scholarly journals A rare case of co-infection with pulmonary tuberculosis and oronasal actinomycosis

2009 ◽  
Vol 35 (11) ◽  
pp. 1152-1155 ◽  
Author(s):  
Vitor Alexandre Oliveira Fonseca ◽  
Gustavo Reis ◽  
Carlos Alves ◽  
Maria José Simões ◽  
Elvira Camacho ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Rare Case ◽  
Clinical Case ◽  
Full Description ◽  
Review Of The Literature ◽  
Active Pulmonary Tuberculosis ◽  
Oronasal Fistula ◽  
History Of ◽  
Isolation Ward ◽  
Nasal Regurgitation

Oronasal actinomycosis is an infection seldom described in the literature, especially in the form of a co-infection with pulmonary tuberculosis. We report the case of a 48-year-old male admitted to the isolation ward due to active pulmonary tuberculosis, with a history of diabetes and alcohol abuse. While hospitalized, the patient complained of dysphagia and nasal regurgitation of food. The examination of the oral cavity revealed an oronasal fistula. The infecting agent was identified, and the treatment was successful. We also present a brief review of the literature, as well as a full description and discussion of the process of investigating this rare clinical case.

scholarly journals The Accuracy of Emergency Physicians’ Suspicions of Active Pulmonary Tuberculosis

2021 ◽  
Vol 10 (4) ◽  
pp. 860
Author(s):  
Shiang-Jin Chen ◽  
Chun-Yu Lin ◽  
Tzu-Ling Huang ◽  
Ying-Chi Hsu ◽  
Kuan-Ting Liu
Keyword(s):  
Chronic Kidney Disease ◽  
Weight Loss ◽  
Kidney Disease ◽  
Pulmonary Tuberculosis ◽  
General Ward ◽  
Chest Radiographs ◽  
Emergency Physicians ◽  
Active Pulmonary Tuberculosis ◽  
Factors Associated ◽  
History Of

Objective: To investigate factors associated with recognition and delayed isolation of pulmonary tuberculosis (PTB). Background: Precise identification of PTB in the emergency department (ED) remains challenging. Methods: Retrospectively reviewed PTB suspects admitted via the ED were divided into three groups based on the acid-fast bacilli culture report and whether they were isolated initially in the ED or general ward. Factors related to recognition and delayed isolation were statistically compared. Results: Only 24.94% (100/401) of PTB suspects were truly active PTB and 33.77% (51/151) of active PTB were unrecognized in the ED. Weight loss (p = 0.022), absence of dyspnea (p = 0.021), and left upper lobe field (p = 0.024) lesions on chest radiographs were related to truly active PTB. Malignancy (p = 0.015), chronic kidney disease (p = 0.047), absence of a history of PTB (p = 0.013), and lack of right upper lung (p ≤ 0.001) and left upper lung (p = 0.020) lesions were associated with PTB being missed in the ED. Conclusions: Weight loss, absence of dyspnea, and left upper lobe field lesions on chest radiographs were related to truly active PTB. Malignancy, chronic kidney disease, absence of a history of PTB, and absence of right and/or left upper lung lesions on chest radiography were associated with isolation delay.

Molluscum-Like Papules as a Presentation of Early Papulonecrotic Tuberculid in Association with Nodular Tuberculid in a Male with Asymptomatic Active Pulmonary Tuberculosis

2015 ◽  
Vol 19 (2) ◽  
pp. 159-162 ◽  
Author(s):  
Rachel Asiniwasis ◽  
Maha T. Dutil ◽  
Scott Walsh
Keyword(s):  
Pulmonary Tuberculosis ◽  
Early Stage ◽  
Induced Sputum ◽  
Simultaneous Occurrence ◽  
Antituberculous Therapy ◽  
X Ray ◽  
Active Pulmonary Tuberculosis ◽  
History Of ◽  
Chest X Ray ◽  
Histopathologic Findings

Background/Objectives The clinical and histopathologic findings of a rare simultaneous occurrence of papulonecrotic tuberculid and nodular tuberclid in a patient with active but asymptomatic pulmonary tuberculosis are presented. Papulonecrotic tuberculid was observed at a very early stage, presenting as molluscum-like lesions. This has been described once in the literature. This was observed in conjunction with lesions compatible with the rare clinicopathologic variant of nodular tuberculid. Critical to the diagnosis of active pulmonary tuberculosis was the use of induced sputum testing, which confirmed the diagnosis despite the lack of a cough and a chest x-ray negative for active tuberculosis. Methods/Results A 40-year-old male presented with a 2-week history of fever and a skin eruption consisting of molluscum-like papules on the ears, arms, and abdomen and nodules on his legs. Biopsies from both lesions were consistent with papulonecrotic and nodular tuberculid, respectively. Despite the lack of any respiratory symptoms, induced sputum grew Mycobacterium tuberculosis, and the lesions resolved on antituberculous therapy. Conclusions and Relevance Tuberculids are rare in Western countries but must be considered in the differential diagnosis of eruptions in patients from endemic countries. An active tuberculous focus must be sought out.

Salivary gland pathology in the paediatric population: implications for management and presentation of a rare case

2014 ◽  
Vol 128 (1) ◽  
pp. 104-106 ◽  
Author(s):  
L Jablenska ◽  
A Trinidade ◽  
V Meranagri ◽  
P Kothari
Keyword(s):  
Salivary Gland ◽  
Pleomorphic Adenoma ◽  
Rare Case ◽  
Paediatric Population ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Superficial Parotidectomy ◽  
History Of ◽  
Painless Mass ◽  
Salivary Gland Pathology

AbstractIntroduction:Salivary gland pathology in the paediatric population is rare and can present management challenges regarding both investigation and treatment.Method:Case report and review of available literature.Results:A seven-year-old, fit, well girl presented with a two-month history of a painless mass over the left parotid area. Ultrasonography confirmed the presence of a well-defined, 1.5 × 2 cm, predominantly solid lesion with minor internal cystic spaces arising from the superficial part of the gland. Magnetic resonance imaging showed no invasion of the deep lobe or skeletal erosion. Superficial parotidectomy was performed via a facelift incision. Histopathology confirmed a diagnosis of pleomorphic adenoma. Review of the literature emphasised important differences in managing this pathology in the paediatric population when compared with adults.Conclusion:We present the youngest reported case of a pleomorphic adenoma of the parotid gland, detail its management, and discuss the general approach to parotid pathology management in the paediatric population.

scholarly journals Stridor and respiratory failure due to tracheobronchomalacia: case report and review of the literature

2012 ◽  
Vol 130 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Ramon Andrade de Mello ◽  
Adriana Magalhães ◽  
Abílio José Vilas-Boas
Keyword(s):  
Case Report ◽  
Respiratory Failure ◽  
Rare Case ◽  
Rigid Bronchoscopy ◽  
Chronic Obstructive ◽  
Review Of The Literature ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
History Of

CONTEXT: Tracheobronchomalacia (TBM) results from structural and functional abnormalities of the respiratory system. It is characterized by excessive collapse: at least 50% of the cross-sectional area of the trachea and main bronchi. In this paper, we present a rare case of a patient with TBM who first presented with stridor and respiratory failure due to exacerbation of chronic bronchitis. CASE REPORT: An 81-year-old Caucasian man was admitted presenting coughing, purulent sputum, stridor and respiratory failure. He had a medical history of chronic obstructive pulmonary disease (COPD) and silicosis and was a former smoker. Axial computed tomography on the chest revealed marked collapse of the trachea in its middle third. Bronchoscopy showed characteristics compatible with TBM. He was treated with noninvasive ventilation, without any good response. Subsequently, a Dumon Y stent was placed by means of rigid bronchoscopy. After the procedure, he was discharged with a clinical improvement. CONCLUSION: TBM is fatal and often underdiagnosed. In COPD patients, stridor and respiratory failure may be helpful signs that should alert physicians to consider TBM as an early diagnosis. Thus, these signs may be important for optimizing the treatment and evolution of such patients.

scholarly journals Renal Metastases of a Femur Osteosarcoma: A Case Report and a Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Yousra Akasbi ◽  
Samia Arifi ◽  
Karim Lahlaidi ◽  
Tarik Namad ◽  
Nawfel Mellas ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
English Literature ◽  
Renal Involvement ◽  
Review Of The Literature ◽  
Metastatic Osteosarcoma ◽  
History Of ◽  
Renal Metastases

This paper discusses a rare case of renal metastatic osteosarcoma. A 25-year-old man with a history of metastatic osteosarcoma involving his right kidney was referred to our institution for treatment. He was managed with chemotherapy. An exhaustive review of the English literature pertaining to this disease was performed. To our knowledge, this case represents only the sixteenth. The literature suggests that the incidence of renal involvement in osteosarcoma is significant and that the treatment should be multidisciplinary in such patients.

Development of lymphangioleiomyomatosis in a female patient with Sjö gren's disease: a review of literature and a case report

2019 ◽  
Vol 13 (2) ◽  
pp. 119-123
Author(s):  
Yu. I. Khvan ◽  
S. G. Palshina ◽  
V. I. Vasiliev
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Case ◽  
Young Female ◽  
Renal Angiomyolipoma ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
History Of ◽  
Genetically Determined ◽  
Sjögren’S Disease

Cystic and bullous lung transformation occurs in diseases of various origins: neoplastic, genetically determined, rheumatic, lymphoproliferative, and infectious diseases. The paper presents a review of the literature and a clinical case of a young female patient with a long history of Sjögren's disease. Fifteen years after the onset of the disease, the patient developed cystic and bullous lung transformation and renal angiomyolipoma, which are regarded as a manifestation of probable lymphangioleiomyomatosis.

scholarly journals Metastasis of Colorectal Adenocarcinoma to the Thyroid: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
C. Goatman ◽  
P. J. Goldsmith ◽  
V. Antonopoulos ◽  
B. Ali
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Colorectal Adenocarcinoma ◽  
Review Of The Literature ◽  
Thyroid Lesion ◽  
Acute Presentation ◽  
History Of ◽  
Thyroid Metastases ◽  
Colorectal Tumours ◽  
Metastasis To The Thyroid

Purpose. We present a rare case of colorectal metastasis to the thyroid five years following primary colonic resection. This case highlights the need to be cognisant of unusual sites of metastasis from colorectal neoplasms.Case Report. An 82-year-old male patient had a panproctocolectomy for synchronous colorectal tumours. Five years later he was found to have lung and thyroid metastases found incidentally on imaging for an acute presentation with small bowel obstruction.Conclusion. Metastases to the thyroid should be considered in the differential diagnosis of the thyroid lesion with any history of malignancy, particularly with increasing patient age and when renal cell carcinoma or lung, colon, or breast primaries are involved.

Cystic Falcine Chondroma: Case Report and Review of the Literature

Neurosurgery ◽  
1991 ◽  
Vol 29 (6) ◽  
pp. 909-912 ◽  
Author(s):  
Karim Hadadian ◽  
Hossein Abtahii ◽  
Zahra T. Asil ◽  
Mohammad Rakhshan ◽  
Parvin Vessal
Keyword(s):  
Case Report ◽  
Microscopic Examination ◽  
Rare Case ◽  
Cystic Degeneration ◽  
Review Of The Literature ◽  
Resected Tumor ◽  
History Of

Abstract A rare case of falcine chondroma in a 25-year-old woman with an 8-year history of headache and a recent generalized seizure is presented. Microscopic examination of the resected tumor revealed that it was a falcine chondroma with chondrocytes and central cystic degeneration.

scholarly journals A rare case of high-grade serous ovarian epithelial carcinoma presenting as an isolated cystic mediastinal mass: a case report and brief review of the literature

2010 ◽  
Vol 92 (5) ◽  
pp. e57-e58
Author(s):  
Marco Scarci ◽  
Rizwan Attia ◽  
Tom Routledge ◽  
Juliet King
Keyword(s):  
Rare Case ◽  
Cystic Lesion ◽  
Mediastinal Mass ◽  
High Grade ◽  
Review Of The Literature ◽  
Right Thoracotomy ◽  
Ovarian Epithelial Carcinoma ◽  
History Of ◽  
The Right ◽  
Primary Presentation

A 70-year-old woman presented with a 2-year history of increasing breathlessness. Computed tomography (CT) of the chest confirmed a well-defined cystic lesion abutting the mediastinum in the right hemi thorax measuring 8 × 6 cm. She underwent a right thoracotomy to excise the cystic lesion. Biopsies for histology demonstrated metastatic serous ovarian epithelial carcinoma. We report a very unusual primary presentation of ovarian epithelial carcinoma as a single cystic mediastinal mass. We also include a brief review of the literature.

scholarly journals Adderall Induced Acute Liver Injury: A Rare Case and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Rohini R. Vanga ◽  
Bikram Bal ◽  
Kevin W. Olden
Keyword(s):  
Liver Injury ◽  
Rare Case ◽  
Acute Liver Injury ◽  
Past History ◽  
English Literature ◽  
Review Of The Literature ◽  
Intensive Monitoring ◽  
Hyperactivity Disorder ◽  
History Of ◽  
Time Of Presentation

Adderall (dextroamphetamine/amphetamine) is a widely prescribed medicine for the treatment of attention-deficit/hyperactivity disorder (ADHD) and is considered safe with due precautions. Use of prescribed Adderall without intention to overdose as a cause of acute liver injury is extremely rare, and to our knowledge no cases have been reported in the English literature. Amphetamine is an ingredient of recreational drugs such as Ecstacy and is known to cause hepatotoxicity. We describe here the case of a 55-year-old woman who developed acute liver failure during the treatment of ADHD with Adderall. She presented to the emergency room with worsening abdominal pain, malaise, and jaundice requiring hospitalization. She had a past history of partial hepatic resection secondary to metastasis from colon cancer which was under remission at the time of presentation. She recovered after intensive monitoring and conservative management. Adderall should be used carefully in individuals with underlying liver conditions.

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