An Unusual Case of Nocardiosis Presented as a Mediastinal Mass in an Immunocompetent Patient

Dental implants are now broadly used to replace missing teeth, and the presence of infectious complications is rising. Dental implant therapy as a local risk factor for the onset of osteomyelitis and its management have not been widely explored. Here, we report an unusual case of mandibular suppurative osteomyelitis caused by Streptococcus intermedius in a healthy and immunocompetent patient secondary to mandibular implants. We describe how surgery combined with systemic application of antibiotics allowed conservation of the dental implants in the mandibular bone, discuss the probable source of contamination, and present the follow-up of the osteomyelitis.

Download Full-text

Mastoid infection caused by entomophthorales: a rare fungal disease

The Journal of Laryngology & Otology ◽

10.1017/s0022215111000661 ◽

2011 ◽

Vol 125 (6) ◽

pp. 630-632 ◽

Cited By ~ 3

Author(s):

A A Arya ◽

C Naik ◽

S Desmukh ◽

S V Babanagare ◽

P Muntode

Keyword(s):

Case Report ◽

Early Detection ◽

Amphotericin B ◽

Unusual Case ◽

Histopathological Examination ◽

Immunocompetent Patient ◽

Fungal Disease ◽

Surgical Debridement ◽

Review Of The Literature ◽

Good Outcome

AbstractObjective:To report an unusual case of fungal mastoiditis caused by entomophthorales in an immunocompetent patient, and its management.Method:Case report with a review of the literature.Case report:A 13-year-old girl presented to us with a mastoid abscess. Entomophthoromycotic infection of the mastoid was diagnosed on histopathological examination, and subsequently treated with surgical debridement and amphotericin B injection.Conclusion:This is the first reported case of mastoid abscess secondary to entomophthoromycosis. Early detection and treatment contributed to this patient's good outcome.

Download Full-text

Brainstem abscess treated conservatively

Surgical Neurology International ◽

10.25259/sni_569_2019 ◽

2020 ◽

Vol 11 ◽

pp. 205

Author(s):

Camila Furtado Leao ◽

Maira Piani Couto ◽

Jose Antonio Santos de Lima ◽

Eric Homero Albuquerque Paschoal ◽

Jose Reginaldo Nascimento Brito

Keyword(s):

Unusual Case ◽

Brain Magnetic Resonance Imaging ◽

Rare Condition ◽

Neurological Status ◽

Positive Outcome ◽

Lesion Size ◽

Immunocompetent Patient ◽

Upper Eyelid ◽

Upper Eyelid Ptosis ◽

The Brain

Background: Brainstem abscess is a rare condition with a variety of treatment approaches. In this paper, we report an unusual case of a brainstem abscess with a positive outcome in an immunocompetent patient who was treated with antibiotic therapy. Case Description: A 22-year-old female presented with bilateral tetraparesis that was worse on the left hemibody, appendicular tremor, and left upper eyelid ptosis. Brain magnetic resonance imaging showed an abscess in the pons and midbrain due to possible nocardiosis. She was treated with dexamethasone, phenytoin, vancomycin, and meropenem for 8 weeks and trimethoprim-sulfamethoxazole for 6 weeks. The brain injury decreased, and the patient’s neurological status significantly improved. Conclusion: Brainstem abscess may be treated conservatively, leading to improvement of the clinical condition and decreased lesion size on imaging.

Download Full-text