his nasopharyngeal SARS CoV-2 PCR was still positive on current hospitalization. Post COVID-19 cytokines storm syndrome post COVID-19 was suspected but after further assessment and investigations, diagnosis of ASD was established and patient was treated with corticosteroids therapy and had favorable outcome. Conclusion: During COVID-19 pandemic, diagnosis of many other diseases either were delayed or missed. We encourage all clinicians to have a broader differential diagnosis to improve patient care and outcome.

scholarly journals Tuberculosis of Oral Mucosa Mimicking Malignancy: A Case Report

2015 ◽  
Vol 7 (2) ◽  
pp. 87-89
Author(s):  
RC Pramod ◽  
K V Suresh ◽  
L A Sunil ◽  
K P Mohan Kumar
Keyword(s):  
Infectious Disease ◽  
Differential Diagnosis ◽  
Case Report ◽  
Oral Cavity ◽  
Oral Mucosa ◽  
Oral Ulceration ◽  
Oral Form ◽  
Possible Cause

Abstract Tuberculosis (TB) is an epidemic infectious disease that seldom takes an oral form. Because of the still increased incidence of TB in our country, in the differential diagnosis of chronic oral ulcerations, tuberculosis should always be considered. Oral TB is frequently overlooked as a possible cause of oral ulceration. Therefore dentists should be aware of the possible occurrence of TB of the oral cavity. How to cite this article: Pramod R C, Suresh K V, Sunil L A, Mohan Kumar K P. Tuberculosis of Oral Mucosa Mimicking Malignancy: A Case Report. CODS J Dent 2015;7: 87-89

scholarly journals A rare complication of brucella in adolescence: Epididymoorchitis

2019 ◽  
Vol 6 (12) ◽  
pp. 4672-4674
Author(s):  
Mehmet semih Demirtaş
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Differential Diagnosis ◽  
Case Report ◽  
Laboratory Tests ◽  
Rare Complication ◽  
Genitourinary System ◽  
System Involvement ◽  
Appropriate Treatment ◽  
Scrotal Swelling

Brucellosis is a systemic infectious disease and one of the major public health problems in our country. Genitourinary system involvement is rarely seen in brucellosis, which can involve many organs and systems. A 15-year-old patient who presented with scrotal swelling and pain and subsequently diagnosed as brucella epididymoorchitis is described in this case report. Since brucella rarely presents with epididymoorchitis, it is necessary to keep in mind the differential diagnosis of scrotal diseases, especially in areas where the disease is endemic. Diagnosis can be made with a good anamnesis and laboratory tests and the disease can be controlled with appropriate treatment.

scholarly journals Polyarthritis and erythema nodosum: an unusual presentation of tuberculosis

2019 ◽  
Vol 6 (1) ◽  
pp. 191
Author(s):  
Partisha Gupta ◽  
Aditya Dhanawat ◽  
Lalatendu Mohanty ◽  
Siddhartha Mishra
Keyword(s):  
Case Report ◽  
Joint Pain ◽  
Erythema Nodosum ◽  
Tuberculous Lymphadenitis ◽  
Granulomatous Lesion ◽  
Good Clinical Outcome ◽  
Supraclavicular Lymph Node ◽  
Poncet’S Disease ◽  
History Of ◽  
Tubercular Infection

Reactive arthritis and erythema nodosum occur in presence of active tubercular infection and both are immunological phenomenon. Author described a case report of a 17year old female with 10months history of symmetrical polyarthritis and presence of healed lesions of erythema nodosum. She was also found to have caseating granulomatous lesion in right supraclavicular lymph node which led us to diagnosis of tuberculous lymphadenitis presenting as reactive polyarthritis (poncet’s disease) and erythema nodosum. Her joint pain and swelling dramatically resolved after 2weeks of ATT. Thus, tuberculosis may manifest as reactive polyarthritis (poncet’s disease) and erythema nodosum and they should be kept in mind even in the absence of other clinical clues of TB, to provide patients with a good clinical outcome. 

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