Simultaneous bilateral peritonsillar abscess in an adolescent

Aim of the study: The aim of this case report is to emphasise the importance of meticulous history-taking and examination, and to raise the awareness of various possibilities of diagnosis and management. Unilateral peritonsillar abscess is a common complication of acute bacterial tonsillitis. However, bilateral peritonsillar abscess is considered rare, and only a meagre number of cases has been reported to date in the English medical literature. The challenging part involved in the diagnosis of bilateral peritonsillar abscess is the absence of common physical findings of unilateral peritonsillar abscess. Case report: We present a case of a teenage girl who presented with a history of worsening sore throat, odynophagia and muffled voice, which turned out to be bilateral peritonsillar abscess. Oropharyngeal examination revealed bilateral peritonsillar fullness, and pus was aspirated bilaterally. The patient underwent bilateral peritonsillar incision and drainage, and was discharged well after a few days, with no recurrence. Bilateral peritonsillar abscess can present with usual symptoms, but physical findings may vary. Conclusion: Proper history-taking and meticulous physical examination may direct the physician towards correct diagnosis, and an imaging evaluation is warranted if in doubt, so as to avoid unwanted perilous complications.

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Alveolar soft-part sarcoma of the oral cavity: A review of literature

Rare Tumors ◽

10.1177/2036361318810907 ◽

2018 ◽

Vol 10 ◽

pp. 203636131881090 ◽

Cited By ~ 3

Author(s):

Pankaj Shelke ◽

Gargi Sachin Sarode ◽

Sachin Chakradhar Sarode ◽

Rahul Anand ◽

Ghevaram Prajapati ◽

...

Keyword(s):

Soft Tissues ◽

Medical Literature ◽

Soft Part ◽

Case Reports ◽

Correct Diagnosis ◽

Treatment Strategies ◽

Malignant Neoplasm ◽

Alveolar Soft Part Sarcoma ◽

Prognostic Features ◽

English Medical Literature

An alveolar soft-part sarcoma is a malignant neoplasm primarily affecting the soft tissues of head and neck. The aim of the present review is to systematically present the demographic and clinico-pathological data of articles published in the English medical literature. A comprehensive search of the databases (PubMed, Medline, SCOPUS, Web of Science, and Google Scholar) along with cross references to the published articles on alveolar soft-part sarcoma for eligible studies/case reports published since 1957 till date was done to retrieve the data. A total of 74 cases were identified and analyzed from 42 papers published in the English medical literature. All the clinical, radiographic, and prognostic features were analyzed and presented along with the treatment strategies. Alveolar soft-part sarcoma is a rare and aggressive malignancy of uncertain histologic origin with a propensity for vascular invasion and distant metastasis. This neoplasm requires careful clinical, radiographic, and histopathologic evaluation to reach to the correct diagnosis.

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Unusual case of classic testicular seminoma in a 90-year-old patient: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-020-02517-3 ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Ahmad Al-Mousa ◽

Mohammad Nour Shashaa ◽

Mohamad Shadi Alkarrash ◽

Mohamad Alkhamis ◽

Lina Ghabreau ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Elderly Patients ◽

Unusual Case ◽

Medical Literature ◽

Testicular Tumor ◽

Testicular Seminoma ◽

Case Presentation ◽

History Of ◽

Pure Seminoma

Abstract Background Seminoma is the most common subtype of testicular cancer and occurs most commonly in patients aged 30–49 years, but decreases to a very low level in men in their 60s or older. Case presentation A 90-year-old Syrian man with a 6-year history of an increase in size of his right scrotum, presented to the urological clinic and, on clinical examination, the findings suggested testicular tumor. After orchiectomy and histology results based on microscopic and immunohistochemical examinations, a pure seminoma was diagnosed, so we describe in this case report the second-oldest patient with classical seminoma in the medical literature. Conclusion This case report has been written to focus on the probability of any type of testicular tumor occurring at any age or decade; urologists should consider seminoma as a differential diagnosis with any testicular swelling even in elderly patients.

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Unilateral Keratoderma in a Mother and Her Son

Journal of Cutaneous Medicine and Surgery ◽

10.1177/120347541201600413 ◽

2012 ◽

Vol 16 (4) ◽

pp. 288-290 ◽

Cited By ~ 1

Author(s):

Ashley O'toole ◽

Maureen O'malley

Keyword(s):

Case Report ◽

Clinical Features ◽

Rare Case ◽

Clinical Presentation ◽

History Taking ◽

History Of ◽

Soles Of The Feet

Background: Keratoderma is a group of conditions characterized by hyperkeratosis affecting the skin on the soles of the feet and palms of the hands bilaterally. The classification of keratodermas depends on whether it is inherited or acquired and on its clinical features, including diffuse or focal involvement of the skin and the morphology of lesions present. Case Report: We describe the rare case of a 54-year-old female who presented with a nearly 40-year history of punctate keratoderma on her right palm and sole. History taking revealed that her biologic son also has unilateral left-sided keratoderma. The clinical presentation of unilateral keratoderma has been reported only four times in the literature.

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Malignant Peritoneal Mesothelioma in a Hemodialysis Patient with Familial Mediterranean Fever: A Case Report and Literature Review

Scottish Medical Journal ◽

10.1258/rsmsmj.53.4.10j ◽

2008 ◽

Vol 53 (4) ◽

pp. 1-3

Author(s):

E Sengul ◽

K Yildiz ◽

Y Topcu ◽

A Yilmaz

Keyword(s):

Case Report ◽

Familial Mediterranean Fever ◽

Literature Review ◽

Medical Literature ◽

Hemodialysis Patient ◽

Peritoneal Mesothelioma ◽

Rare Tumor ◽

Malignant Peritoneal Mesothelioma ◽

History Of ◽

Mediterranean Fever

Malignant mesothelioma is a rare tumor. The most common localization of mesothelioma is pleura. It rarely arises from the peritoneum. It has been suggested that familial Mediterranean fever (FMF) may cause the development of peritoneal mesothelioma. We describe a case of malignant peritoneal mesothelioma in a hemodialysis patient with FMF. The patient was a 56 year old female. A history of FMF was present since her childhood. She did not use colchicine and suffered from recurrent ascites. To the best of our knowledge, this is the seventh case of FMF diagnosed as having malignant peritoneal mesothelioma in the medical literature.

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Unusual cranial trauma caused by pencil in teenager: case report

Romanian Neurosurgery ◽

10.1515/romneu-2017-0085 ◽

2017 ◽

Vol 31 (4) ◽

pp. 545-550

Author(s):

Amer Saeed Rashid ◽

Saif Saood Abdelrazaq ◽

Samer S. Hoz ◽

Huber Padilla ◽

Ramos-Villegas Yancarlos ◽

...

Keyword(s):

Case Report ◽

Children And Adolescents ◽

Temporal Lobe ◽

Organic Material ◽

Radiological Evaluation ◽

Imaging Evaluation ◽

Cranial Trauma ◽

Urgent Surgery ◽

Secondary Damage ◽

History Of

Abstract Introduction: Penetrating lesions by pencil in the temporal lobe in children and adolescents are uncommon. We present the case of a teenager with penetrating injury by strange object in the temporal lobe. Case: Twelve years old male patient, with history of trauma while he was playing with his friends, presents alteration of the consciousness state, weakness in right hemibody and dysphasia. Urgent surgery is practiced employing an incision in “C” form with improvement of the consciousness state during post-operative. Discussion: Penetrating lesions in the skull and brain are classified as missiles and non-missiles depending of their impact velocity. The wood is a porous organic material that provide a natural deposit of microbian agents, making it potentially lethal. Pre-operative radiological evaluation allows check the trajectory of the penetrating object and secondary lesions present guiding de neurosurgical approach. The prognostic depends on penetration site, timely handling and complications associated. Conclusion: Penetrating lesions by pencil are uncommon, an appropriate imaging evaluation is fundamental to determine the neurosurgical approach that allows prevent and/or decrease secondary damage.

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Appendiceal Rupture: A Continuing Diagnostic Problem

PEDIATRICS ◽

10.1542/peds.63.1.37 ◽

1979 ◽

Vol 63 (1) ◽

pp. 37-43

Author(s):

Ronald A. Savrin ◽

H. William Clatworthy

Keyword(s):

Mortality Rate ◽

Natural History ◽

Physical Examination ◽

Early Recognition ◽

Correct Diagnosis ◽

Diagnostic Problem ◽

Children's Hospital ◽

Primary Physician ◽

History Of ◽

Physical Findings

The mortality rate for appendicitis in children has remained relatively unchanged since the 1940s, when antibiotics were introduced in the treatment of appendiceal peritonitis. However, since this time the incidence of appendiceal rupture has increased appreciably, presumably owing to a failure of early recognition and treatment. At Columbus Children's Hospital, one half of all patients undergoing appendectomy for ruptured appendix in 1975 had been seen by another physician before admission, but the correct diagnosis had not been made. The history obtained by the primary physician and that given on admission were similar, yet differed from the histories given by patients whose disease had been correctly diagnosed. Findings on in-hospital physical examination of incorrectly diagnosed patients differed from those recorded by the primary physician, but were similar to those of patients whose disease had been correctly diagnosed. Since it is unlikely that the natural history of the disease has changed, the increased incidence of rupture must result either from early misinterpretation of physical findings or from greater delay by parents in responding to the child's illness. Physicians and parents must share the responsibility equally for the increasing incidence of appendiceal rupture in children.

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ACUTE JEJUNAL OBSTRUCTION SECONDARY TO TRAUMATIC INTRAMURAL HEMATOMA

PEDIATRICS ◽

10.1542/peds.19.5.863 ◽

1957 ◽

Vol 19 (5) ◽

pp. 863-868

Author(s):

E. Earl Moody

Keyword(s):

Abdominal Wall ◽

Intestinal Tract ◽

Correct Diagnosis ◽

Laboratory Data ◽

Intramural Hematoma ◽

Coiled Spring ◽

History Of ◽

A Minor ◽

Physical Findings ◽

Jejunal Obstruction

This case report acids one more to the nine reported cases of intestinal obstruction in children due to hemorrhage occurring in the duodenum or jejunum following a minor nonpenetrating injury to the abdominal wall. Delay in making a correct diagnosis and instituting the proper treatment was due primarily in this case, as in all others reported, to a lack of knowledge that such obstruction could follow such an apparently minor injury to the abdominal wall. Nothing in the symptomatology, physical findings or laboratory data alone can be considered diagnostic of an intramural or subserosal hematoma in the intestinal tract. These, however, coupled with a history of trauma to the abdominal wall and roentgenograms which show the "coiled spring" appearance, lead to a correct diagnosis.

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Nodular Esophageal Xanthoma: A Case Report and Review of the Literature

Case Reports in Gastrointestinal Medicine ◽

10.1155/2017/1503967 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Ahmed Dirweesh ◽

Muhammad Khan ◽

Sumera Bukhari ◽

Cheryl Rimmer ◽

Robert Shmuts

Keyword(s):

Small Intestine ◽

Case Report ◽

Gastrointestinal Tract ◽

Gold Standard ◽

Rare Case ◽

Medical Literature ◽

Black Female ◽

Review Of The Literature ◽

Standard Tool ◽

English Medical Literature

Xanthomas are localized nonneoplastic lesions within tissues that may manifest as papules, plaques, or nodules. These lesions can be found anywhere along the gastrointestinal tract, commonly in the stomach and colon, and rarely in the small intestine and esophagus. Esophagogastroduodenoscopy (EGD) with biopsy is the gold standard tool for diagnosis. Here, we report a rare case of a lower solitary nodular esophageal xanthoma in an elderly black female. Correspondingly, all cases of esophageal xanthomas reported in the English medical literature were reviewed and presented with the reported case.

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Intradural Herniated Dorsal Disc: Case Report and Review of the Literature

Neurosurgery ◽

10.1227/00006123-198804000-00020 ◽

1988 ◽

Vol 22 (4) ◽

pp. 737-739 ◽

Cited By ~ 20

Author(s):

Alberto Isla ◽

José M. Roda ◽

José Bencosme ◽

Marcelino P. Alvarez ◽

Martín G. Blázquez

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Posterior Approach ◽

Medical Literature ◽

Spastic Paraparesis ◽

Review Of The Literature ◽

Intradural Disc Herniation ◽

Disc Herniations ◽

History Of ◽

Herniated Discs

Abstract A 67-year-old man with a 1 1/2;-month history of spastic paraparesis caused by a dorsal intradural disc herniation underwent surgical treatment via a posterior approach. Dorsal herniated discs are rare, and intradural dorsal disc herniations are even more infrequent. Including this case, the medical literature reviewed describes only four such cases.

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Intramedullary Sclerosing Meningioma in Meningiomatosis: Case Report and Review of the Literature

Surgical Case Reports ◽

10.31487/j.scr.2021.11.02 ◽

2021 ◽

pp. 1-4

Author(s):

Giada Garufi ◽

S Cardali ◽

Giada Garufi ◽

G Ricciardo

Keyword(s):

Case Report ◽

Correct Diagnosis ◽

Final Outcome ◽

Postoperative Treatment ◽

Review Of The Literature ◽

Sensory Deficits ◽

Histological Variant ◽

History Of ◽

Gait Disturbances

Sclerosing meningioma is a rare histological variant of meningioma, first described in the literature by Davidson and Hope in 1989 as an invasive bulking mass consisted of whorling collagen bundles with a minimum percentage of meningothelial resembling cells [1]. The literature showed very rare cases of the intramedullary location of sclerosing meningiomas: in our opinion, it is mandatory to describe its clinical, surgical, histological and immunohistochemical features in order to reach the best final outcome. Sclerosing meningiomas are often misdiagnosed because of their invasive behaviour: it does require a correct diagnosis in order to prevent unnecessary postoperative treatment. Literature reports only 30 cases of sclerosing meningiomas and only 2 of them are intramedullary. We present the case of a cervical intramedullary sclerosing meningioma presenting with gait disturbances, sensory deficits, four extremities weakness and hypereflexia in a patient with the history of meningiomatosis.

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