Observation of COVID-19-associated coagulopathy in a patient of ENT hospital

The article presents a clinical case of a patient of the otorhinolaryngology department of the Samara Clinical Hospital No. 8 who had a new coronavirus infection. Complications were manifested by primary thrombosis of the orbital veins, facial veins, followed by the spread of the process into the pterygoid plexus, veins of the nasal cavity and paranasal sinuses. The study analyzes the dynamics of the clinical picture and compares it with the results of the postmortem examination. Vascular thrombosis of the nasal cavity and paranasal sinuses during X-ray examination can manifest itself as a decrease in pneumatization of the sinuses with possible minor exudation due to ischemic changes in the mucous membrane. Thrombosis developing with underlying COVID-19-associated coagulopathy can have different initial localizations and are a formidable complication with a high mortality rate. Patients who have undergone COVID-19 need to control the coagulogram not only during the illness, but also during the period of convalescence and early periods after recovery.

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URGENT X-RAY DIAGNOSTICS OF INTRACRANIAL PYOINFLAMMATORY OTORHINOSINUSOGENIC COMPLICATIONS

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2016-175-3-54-63 ◽

2016 ◽

Vol 175 (3) ◽

pp. 54-63 ◽

Cited By ~ 1

Author(s):

I. S. Piskunov ◽

Yu. A. Shcherbuk ◽

A. A. Krivopalov ◽

A. N. Rubin ◽

I. E. Glaz’Ev ◽

...

Keyword(s):

Mr Imaging ◽

Contrast Medium ◽

Nasal Cavity ◽

Paranasal Sinuses ◽

Clinical Picture ◽

Arachnoid Membrane ◽

X Ray ◽

Temporal Bones ◽

The Brain ◽

Made In

An analysis of the results of X-ray CT and MR-imaging was made in 46 patients aged from 13 to 78 years old. The patients were admitted to multifield hospitals in Kursk at the period from 2005 to 2015. The research included the nasal cavity, paranasal sinuses, mastoid and pyramid of the temporal bones and the brain. The study could be repeated with bolus contrast medium infusion. The condition of the patients was evaluated in dynamics at intervals of 5-7 days and these data was associated with clinical picture. The authors presents a complex of symptoms and an algorithm of differentiated X-ray diagnostics of diseases of the ENT organs and the main nosological forms of pyoinflammatory diseases of arachnoid membrane and substances of the brain.

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Confirmed child patient with covid-19 infection, opperated for associated surgical pathology – first pediatric case in Romania

ROMANIAN BIOTECHNOLOGICAL LETTERS ◽

10.25083/rbl/25.6/2107.2110 ◽

2020 ◽

Vol 25 (6) ◽

pp. 2107-2110

Author(s):

DANIEL-OVIDIU COSTEA ◽

◽

FLORIN-DANIEL ENACHE ◽

RADU BAZ ◽

ADRIAN PAUL SUCEVEANU ◽

...

Keyword(s):

Clinical Picture ◽

Viral Infections ◽

Female Child ◽

Point Of View ◽

Surgical Pathology ◽

Pediatric Case ◽

X Ray ◽

First Case ◽

Child Patient ◽

Coronavirus Infection

Background: The year 2020 will remain in history as a challenge for the humanity due to the pandemic situation caused by the Coronavirus – COVID-19 disease. The virus spread rapidly throughout the world, affecting people of all ages including children. Objectives: The purpose of the research was to present the first case in Romania of a child infected with COVID-19, operated for associated surgical pathology. Materials and Methods: The case presented in this paper is a 6 years and 9 months old female child with COVID-19 infection admitted in the Clinic of Pediatric Surgery of Constanta Emergency County Hospital and operated for a peritonitis with appendicular abscess. In the last 7 days she presented transient abdominal pain with episodes of fever that referred to antipyretics. Results: From a surgical point of view, the case is ordinary, without possible redoubtable complications but the clinical picture was atypical due to coronavirus infection. The viral infection did not have a symptomatic history, as in most adult cases, but the lung x-ray showed infectious changes, which is why she was tested for potential COVID-19 infection, with a positive result. Conclusion: The case showed the clinical picture of atypical coronavirus infection in children. Viral infections in children have more abdominal tropism, with mesenteric lymphadenitis, which in some cases can lead to appendicular inflammation with secondary appendicitis. Undiagnosed in time, it can be complicated by peritonitis and any other type of appendicular infectious pathology.

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Inverted Papilloma against a Background of Bilateral Rhinosinusitis Polyposa with Viscous Mucin (Clinical Case)

Creative Surgery and Oncology ◽

10.24060/2076-3093-2018-8-2-70-74 ◽

2018 ◽

Vol 8 (2) ◽

pp. 70-74

Author(s):

R. M. Pestova ◽

E. E. Savel’eva ◽

L. F. Aznabaeva ◽

R. A. Sharipov

Keyword(s):

Nasal Cavity ◽

Paranasal Sinuses ◽

Clinical Case ◽

Diagnostic Algorithm ◽

Inverted Papilloma ◽

Benign Tumour ◽

Initial Growth ◽

Biopsy Material ◽

Accurate Performance ◽

Nose And Paranasal Sinuses

Introduction. Rhinosinusitis polyposa consists in a chronic inflammation of the mucous membrane of the nose and paranasal sinuses, followed by recurrent growth of polyps and characterised by a high prevalence. Nasal polyps may be associated with the presence of viscous mucin; their characteristic CT signs are hyperostosis of the walls of the affected sinuses and thinning cavity walls until the bone is destroyed, this being a sign of aseptic osteomyelitis. The same sign is typical for inverted papilloma, the most common benign tumour of the nose and sinuses.Materials and methods. The present article presents a clinical observation. What makes it interesting is that a benign tumour was diagnosed against the background of bilateral rhinosinusitis polyposa. The clinical picture did not have nasal bleeding, which is typical for inverted papilloma; this was most likely due to the initial growth of the tumour. Thickening bone structures (hyperostosis) was balanced due to the pathogenetic peculiarities of the rhinosinusitis polyposa development with viscous mucin. Inverted papilloma was suspected during rhinoscopy, which revealed asymmetric growth of polyps. Final verification of the clinical diagnosis was carried out following computerised tomography of the nose and paranasal sinuses and histological examination of biopsy material.Results and discussion. This clinical case is of interest due to rhinocytogram data suggesting a viral and inflammatory etiology of the development of inverted papilloma. Therefore, the observed nucleoli of the nuclei of the columnar epithelium are characteristic of intracellular infection — in particular, viral. Remodelling of cells of the cylindrical epithelium is a sign of chronic inflammatory process.Conclusion. Thus, accurate performance of the diagnostic algorithm with histological verification of all removed material allows the identification of a neoplasm of the nasal cavity even in difficult cases, along with other diseases of the nasal cavity. Rhinocytogram data can help suggest the etiology of the intracellular type of infection in the epithelial cell and pathogenesis of inverted papilloma in a particular case.

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Acute ischemia of the lower limb in a patient with infective endocarditis under the mask of coronavirus infection

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2021-180-4-95-98 ◽

2021 ◽

Vol 180 (4) ◽

pp. 95-98

Author(s):

I. P. Mikhaylov ◽

V. A. Arustamyan ◽

B. V. Kozlovskij ◽

E. V. Kungurcev

Keyword(s):

Clinical Practice ◽

Infective Endocarditis ◽

Lower Extremity ◽

Successful Treatment ◽

Clinical Picture ◽

Lower Limb ◽

Clinical Case ◽

Acute Ischemia ◽

Coronavirus Infection

Despite the fact that significant success has been achieved in the treatment of patients with infective endocarditis (IE), difficulties in clinical practice arise in the diagnosis of this disease. The article analyzes a clinical case of successful treatment of a patient with acute ischemia of the lower extremity due to thromboembolic syndrome in IE, the diagnosis of which was initially regarded as COVID-19. The clinical case occurred during the coronavirus infection (COVID-19) pandemic, and all patients who initially complained of fever were regarded as potentially infected, which, with insufficient examination, masked the clinical picture of infective endocarditis.

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Giant ’staghorn' rhinolith in a 15-year-old girl

BMJ Case Reports ◽

10.1136/bcr-2018-227587 ◽

2018 ◽

Vol 11 (1) ◽

pp. e227587 ◽

Cited By ~ 1

Author(s):

Mohiyuddin Ali

Keyword(s):

Ct Scan ◽

Nasal Cavity ◽

General Anaesthesia ◽

Paranasal Sinuses ◽

Irregular Shape ◽

Review Of Literature ◽

X Ray

We describe a case of a 15-year-old girl who presented to our clinic with long-standing right-sided rhinorrhoea which was occasionally foul-smelling and blood-stained with no other symptom of note. She had been treated many times with antibiotics. On examination, a rhinolith was discovered impacted posteriorly in right nasal cavity with mucopurulent discharge. Plain X-ray and later CT scan of paranasal sinuses confirmed the diagnosis but it was found to be large in size with irregular shape like a ‘staghorn’. It was removed under general anaesthesia and she recovered uneventfully. We also describe the review of literature.

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Sinonasal fibromyxoma in a child

Russian otorhinolaryngology ◽

10.18692/1810-4800-2021-5-82-87 ◽

2021 ◽

Vol 20 (5) ◽

pp. 82-87

Author(s):

M. R. Bogomil’skii ◽

◽

K. K. Baranov ◽

E. N. Kotova ◽

E. O. Vyaz’menov ◽

...

Keyword(s):

Computed Tomography ◽

Nasal Cavity ◽

Histological Examination ◽

Paranasal Sinuses ◽

Clinical Case ◽

Surgical Intervention ◽

Rare Neoplasm ◽

Nasal Concha ◽

Severe Difficulty ◽

Left Middle

Sinonasal fibromyxoma is a rather rare neoplasm and occurs in less than 1% of tumors. In the literature, there is a description of only 8 cases of this pathology in children. The article describes a clinical case of sinonasal fibromyxoma in a 14-year-old child with complaints of persistent severe difficulty in breathing through the left half of the nasal cavity, periodic tear stagnation on the left for 14 months, and dysphonia. The results of endoscopic diagnosis of ENT organs, computed tomography of the nasal cavity and paranasal sinuses, the stages of the performed elective surgical intervention (polypectomy, left-side endoscopic sinusitis with sinus sanitation, turbinoplasty of the left middle nasal concha) are presented in detail, as well as the conclusions of the histological examination of the lesion removed from the patient. The authors analyzed domestic and foreign literature data on this problem, based on which they presented in the article a differential series of myxoma.

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MULTIPLE MYELOMA: CHALLENGES OF DIFFERENTIAL DIAGNOSIS (CLINICAL CASE)

Wiadomości Lekarskie ◽

10.36740/wlek202001139 ◽

2020 ◽

Vol 73 (1) ◽

pp. 203-207

Author(s):

Iryna V. Baranova ◽

Kateryna P. Postovitenko ◽

Iryna A. Iliuk ◽

Sergii P. Kolisnyk ◽

Alla F. Gumeniuk ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Multiple Myeloma ◽

Differential Diagnosis ◽

Kidney Disease ◽

Renal Insufficiency ◽

Clinical Picture ◽

Clinical Case ◽

Clinical Observation ◽

Screening Method ◽

X Ray

The objective of our study was to interpret and discuss atypical multiple myeloma case. The article describes the case of clinical observation of a patient K, in which manifestations of chronic kidney disease and circulatory failure prevailed in clinical picture of the disease. The authors recommended an X-ray examination of skull and pelvic bones as a screening method suitable for elderly people with symptoms of chronic renal insufficiency and chronic bone and muscle pain resistant to treatment.

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