scholarly journals Paediatric retropharyngeal abscess with potts spine — A rare case

2021 ◽  
Vol 4 (3) ◽  
pp. 119-121
Author(s):  
Subhadeep Chowdhury ◽  
Tithi Debnath
Keyword(s):  
Early Diagnosis ◽  
Rare Case ◽  
Retropharyngeal Abscess ◽  
Neck Swelling ◽  
Delay In Diagnosis ◽  
Conventional Medical Treatment ◽  
Specific Sign ◽  
High Degree ◽  
Improve Clinical Outcome

Tubercular retropharyngeal abscess along with potts spine is very rare in children. As there is no specific sign and symptoms of tuberculosis are present and even if present can be masked by features of nretropharyngeal abscess these cases may have delay in diagnosis. Early diagnosis is important to start proper treatment and can prevent the disability and mortality. In this article we report a case where a child presented to our opd with complaint of right sided neck swelling, dysphagia and neck pain with restricted movement. Any symptoms or signs of tuberculosis were not present. Clinical examination and MRI of neck suggested this as a case of retropharyngeal abscess with cervical spine involvement. Intraoral surgical drainage of pus sent for CBNAAT examination and it revealed the diagnosis of tuberculosis. Antitubercular regimen was given for 12 months. During follow up his symptoms gradually improved and after 1 and 2 year follow up child was free from tuberculosis. So in conclusion we can say retropharyngeal abscess in child should be dealt promptly and in case of abcesses refractory to conventional medical treatment, high degree of suspicion of tuberculosis should have present especially in endemic countries in order to reduce morbidities and improve clinical outcome. Early diagnosis and treatment can improve the scenario significantly.

scholarly journals A Rare Case of Isolated Cecal Necrosis

2021 ◽  
Vol 11 (6) ◽  
pp. 197-199
Author(s):  
Challa Sravani ◽  
Madhura M Killedar
Keyword(s):  
Acute Appendicitis ◽  
Key Words ◽  
Blood Supply ◽  
Ischemic Colitis ◽  
Older Patients ◽  
Rare Case ◽  
Fatal Complication ◽  
Delay In Diagnosis ◽  
Anatomical Abnormality ◽  
High Degree

Isolated cecal necrosis is a rare abdominal condition. Usually presents as acute appendicitis clinically. Mostly occurring in older patients with cardiac and renal comorbidities. Anatomical abnormality of cecal blood supply is usually observed. Diagnosis is difficult preoperatively without high degree of suspicion. Any delay in diagnosis can lead to fatal complication. Key words: isolated cecal necrosis, ischemic colitis, acute appendicitis.

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 An aggressive fibromatosis in the palm of a female child: A rare case

2021 ◽  
pp. 482-484
Author(s):  
Arun Ranjan Napit ◽  
Shraddha Panchal ◽  
Dhaval Panchal
Keyword(s):  
Rare Case ◽  
Benign Tumor ◽  
Histopathological Examination ◽  
Aggressive Fibromatosis ◽  
Female Child ◽  
The Body ◽  
Common Site ◽  
Mesenchymal Origin ◽  
High Degree

Aggressive fibromatosis is the locally aggressive benign tumor of mesenchymal origin. It can be found in any part of the body. However, abdomen is the most common site of this lesion. It has a predilection to females between 15 and 60 years. We report the case of a 16-month-old female child with an aggressive fibromatosis in her right palm. The location and age of presentation make this a rare case. She was diagnosed by histopathological examination and the mass was excised. The patient was advised for follow-up examination due to the high degree of recurrence of this tumor.

A rare case of Dirofilaria repens infection

2013 ◽  
Vol 127 (6) ◽  
pp. 607-609 ◽  
Author(s):  
C C Chan ◽  
M S Kermanshahi ◽  
B Mathew ◽  
R J England
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Rare Case ◽  
Cystic Lesion ◽  
Neck Region ◽  
Dirofilaria Repens ◽  
Ultrasound Scan ◽  
Neck Swelling ◽  
History Of

AbstractObjective:This paper reports a case of Dirofilaria repens infection in a patient who presented with an anterolateral neck swelling. Dirofilaria repens infection of the neck region is rare even in countries where dirofilarial infestation is endemic. The diagnosis is made by identifying the worm in surgical or pathological specimens.Case report:A 47-year-old man presented with an 8-week history of non-tender, right-sided, lower anterolateral neck swelling and weight loss. An ultrasound scan showed a cystic lesion containing a living worm. The cyst was excised and the patient showed full recovery at follow up.Conclusion:To our knowledge, there has been no previous report of an anterolateral neck swelling secondary to Dirofilaria repens infection in Europe. Our case is unusual because of the rarity of Dirofilaria repens presenting as a neck swelling.

scholarly journals Paroxysmal nocturnal hemoglobinuria: When delay in diagnosis and long therapy occurs

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Salvatrice Mancuso ◽  
Giuseppe Sucato ◽  
Melania Carlisi ◽  
Marco Santoro ◽  
Giuseppe Tarantino ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Early Diagnosis ◽  
Paroxysmal Nocturnal Hemoglobinuria ◽  
Multidisciplinary Approach ◽  
Bone Marrow Failure ◽  
Regulatory Proteins ◽  
Complement Regulatory Proteins ◽  
Delay In Diagnosis ◽  
Laboratory Features

Paroxysmal nocturnal hemoglobinuria (PNH) is a rare clonal disorder characterized by hemolytic anemia, bone marrow failure and thrombosis, caused by a somaticmutation in PIG-A gene that results in theabsence of CD55 and CD59, two important complement regulatory proteins. In thispaper, a case of PNH is retrospectively examined looking for clinical and laboratory features, and the entire course of the disease from the onset of the symptoms isdescribed, together with an adequate follow-up over a 7-years treatment period. Inthis case, the not specificity and the limited clinical relevance of the symptoms led to adelay in diagnosis. After thrombosis, Eculizumab therapy has been shown to be effective, and during seven years of follow-up no events have occurred that put the patient’s life at risk. A multidisciplinary approach is crucial in cases like this, inorder to allow early diagnosis and minimize the risks for the patients.

scholarly journals Risk factors for the onset of gallbladder cancer: a review

2021 ◽  
Vol 8 (6) ◽  
pp. 1951
Author(s):  
Zhiyong Tan ◽  
Zhuofan Deng ◽  
Jianping Gong
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Gallbladder Cancer ◽  
Prophylactic Cholecystectomy ◽  
Gallbladder Polyps ◽  
Diagnosis And Prognosis ◽  
Insidious Onset ◽  
Degree Of Malignancy ◽  
High Degree

Gallbladder cancer (GBC) is the most common malignancy of the biliary system in clinic, which has the characteristics of insidious onset and high degree of malignancy. Most patients have progressed to an advanced stage when they are diagnosed. Early identification of risk factors of the onset of gallbladder cancer and active intervention are the key to improve the rate of early diagnosis and prognosis of gallbladder cancer. At present, the risk factors related to the onset of gallbladder cancer include gallstone, gallbladder polyps, primary sclerosing cholangitis, etc. In this review, we discuss the relevant latest research on the risk factors of the onset of gallbladder cancer in order to provide clinical evidence for the prevention and early diagnosis of gallbladder cancer. The intervention, follow-up, and monitoring of risk factors should be strengthened, and the possibility of malignancy of the gallbladder should be accurately assessed in combination with factors such as age and sex. In the case of possible malignancy, prophylactic cholecystectomy should be actively performed. 

Abstract #1155: Acute Neck Swelling: A Rare Case of Spontaneous Hemorrhage in Thyroid Nodule

2016 ◽  
Vol 22 ◽  
pp. 278
Author(s):  
Anne Bacal ◽  
Nour Batarseh ◽  
Erin Drever ◽  
Tahira Yasmeen
Keyword(s):  
Thyroid Nodule ◽  
Rare Case ◽  
Neck Swelling ◽  
Spontaneous Hemorrhage

Postural Changes in Essential Hypertension under Treatment and their Effect on the Renogram

1971 ◽  
Vol 10 (01) ◽  
pp. 39-46
Author(s):  
C. Alexandrou ◽  
E. Papadakis ◽  
E. Gyftaki ◽  
J. Darsinos
Keyword(s):  
Renal Function ◽  
Essential Hypertension ◽  
Early Diagnosis ◽  
Postural Hypotension ◽  
Antihypertensive Treatment ◽  
Normal Subjects ◽  
Upright Position ◽  
Postural Changes ◽  
Significant Impairment

SummaryRadioisotope renograms were obtained in the upright and prone position in 9 normal subjects, in 5 patients with untreated essential hypertension and in 21 hypertensives under treatment, showing moderate postural hypotension.No significant renographic change were seen in the two positions in normal subjects and untreated hypertensives. Treated hypertensives with postural hypotension showed significant impairment of renal function in the upright position in 15 cases and no change in 6. Renal creatinine clearance was lower in the group that showed renographic changes. Renography in the upright position is suggested as a convenient test for early diagnosis and follow-up of the adverse effects of antihypertensive treatment.

Germ cell tumors in the basal ganglia: problems of early diagnosis and treatment

2008 ◽  
Vol 2 (2) ◽  
pp. 118-124 ◽  
Author(s):  
Yukihiko Sonoda ◽  
Toshihiro Kumabe ◽  
Shin-Ichiro Sugiyama ◽  
Masayuki Kanamori ◽  
Yoji Yamashita ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Early Diagnosis ◽  
Germ Cell ◽  
Precocious Puberty ◽  
Germ Cell Tumors ◽  
Young Patients ◽  
Early Recurrence ◽  
Initial Therapy ◽  
Motor Weakness ◽  
Delay In Diagnosis

Object Intracranial germ cell tumors (GCTs) originating in the basal ganglia are rare. The authors investigated factors related to the diagnosis of these lesions as well as outcome in order to help decrease the time to diagnosis and improve treatment efficacy. Methods The authors reviewed the clinical features of 142 cases of intracranial GCT in their institute. Fourteen cases of basal ganglia GCT were identified. The symptoms, neuroimaging findings, delay between symptom onset and diagnosis or treatment, initial and further treatment, and outcome were investigated. Results Major symptoms were motor weakness and precocious puberty. Gadolinium-enhanced T1-weighted MR images showed enhancement in 8 of 11 patients examined, but only slight hyperintensity without enhancement in 2 patients. Ipsilateral peduncle and hemispheric atrophy were found in 3 and 4 patients, respectively. Cases of basal ganglia GCT were characterized by a longer delay from the initial neuroimaging examination to diagnosis compared with GCT in other regions. Five patients had aggravated hemiparesis in the extremities due to the delay in diagnosis. Despite good response to the initial therapy, 5 patients experienced recurrence; 2 of these 5 had malignant GCTs, and 3 had been treated only with chemotherapy or radiochemotherapy with insufficient radiation dose and field. Finally, the 2 patients with malignant GCTs died of the disease, and 1 died of aspiration pneumonia due to dissemination around the brainstem. Conclusions Early diagnosis requires MR imaging with administration of contrast medium in young patients presenting with motor weakness and/or precocious puberty. Serial neuroimaging studies should be performed if any tiny lesion is detected in the basal ganglia. Since insufficient treatment resulted in early recurrence, radiation therapy with adequate dose and field is essential.

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