Kerion: an unusual presentation in the otolaryngology department

2005 ◽  
Vol 119 (2) ◽  
pp. 161-163
Author(s):  
K Ramachandran ◽  
M Arif ◽  
U Ugoji ◽  
B R Davis
Keyword(s):  
General Practitioner ◽  
Fungal Infection ◽  
Hair Loss ◽  
English Literature ◽  
Upper Airway ◽  
Unusual Presentation ◽  
Neck Swelling ◽  
Intravenous Antibiotics ◽  
History Of ◽  
The Right

A 19-year-old farmer was referred by his general practitioner as an emergency to our otolaryngology department complaining of marked breathlessness of a few hours duration. He gave a three-day history of painful swelling and hair loss in the beard area of the right side of the neck. His upper airway was compromised unless extension of the neck was maintained. Larynx and pharynx were normal. The acute symptoms settled with intravenous antibiotics and hydrocortisone. Culture of skin scrapings revealed a growth of Tricophyton verrucosum. The neck swelling subsided after a course of oral griseofulvin followed by terbinafine. Difficulty in breathing due to fungal infection of the neck has not been previously reported in the English literature.

Osteogenic Sarcoma of the Frontal Sinus

1973 ◽  
Vol 82 (2) ◽  
pp. 162-165 ◽  
Author(s):  
Robert C. Bone ◽  
Hugh F. Biller ◽  
Bernard L. Harris
Keyword(s):  
Paranasal Sinuses ◽  
Frontal Sinus ◽  
Frozen Section ◽  
English Literature ◽  
Osteogenic Sarcoma ◽  
Facial Bones ◽  
Plain Radiographs ◽  
History Of ◽  
Histologic Lesion ◽  
The Right

Although osteogenic sarcoma occurs in the head and neck, it is almost exclusively limited to the maxilla and the mandible. Single, rare cases of this tumor in other facial bones are mentioned in foreign reports, but a discussion in the English literature has not come to our attention. The case history of a 58-year-old woman with a nonspecific frontal sinus pain and right-sided proptosis is presented. Plain radiographs of the paranasal sinuses revealed a radiopaque, calcific mass in the right frontal sinus approximately 3 × 5 cm in diameter. It was noted that the mass had an “onionskin” lamination. Laminography aided in the exact localization of the mass; further, it was noted on arteriography that the frontal sinus mass did not invade the dura. A frozen section biopsy at the time of craniotomy suggested a benign histologic lesion. However, subsequent review of permanent sections showed findings typical of an osteogenic sarcoma. The patient was treated with irradiation and in the first postoperative year has done well.

scholarly journals Neck Swelling in A Child: Now You See it, Now You Don’t?

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Ikram Hakim ◽  
Goh Bee See ◽  
Hamzaini Abd Hamid
Keyword(s):  
Early Diagnosis ◽  
Doppler Ultrasonography ◽  
Jugular Vein ◽  
Valsalva Maneuver ◽  
Focal Lesion ◽  
Neck Swelling ◽  
Left Internal Jugular Vein ◽  
History Of ◽  
The Right

Jugular Ectasia is a rare benign swelling due to dilatation of jugular vein, which can occur in the internal, external or an anterior jugular vein. It is characterized by painless, soft, compressible unilateral swelling appeared on Valsalva maneuver. A 3-year-old boy presented with 2 months history of prominent mass over the right side of the neck on Valsalva maneuver is subjected to Doppler ultrasonography (USG) of the neck. Doppler Ultrasonography (USG) of the neck revealed prominent right jugular dilatation during Valsalva without any focal lesion with the normal caliber of the left internal jugular vein. Jugular ectasia should be included in the differentials of a benign neck swelling in children despite infrequently encountered. Dilated jugular vein on ultrasound Doppler on Valsalva maneuver is pathognomic of jugular ectasia. Early diagnosis with serial follow up can reduce parent’s anxiety and will reduce complications.

scholarly journals Disseminated Coccidioidomycosis of the Knee Joint Requiring Synovectomy and Arthrotomy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Farhan Ahmad ◽  
Kavina Patel ◽  
Jorge Clint De Leon ◽  
Frank A Buttacavoli
Keyword(s):  
Infectious Disease ◽  
Fungal Infection ◽  
Orthopedic Surgery ◽  
Surgical Intervention ◽  
History Of ◽  
The Right ◽  
United States Mexico ◽  
Comprehensive History ◽  
Fat Pads

Introduction: Coccidioidomycosis is a fungal infection endemic to the Southwestern United States, Mexico, and South America. While uncommon, inhalation of spores or direct cutaneous contact can lead to disseminated infection in the immunocompetent, with the involvement of the musculoskeletal and integumentary systems. Case Report: A 49-year-old patient with a history of pulmonary coccidioidomycosis presented with the right knee pain and multiple symptomatic abscesses beneath the suprapatellar and infrapatellar fat pads. Arthrocentesis and culture confirmed the infection, and open synovectomy, arthrotomy, and drainage of the infection were performed without complication. Conclusion: Disseminated coccidioidomycosis is an uncommon fungal infection that may involve joints and become refractory to pharmacotherapy. Management may require surgical intervention, along with infectious disease consultation and close follow-up. Patients from endemic regions should be evaluated with a comprehensive history of this disease. Keywords: Coccidioidomycosis, knee, septic arthritis, arthrotomy, synovectomy, orthopedic surgery, fungal infection.

Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management

1990 ◽  
Vol 104 (8) ◽  
pp. 654-655 ◽  
Author(s):  
Neil B. Solomons ◽  
Jonathan R. Livesey
Keyword(s):  
Airway Obstruction ◽  
Vocal Cord ◽  
Upper Airway ◽  
Vocal Cord Palsy ◽  
Upper Airway Obstruction ◽  
Oxygen Mixture ◽  
Post Operative Period ◽  
History Of ◽  
The Right

AbstractA 67-year-old man presented with a 45-year history of a weak voice. This was the result of polio which had left him with a right vocal cord palsy.The patient underwent a Teflon injection of the right vocal cord under general anaesthesia to improve the quality of his voice. In the immediate post-operative period, he suffered acute upper airway obstruction. The problem of acute upper airway obstruction following Teflon injection is considered and its management with nebulized adrenaline and a helium/oxygen mixture is discussed.

Posterior orbital cellulitis: case report and literature review

2013 ◽  
Vol 127 (11) ◽  
pp. 1148-1151 ◽  
Author(s):  
K Allan ◽  
H Atkinson ◽  
F Agada
Keyword(s):  
Case Report ◽  
Relevant Literature ◽  
Clinical Signs ◽  
Visual Disturbance ◽  
Orbital Cellulitis ◽  
Sphenoid Sinusitis ◽  
Intravenous Antibiotics ◽  
Permanent Loss ◽  
History Of ◽  
The Right

AbstractIntroduction:It is rare for isolated sphenoid sinusitis to cause orbital cellulitis. We present a rare case of posterior orbital cellulitis, so caused, together with a review of the relevant literature.Case report:A 29-year-old woman presented with a 6-week history of progressive, unilateral, retro-orbital and periorbital right eye pain. On examination, the only finding was reduced visual acuity in the right eye. A computed tomography scan demonstrated right frontal and sphenoid sinus opacification. Sphenoidotomy and frontal sinus trephination were subsequently performed, following failure to respond to intravenous antibiotics. After surgery, the patient's vision returned to normal.Conclusion:Isolated sphenoid sinusitis is rare but can cause significant visual disturbance and permanent loss of vision. Vague symptoms unsupported by clinical signs at presentation are a feature of posterior orbital cellulitis. The presented case highlights the problem, and the need for a high index of clinical suspicion even in the absence of firm clinical signs, in order to prevent permanent visual loss.

scholarly journals Breast Carcinomatous Lymphangitis as an Unusual Presentation of Ovarian Cancer

Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2106
Author(s):  
Barbara Muoio ◽  
Giorgio Treglia ◽  
Paola Migliora ◽  
Maria Del Grande
Keyword(s):  
Ovarian Cancer ◽  
Diagnostic Laparoscopy ◽  
Unusual Presentation ◽  
Serous Carcinoma ◽  
Ovarian Serous Carcinoma ◽  
Abdomen Ct ◽  
History Of ◽  
Ovarian Lesion ◽  
The Right ◽  
Ovarian Masses

We describe the case of a 45-year-old woman with an unusual presentation of metastatic ovarian cancer. The patient presented to the oncological clinic with a three-week history of skin rash on the right breast. She underwent a chest and abdomen CT scan, which showed skin thickening of the right breast, right pleural effusion and bilateral cystic ovarian masses. Biopsy of a left ovarian lesion by diagnostic laparoscopy revealed the presence of ovarian serous carcinoma. Biopsy of the breast skin lesion revealed the presence of carcinomatous lymphangitis and immunohistochemistry documented the ovarian origin.

Congenital Common Cavity Deformity of Frontal, Ethmoid, and Sphenoid Sinuses

2003 ◽  
Vol 40 (6) ◽  
pp. 639-641 ◽  
Author(s):  
Mustafa Tasar ◽  
Sertac Yetiser ◽  
Mutlu Saglam ◽  
Aysın Tasar
Keyword(s):  
Computed Tomography ◽  
Visual Field ◽  
English Literature ◽  
Adolescent Patient ◽  
Computed Tomography Scanning ◽  
History Of ◽  
The Right ◽  
Common Cavity ◽  
Tomography Scanning ◽  
Sphenoid Sinuses

Objective To present a 17-year-old adolescent patient with lost right eye visual field and intermittent headache since the age of 14 years. The cranium was prominent at the right frontal region. The patient had no history of head trauma or infection and his past medical story was unremarkable. His mental status was normal. Computed tomography scanning revealed an abnormal occurrence of a common cavity deformity of the frontal, ethmoid, and sphenoid sinuses. No other lesions or deformities were present. Such common cavity deformity of these paranasal sinuses has not previously been reported in the English literature.

Novel management of cervical necrotising fasciitis in a developing country: case report

2010 ◽  
Vol 125 (1) ◽  
pp. 93-95
Author(s):  
A Salisu ◽  
A A Adeosun ◽  
N H Emma-Nzekwue ◽  
S B Abubakar
Keyword(s):  
Case Report ◽  
Developing Country ◽  
Necrotising Fasciitis ◽  
Neck Swelling ◽  
Acute Tonsillitis ◽  
X Ray ◽  
Intravenous Antibiotics ◽  
History Of ◽  
Digital Manipulation ◽  
Painful Neck

AbstractObjective:We report a rare case of cervical necrotising fasciitis arising from poorly managed acute tonsillitis.Case report:A 23-year-old woman presented with a two-week history of fever and an eight-day history of painful neck swelling. Nine days before presentation, she had received digital manipulation of her throat by a neighbour, which had worsened her throat pain. There was associated progressive generalised neck swelling, odynophagia, dysphagia and dyspnoea. An X-ray of the neck soft tissue showed multiple gas collections.Conclusion:Cervical necrotising fasciitis is rare and usually odontogenic in origin. It is associated with a high mortality rate. Our patient responded to aggressive daily bedside wound debridements and dressings, appropriate intravenous antibiotics and high-protein nutritional support. In this way, exploration under general anaesthesia was avoided, in a developing country with limited facilities.

scholarly journals Recurrent Aggressive Fibromatosis with Laryngeal Involvement: A Case Report and Literature Review

2020 ◽  
Vol 3 (4) ◽  
pp. 01-04
Author(s):  
Nathan Lloyd ◽  
Nadia Tello ◽  
Daniel Nguyen ◽  
Rahul Varman ◽  
Joehassin Cordero
Keyword(s):  
Local Treatment ◽  
Upper Airway ◽  
Benign Neoplasm ◽  
Aggressive Fibromatosis ◽  
Radical Resection ◽  
Neck Mass ◽  
Radical Excision ◽  
Recurrence Rates ◽  
History Of ◽  
The Right

Aggressive Fibromatosis (AF) is a rare, benign neoplasm originating from musculoaponeurotic stromal structures characterized by aggressive growth and infiltration of local tissues. To date, there are only six previously reported cases of AF involving the larynx. Our case involves a 70-year-old female with a 5-year history of hoarseness and an enlarging neck mass consistent with aggressive recurrent fibromatosis. MRI showed a large, solid mass arising from the left anterior cervical space displacing the trachea and upper airway to the right. A year after the initial radical resection, the patient presented with recurrence. A second radical excision was performed not including a laryngectomy. Radiation therapy was consulted for possible local treatment to prevent subsequent recurrence of tumor. Literature has reported up to 40-70% recurrence rates of AF within 18 months. There is minimal literature to guide treatment. Surgery seems to be the treatment of choice for head and neck AF, but management of recurrence is controversial.

scholarly journals Complex case of COVID-19 and infective endocarditis

2021 ◽  
Vol 14 (8) ◽  
pp. e242205
Author(s):  
Katrin Alizadeh ◽  
Danielle Bucke ◽  
Sadia Khan
Keyword(s):  
Infective Endocarditis ◽  
Complex Case ◽  
Haemodynamic Instability ◽  
Aortic Valve Area ◽  
Acute Ischaemia ◽  
Intravenous Antibiotics ◽  
History Of ◽  
Forefoot Amputation ◽  
The Right ◽  
Prolonged Hospital

A 50-year-old man with no medical history of note presented with new onset of confusion and dyspnoea. He tested positive for coronavirus (COVID-19), and subsequently, was admitted to the intensive care unit due to severe sepsis and acute renal failure requiring haemodialysis. Shortly afterwards, he was intubated due to haemodynamic instability. His blood culture was positive for Staphylococcus aureus bacteraemia, and echocardiogram showed evidence of vegetation in the aortic valve area. He was commenced on intravenous antibiotics for infective endocarditis (IE). Following extubation, he underwent an MRI of the spine due to increasing back pain. This was suggestive of L5–S1 discitis, likely secondary to septic emboli from IE. A few days later, he developed acute ischaemia of the left toes and extensive thrombosis of the right cubital and left iliac veins. Following a prolonged hospital admission, he was discharged home and later underwent an elective forefoot amputation from which he made a good recovery.

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