scholarly journals Unusual Site for a White Nodule on the Palatine Tonsil: Presentation, Differential Diagnosis, and Discussion

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Ashwag Yagoub Aloyouny
Keyword(s):  
Differential Diagnosis ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Fungal Infections ◽  
The Body ◽  
Palatine Tonsil ◽  
Unusual Site ◽  
Case Presentation ◽  
Lymphoepithelial Cysts ◽  
Malignant Lesions

Introduction. Palatine tonsils are part of the mucosa-associated lymphoid tissue, located in the oropharyngeal region. Although these tissues protect the body from foreign intruders, they are more prone to infections due to their anatomical structure and location. For instance, the differential diagnosis of a white lesion on the palatine tonsil can range from benign to malignant lesions. Oral lymphoepithelial cysts commonly arise as painless, yellowish nodules on the floor of the mouth and the ventral or lateral surface of the tongue. Case Presentation. This paper presents a rare case of an unusual site of a lymphoepithelial cyst (LEC) in the oral cavity. The lesion was located in the tonsil of a 20-year-old woman with a chief complaint of a painless, white lump in the back of the mouth for nine months. Discussion. The differential diagnosis of a white lesion on the palatine tonsil is caused by several factors, such as bacterial, viral, and fungal infections; trauma; stones; cysts; abscess; or cancer. In this case, both the clinical presentation and extra- and intraoral examinations were highly associated with LEC. Oral LEC etiopathogenesis is uncertain, and several theories have been proposed to discuss the causes of LEC. In addition, oral LEC could be monitored without surgical intervention if the nodule is asymptomatic. Conclusion. We emphasize the importance of a thorough clinical examination of oral and oropharyngeal lesions, which are usually neglected.

scholarly journals The rising burden of invasive fungal infections in COVID-19, can structured CT thorax change the game

2022 ◽  
Vol 53 (1) ◽  
Author(s):  
Roopak Dubey ◽  
Kamal Kumar Sen ◽  
Sudhansu Sekhar Mohanty ◽  
Sangram Panda ◽  
Mayank Goyal ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Fungal Infection ◽  
Invasive Candidiasis ◽  
Fungal Infections ◽  
Invasive Fungal Infections ◽  
Imaging Features ◽  
Nasal Sinus ◽  
Case Presentation ◽  
Fungal Invasion ◽  
Pulmonary Fungal Infections

Abstract Background The occurrence of invasive fungal infections in COVID-19 patients is on surge in countries like India. Several reports related to rhino-nasal-sinus mucormycosis in COVID patients have been published in recent times; however, very less has been reported about invasive pulmonary fungal infections caused mainly by mucor, aspergillus or invasive candida species. We aimed to present 6 sputum culture proved cases of invasive pulmonary fungal infection (four mucormycosis and two invasive candidiasis) in COVID patients, the clues for the diagnosis of fungal invasion as well as difficulties in diagnosing it due to superimposed COVID imaging features. Case presentation The HRCT imaging features of the all 6 patients showed signs of fungal invasion in the form of cavities formation in the pre-existing reverse halo lesions or development of new irregular margined soft tissue attenuating growth within the pre-existing or in newly formed cavities. Five out of six patients were diabetics. Cavities in cases 1, 2, 3 and 4 of mucormycosis were aggressive and relatively larger and showed relatively faster progression into cavities in comparison with cases 5 and 6 of invasive candidiasis. Conclusion In poorly managed diabetics or with other immunosuppressed conditions, invasive fungal infection (mucormycosis, invasive aspergillosis and invasive candidiasis) should be considered in the differential diagnosis of cavitary lung lesions.

RECENT ADVANCES IN LABORATORY DIAGNOSIS OF SYSTEMIC AUTOIMMUNE DISEASES.

2021 ◽  
pp. 22-28
Author(s):  
Indira Ananthapadmanab asamy ◽  
G. Rajaram ◽  
C.H.Srinivasa Rao
Keyword(s):  
Differential Diagnosis ◽  
Autoimmune Diseases ◽  
Clinical Presentation ◽  
Laboratory Diagnosis ◽  
The Body ◽  
Systemic Autoimmune Diseases ◽  
Western Countries ◽  
Recent Advances ◽  
Self Antigen

Introduction: Autoimmunity is a condition in which the body's own cells which are immunocompetent and the antibodies, acts against its own self-antigen which will result in structural and functional damage to the body. The diseases caused by this phenomenon are called Autoimmune diseases. Autoimmune diseases are more commonly seen in females. Hundred thousands of individuals in the Western countries are affected. The diagnosis is made from the clinical presentation of the patient with which a differential diagnosis is made, following which various tests both phenotyping methods and genotyping methods are carried out to conclude the nal diagnosis. Conclusion: The genotyping methods play the most important role in the laboratory diagnosis of systemic immune diseases.

Mycotic Pseudotumor of the Breast Secondary to Cryptococcal Infection: Report of Three Rare Cases and Literature Review

2021 ◽  
pp. 106689692110604
Author(s):  
Velaphi Glenda Makhubela ◽  
Moshawa Calvin Khaba
Keyword(s):  
Differential Diagnosis ◽  
Clinical Practice ◽  
Literature Review ◽  
Surgical Intervention ◽  
Fungal Infections ◽  
Correct Diagnosis ◽  
Breast Mass ◽  
Breast Masses ◽  
Cryptococcal Infection ◽  
Breast Malignancies

Breast masses in clinical practice are often investigated primarily for neoplastic conditions. Breast fungal infections are unusual, and few cases have been reported in the literature. The differential diagnosis for a breast mass should not be limited to neoplastic conditions as there are treatment implications. The correct diagnosis is associated with reduced and unwanted cases of surgical intervention. We describe 3 cases of cryptococcal infection of the breast that clinically masqueraded as breast malignancies.

Infections

2019 ◽  
pp. 995-1002
Author(s):  
Scott D. Oates
Keyword(s):  
Human Activities ◽  
Surgical Intervention ◽  
Fungal Infections ◽  
Treatment Options ◽  
Healthcare Providers ◽  
Signs And Symptoms ◽  
The Body ◽  
Early Surgical Intervention

Because of their exposed nature during human activities, infections of the hand are common. The anatomy of the hand and fingers also lends itself to unique types of infections that do not occur in other areas of the body, such as paronychia, felons, and fungal infections. Because of these unique types of infections, early surgical intervention is often necessary to prevent long-term functional sequelae. This requires healthcare providers to be knowledgeable of the signs and symptoms of these distinct infections in order to effectively treat these patients. This chapter describes many common hand infections and their treatment options.

scholarly journals Abscess removal in a desert horned viper (Cerastes cerastes)

2020 ◽  
Vol 4 (3) ◽  
pp. 41-42
Author(s):  
Puveanthan Nagappan Govendan ◽  
Michael Nadhor Nainggolan ◽  
. Erika ◽  
Slamet Raharjo
Keyword(s):  
Differential Diagnosis ◽  
Broad Spectrum ◽  
Surgical Intervention ◽  
Suture Material ◽  
The Body ◽  
Broad Spectrum Antibiotic ◽  
Topical Antibiotic ◽  
Caudal Part ◽  
Post Surgery ◽  
Gas Anesthesia

Venomous snakes are widely kept in captive as collections by private reptile keepers. A 7 years old male desert horned viper (Cerastes cerastes) was presented with a lump on the caudal part of the body. Proper physical restraining method using snake hook and transparent tubes was performed for clinical examination and radiography. Two radiography views revealed radiopaque in both lateral and dorsal recumbence. Differential diagnosis was tumor growth and abscess. Surgical intervention was indicated and performed with the viper induced with injectable anesthesia and maintained with gas anesthesia. Surgical correction with manually removing the abscess was performed. The NSAID, broad spectrum antibiotic, topical antibiotic and fluid therapy were performed post-surgery. Six weeks post-surgery the suture material was removed and wound was dry and healed well.

scholarly journals A rare case of huge congenital parieto-occipital teratoma in a female infant: An unusual site of occurrence

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Mohammed Kabir Saleh
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Head And Neck ◽  
Rare Case ◽  
The Body ◽  
Female Infant ◽  
Germ Layer ◽  
Unusual Site ◽  
Dorsal Midline ◽  
Critical Information

Teratomas are considered the most common congenital tumors located on the dorsal midline and arise from cells derived from more than one germ layer (i.e. ectodermic, endodermis and mesodermic) at different regions of the body. Those in the head and neck regions are considered rare with an incidence of 1-3.5% of all cases. Imaging provides critical information that helps in formulating differential diagnosis even though, history and physical examination provides critical information in making the diagnosis. A successfully surgically treated case of an usually huge parietooccipital teratoma in a 40 days old girl was presented with emphasis on the importance of imaging in diagnosis and management.

Paragangliomas of the Head and Neck: A Practical Approach to Diagnosis and Review of Detailed Anatomy of Sites of Origin

Neurographics ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 211-222
Author(s):  
S.E. Noujaim ◽  
K.T. Brown ◽  
D.T. Walker ◽  
C.D. Hasbrook
Keyword(s):  
Differential Diagnosis ◽  
Head And Neck ◽  
Temporal Bone ◽  
Clinical Presentation ◽  
The Body ◽  
Imaging Characteristics ◽  
Jugular Fossa ◽  
Slow Growing ◽  
Carotid Space ◽  
Head And Neck Paragangliomas

Paragangliomas are slow-growing hypervascular neuroendocrine tumors that arise from neural crest paraganglia cells distributed throughout the body. The purpose of this article is to review the clinical presentation and imaging characteristics of paragangliomas of the head and neck, based on their sites of origin, and to discuss the differential diagnosis of lesions that can mimic them. This article also reviews detailed anatomy of the jugular fossa, temporal bone, and the carotid space, where most head and neck paragangliomas are found. This article is intended for neuroradiologists and neuroradiology trainees with varying degrees of experience as well as a broader audience of physician radiologists and nonradiologists who use imaging of the head and neck in their daily practice.Learning Objective: To recognize the clinical presentation and imaging characteristics of paragangliomas of the head and neck, based on their sites of origin, and to differentiate these tumors from lesions that can mimic them.

Bladder Leiomyomatosis: A case Report

2020 ◽  
Vol 16 ◽  
Author(s):  
Marjane Farazestanian ◽  
Zohreh Yousefi ◽  
Malihe Hasanzade Mofrad ◽  
Leila Mousavi Seresht ◽  
Amir Hosein Jafarian ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Incidence Rate ◽  
Complete Resection ◽  
Multiparous Woman ◽  
Bladder Tumors ◽  
Anterior Border ◽  
Unusual Site ◽  
Case Presentation ◽  
Bladder Leiomyoma

Introduction: Bladder leiomyoma which is commonly found in middle aged females is a rare, benign, and mesenchymal tumor of the bladder. Its incidence rate is lower than 0.5% among all types of bladder tumors. There are fewer than 250 reports on bladder leiomyoma. Herein, we report a case of bladder leiomyoma in a 37 years’ female. Case Presentation: A 37-year-old multiparous woman presented with complaints of occasional hematuria and dysuria and irritative symptoms. In the examination and imaging, a mass with size of 8 cm was reported in anterior border of uterus with firm consistency. Surgery was performed and the mass was resected. Postoperative histopathology review confirmed bladder leiomyoma. Conclusion: Leiomyoma should be kept in mind as a differential diagnosis in women presenting with dysuria, frequency or hematuria and a firm consistency mass even in unusual site as the bladder. Complete resection leads to very good outcome with almost no recurrence.

scholarly journals Mirizzi syndrome mimicking cholangiocarcinoma. Case report

2020 ◽  
Vol 50 (2) ◽  
Author(s):  
Gabriel Lorente Mitsumoto ◽  
Lucas Augusto Monetta da Silva ◽  
Mauricio Alves Ribeiro ◽  
Mariana Martins Tocchio ◽  
Nátalie Emy Yvamoto ◽  
...  
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Preoperative Diagnosis ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Mirizzi Syndrome ◽  
Biliary Injury ◽  
Review Of The Literature

Mirizzi syndrome (MS) is a rare condition whose clinical presentation is unspecific, with obstructive jaundice being the most common form. MS is often not recognized at initial presentation, which can result in morbidity and biliary injury. Preoperative diagnosis is uncommon and over 50% of patients with MS are diagnosed during surgery. There are no clinical features to distinguish MS from cholangiocarcinoma, except that patients with cholangiocarcinoma are on average ten years older than patients with MS. We report the case of a 51-year-old female patient who presented with jaundice and weight loss. Following investigation with laboratory and imaging exams, the initial diagnosis was Bismuth II cholangiocarcinoma. The patient underwent surgical intervention, and anatomopathological examination of the specimen showed the correct diagnosis to be MS. Despite the rarity of its incidence, physicians must keep MS in mind as a possible differential diagnosis for cholangiocarcinoma and vice-versa. We discuss this case in the context of a brief review of the literature on Mirizzi syndrome mimicking cholangiocarcinoma.

Torsion of the palatine tonsil

1996 ◽  
Vol 110 (9) ◽  
pp. 891-892 ◽  
Author(s):  
Konstantinos G. Prikas ◽  
Brian J. G. Bingham
Keyword(s):  
Differential Diagnosis ◽  
Clinical Presentation ◽  
Palatine Tonsil

AbstractTorsion of a pedunculated part of the palatine tonsil is extremely rare. This paper discusses the clinical presentation, differential diagnosis, treatment of such a case and reviews the existing literature.

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