scholarly journals Unusual presentation of mucormycosis mimicking a localised sino-orbital pathology

2021 ◽  
Vol 14 (1) ◽  
pp. e239199
Author(s):  
Anuj Dadhich ◽  
Kumar Nilesh ◽  
Rahul Patil ◽  
Harish Saluja

Mucormycosis is an aggressive and deadly fungal infection, which is invariably associated with an immunocompromised patient. Mucormycosis in the head and neck region presents as skeletal necrosis, with or without soft tissue involvement. Early identification and treatment with combination of surgical debridement and parenteral antifungal therapy is critical for a favourable outcome. This paper reports an unusual presentation of mucormycosis, mimicking a localised sino-orbital pathology involving the infraorbital subcutaneous tissue and the maxillary sinus, in a 35 years old immunocompetent man. Despite aggressive antifungal therapy and surgical management, the course of disease was fatal, reiterating the high mortality associated with mucormycosis.

Author(s):  
Lauren E. Miller ◽  
David A. Shaye

AbstractNecrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.


2020 ◽  
pp. 1-2
Author(s):  
Nitish Baisakhiya ◽  
Saima Tabassum ◽  
Sajid Iqbal

Lipoma is a common benign tumor affecting the soft tissues arising in every location where fat is normally present. Only 13% of them arise in the head and neck region and most of these occur subcutaneously in the posterior neck. Rarely, they can develop from deeper planes in the anterior neck, infratemporal fossa, in or around the oral cavity, pharynx, larynx, and parotid gland. They usually present as a benign, slowly growing and rarely recur Clinically, they can be confused with other benign lesions; however, CT and Ultrasonography allows a specific diagnosis to be made in virtually all cases. The aim of this article is to report a unique case of a lipoma with benign microscopic appearance located deep to the subcutaneous tissue in the para-parotid area of a 45 years-old female patient.


2012 ◽  
Vol 3 (3) ◽  
pp. 261-264 ◽  
Author(s):  
GK Vivek ◽  
Ranjith Singh ◽  
GC Veena ◽  
Prappanna Arya

ABSTRACT Necrotizing fasciitis is a progressive, life-threatening, bacterial infection of the skin, the subcutaneous tissue and the underlying fascia, in most cases caused by β-hemolytic group A Streptococcus. Only early diagnosis and aggressive therapy including broad spectrum antibiotics and surgical intervention can avoid systemic toxicity with a high mortality rate. This disease is commonly known to occur in the lower extremities and trunk, and only rarely in the head and neck region, the face being rarest finding. When located in the face necrotizing fasciitis is associated with severe cosmetic and functional complication due to the invasive nature, infection and often due to the necessary surgical treatment. In the following article, we present the successful diagnosis and management of an isolated facial necrotizing fasciitis as a consequence of odontogenic infection. How to cite this article Vivek GK, Singh R, Veena GC, Arya P. Necrotizing Fasciitis of Face in Odontogenic Infection: A Rare Clinical Entity. World J Dent 2012;3(3):261-264.


2021 ◽  
Vol 100 (4) ◽  

Introduction: Sebaceous carcinoma is a rare malignant tumor of the sebaceous glands. Sebaceous carcinoma occurs mainly in the head and neck region, rarely in trunk. Case report: We present a case report of 63-year-old patient, operated on for sebaceous carcinoma in the right breast area. The patient underwent radical surgery, removal of the tumor with the skin, subcutaneous tissue, and the large pectoral muscle. The patient is in good clinical condition eight months after the surgery. She is being constantly monitored and so far, there are neither signs of local recurrence nor tumor progression. Conclusion: Patients with rare tumors should be treated comprehensively with subsequent lifelong dispensarisation in specialized centers. Multidisciplinary medical teams are able to eruditely diagnose, recognize, treat and dispense patients.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Ceren Günel ◽  
Aylin Eryılmaz ◽  
Yeşim Başal ◽  
Ali Toka

Necrotizing fasciitis (NF) is a fatal and rare disease, mainly located in extremity and body. Due to the good blood supply, the occurrence of this infective disease of skin and subcutaneous tissue/fascia is much rarer in the head and neck region. In this study, we represent periorbital necrotizing fasciitis case in a patient with normal immune system. The patient applied the emergency clinic with the complaints of swelling and redness on the left eye. It was found out that a skin incision occurred at 2 cm below the left eye with razor blade 2 days ago. After taking swab culture sample, patient was started on parenteral Vancomycin + Ampicillin-Sulbactam treatment. It was observed that necrosis spread within hours and an emergent deep surgical debridement was performed. Following the debridement, it was observed that periorbital edema began to regress prominently on the 1st day of the treatment. Treatment was carried on with daily wound care and parenteral antibiotherapy. The patient was discharged from the hospital with slightly cosmetic defect.


2021 ◽  
Vol 8 (3) ◽  
pp. 1038
Author(s):  
Sanjivi Kamat ◽  
Manohar Malawad ◽  
Rajesh Patil

Primary cutaneous mucinous carcinoma is a low grade tumour of the sweat gland rarely occurring in middle aged men, more commonly in the sixth decade. When seen in a younger age group, the tumour tends to be more aggressive with potential for metastasis. Clinical presentation is usually a hard nodular well defined painless lesion confined to skin and subcutaneous tissue, commonly seen in head and neck region. Histopathological examination of the specimen shows cells with myxoid and mucinous material, confirmed by immunohistochemistry showing positive for estrogens and progesterone receptor and cytokeratin 7, is diagnostic. Surgery is the treatment of choice, wide local excision with margin of 1 cm as this tumor is resistant to radiotherapy and chemotherapy. Its tendency for late recurrences and rare metastasis, adds to the good prognosis. With rare chances of distant metastasis, prognosis remains good but local recurrences are not uncommon after excision.


1994 ◽  
Vol 108 (4) ◽  
pp. 363-366 ◽  
Author(s):  
Janet E. O'Connell ◽  
Caroline Calder ◽  
Faro Raafat ◽  
David Proops

AbstractEwing's sarcoma arising in the head and neck region is very rare. A case arising from C2 in a young child is presented. The unusual presentation, differential diagnosis and pathological features are discussed.


2017 ◽  
Vol 16 (2) ◽  
pp. 329-331
Author(s):  
Farah Wahida Abd Manab ◽  
NSA Mutallib ◽  
Hisham Abdul Rahman ◽  
Che Yusfarina Che Yusof

Tophacecous gout presenting elsewhere other than its common sites may mimics malignancy or infection. It presentation at the head and neck region especially nasal area is even unusual. The nature of slowly growing and painless nasal mass mislead to malignancy and unnecessary intervention. As discuss in the report, we compare the outcome of surgically and conservatively treated nasal gouty tophi.Bangladesh Journal of Medical Science Vol.16(2) 2017 p.329-331


2014 ◽  
Vol 5 (4) ◽  
pp. 237-239
Author(s):  
Geetika Arora ◽  
Sumit Bhateja

ABSTRACT Dermoid cysts are cystic malformations lined with squamous epithelium and constitute 1.6 to 6.9% of all cysts in the head and neck area. Within head and neck region, they are predominantly found in orbital, oral and nasal regions (over 80%) and remainder found in occipital, frontal, lip, neck, soft palate. Dermoid cysts are benign lesions usually presenting as a mid line neck mass. They rarely appear in lateral region. So, the purpose of this report is to present and discuss a rare case of posterolateral cervical dermoid cyst. How to cite this article Bhateja S, Arora G. An Unusual Presentation of a Neck Dermoid Cyst. World J Dent 2014; 5(4):237-239.


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