scholarly journals A rare case of Fusobacterium necrophorum liver abscesses

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Faris Hannoodi ◽  
Hussam Sabbagh ◽  
Zain Kulairi ◽  
Sarwan Kumar
Keyword(s):  
Rare Condition ◽  
Fusobacterium Necrophorum ◽  
Peritonsillar Abscess ◽  
Care Physician ◽  
Source Of Infection ◽  
Liver Abscesses ◽  
Uncommon Disease ◽  
Night Sweats ◽  
Right Lobe ◽  
The Right

Liver abscesses are an uncommon disease that can present with vague symptoms. <em>Fusobacterium necrophorum</em> causing liver abscesses is a rare condition and only a few cases have been reported. An 88-year-old female presented to her primary care physician with one week of fevers, night sweats, chills, fatigue and vague right upper quadrant abdominal pain. She denied nausea, vomiting, constipation, diarrhea and unintentional weight loss. A computed tomography scan of the abdomen showed two liver abscesses in the right lobe as well as extensive diverticulosis. Percutaneous drainage was performed and draining catheters were placed in the abscesses. Culture of the abscess fluid grew <em>Fusobacterium necrophorum</em>. She was treated with ceftriaxone and metronidazole as per sensitivities. Rare cases of <em>F. necrophorum</em> hepatic abscesses have been published. The source of infection described in reported cases included hematogenous spread from dental caries/peritonsillar abscess and those involving the gastrointestinal tract resulting from inflammation of the bowel wall or from inflamed diverticuli via the portal circulation. In one study, thirteen cases of liver abscess due to <em>F. necrophorum</em> were studied, and two of these cases had diverticular disease without inflammation.

scholarly journals Agenesis of the Right Hepatic Lobe

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Lucas Souto Nacif ◽  
Yuri dos Santos Buscariolli ◽  
Luiz Augusto Carneiro D'Albuquerque ◽  
Wellington Andraus
Keyword(s):  
Surgical Planning ◽  
Rare Condition ◽  
Middle Hepatic Vein ◽  
Developmental Defects ◽  
Hepatic Lobe ◽  
Right Lobe ◽  
Loss Of Appetite ◽  
The Right ◽  
Previous Disease ◽  
Rare Diagnosis

Introduction. Agenesis of the right lobe of the liver is a rare finding and was defined as the absence of liver tissue on the right side, with preservation of the middle hepatic vein, without previous disease or surgery. It is usually an incident finding reveled by imaging exams or during abdominal surgery.Case Report. A 32-year-old male patient was admitted to the hospital for abdominal discomfort and loss of appetite. Imaging studies revealed the absence of the right hepatic lobe and hypertrophied left hepatic segments.Discussion. Anomalies of hepatic morphology are rare and correspond to developmental defects during embryogenesis, are a rare diagnosis, and are generally diagnosed incidentally based on imaging. Agenesis or hypoplasia of the right lobe may predispose the patient to the development of portal hypertension and esophageal varices. Surgical knowledge of such anatomical agenesis is necessary for surgical planning, for the appropriate identification of intraoperative surgical findings, and for the design of the postoperative approach to therapy.Conclusion. Agenesis of the right hepatic lobe is a rare condition. We want to highlight the importance of understanding the condition. Surgeons must recognize the entity in order to deal appropriately with the findings.

Thyroid tuberculosis: an unexpected diagnosis

2021 ◽  
Vol 14 (2) ◽  
pp. e238795
Author(s):  
Alexandra Novais Araújo ◽  
Tânia Matos ◽  
João Boavida ◽  
Maria João Guerreiro Martins Bugalho
Keyword(s):  
Lymph Node ◽  
Positive Culture ◽  
Rare Condition ◽  
Pulmonary Involvement ◽  
Needle Aspiration ◽  
Tuberculous Infection ◽  
History Of ◽  
Right Lobe ◽  
Thyroid Tuberculosis ◽  
The Right

Mycobacterium tuberculosis (MTB) is an aerobic bacillus responsible for tuberculous infection. The the thyroid gland being affected by MTB is a rare condition. A 71-year-old woman had 6 months of slight cervical discomfort. Her neck ultrasound showed, at the right lobe of the thyroid, a dominant heterogeneous nodule of 18 mm and homolateral lymph nodes with suspicious ultrasonographic features. The patient underwent fine-needle aspiration, the results of which were non-diagnostic (thyroid nodule) and reactive pattern (lymph node). A total thyroidectomy was performed and a lymph node was sampled for extemporaneous examination. Surprisingly, necrotising granulomas were documented. The diagnosis was definitely established by a positive culture of the lymph node tissue and molecular detection of MTB. Pulmonary involvement was excluded and she was started on antituberculous agents. In the absence of systemic, specific complaints or history of exposition, histopathology and culture of MTB remain a key step for the diagnosis.

A Rare Case of Lemierre’s Syndrome in a Male Division I Collegiate Football Player

2015 ◽  
Vol 20 (5) ◽  
pp. 11-15
Author(s):  
Heather Fahsl ◽  
Shannon David
Keyword(s):  
Signs And Symptoms ◽  
Fusobacterium Necrophorum ◽  
Football Player ◽  
Peritonsillar Abscess ◽  
Division I ◽  
Lemierre’S Syndrome ◽  
Night Sweats ◽  
Lemierre's Syndrome ◽  
Collegiate Football ◽  
Nose And Throat

During the fall preseason of 2013, a 19-year-old Division I linebacker (body mass = 104 kg; height = 189 cm) attending a college football camp developed severe throat pain, quickly followed by night sweats, fever, nausea, vomiting, shortness of breath, and generalized body weakness. The athletic trainer believed that the athlete had a cold. Because symptoms did not improve, the athlete was referred to several physicians with different specialties and underwent standard testing. The ears, nose, and throat (ENT) physician recognized the signs and symptoms of Lemierre’s syndrome based on a previous case seen only once in his career. A computed tomography (CT) scan confirmed the presence of a peritonsillar abscess and thrombosis of the left internal jugular vein, which justified further investigation for this rare syndrome. A positive blood culture for Fusobacterium necrophorum confirmed the diagnosis of Lemierre’s syndrome. Several antibiotics and anticoagulation medications were prescribed and the athlete was closely monitored. After two months, he was cleared to play football.

scholarly journals Recurrent paratonsillitis of odontogenic origin

2021 ◽  
Vol 6 (1) ◽  
pp. 25-28
Author(s):  
Artem N. Chechko ◽  
Tatyana Yu. Vladimirova
Keyword(s):  
Ph Value ◽  
Rare Condition ◽  
External Carotid Artery ◽  
Peritonsillar Abscess ◽  
Diagnostic Methods ◽  
External Carotid ◽  
Non Invasive ◽  
Source Of Infection ◽  
Odontogenic Origin ◽  
Choice Of Treatment

The recurrent paratonsillitis caused by medium dental caries is an extremely rare condition. Patients with this pathology are admitted to otorhinolaryngological departments and in most cases they do not actively present odontogenic complaints. Currently, the algorithm for the mandatory examination of patients with paratonsillitis does not include an examination by a dentist. This article presents a clinical case of recurrent paratonsillitis in a 22-year-old man. His admission due to this condition was the third during the year. The disease proceeded without signs of affection of the palatine tonsils. In this regard, the patient was examined according to clinical recommendations using additional research methods to verify the source of infection. To exclude the formation of peritonsillar abscess, the non-invasive diagnostic methods were used - transoral ultrasound of peritonsillar tissues. This examination revealed an abnormal arrangement of the external carotid artery branches. This circumstance determined the choice of treatment tactics, excluding the use of relaxing incisions in the peritonsillar area. A laboratory study of saliva determined the activity of -amylase, pH value was measured to exclude an inflammation of the salivary glands. An additional examination revealed the odontogenic etiology of paratonsillitis.

scholarly journals Burkitt Lymphoma in a HIV infected patient with involvement of cranial nerves

2021 ◽  
Author(s):  
Clara Sasse Scherer ◽  
Aléxia Zattar ◽  
André Bayerl ◽  
Maria Eduarda Angelo de Mendonça Fileti ◽  
Raddib Eduardo Noleto da Nóbrega de Oliveira ◽  
...  
Keyword(s):  
Burkitt Lymphoma ◽  
Cranial Nerves ◽  
B Cell Lymphoma ◽  
Dental Arch ◽  
Axillary Lymph ◽  
Lymph Node Enlargement ◽  
Uncommon Disease ◽  
Night Sweats ◽  
Diagnostic Hypothesis ◽  
The Right

Context: Burkitt Lymphoma (BL) is a highly aggressive type of nonHodgkin’s (NHL) B-cell lymphoma and it’s rare in adults. The incidence is increased in those infected with the Human Immunodeficiency Virus (HIV). Endemic, sporadic, and associated with immunodeficiency are its subtypes. The disorder manifests with adenomegalies in several regions, including the Nervous System, and, when cranial nerves are affected, III and VII pairs are more involved. This study aimed to report on a rare case of IV and V cranial nerves pairs involvement caused by BL in a patient with immunosuppression due to HIV infection. Case report: S.A.R., 57 years old, female, diagnosed with HIV and in antiretroviral therapy sought assistance at a public hospital in Joinville. Right axillary lymph node enlargement since 03/20 with biopsy showing atypical lymphocytic infiltrate. On 09/20, she started with perioral paresthesia followed by crises of throbbing right hemicranial headache with dental arch irradiation. Later, she was admitted to the hospital with diplopia for 3 days, night sweats, and unintentional weight loss (2 kg). Skull Magnetic Resonance showed a small periventricular gliosis area and mastoiditis on the right. Main diagnostic hypothesis of BL with trigeminal neuralgia and trochlear palsy on the right. Referred to the intensive care unit, she entered in cardiorespiratory arrest and died. Conclusion: LB evolves rapidly and represents 1 /3 of NHL cases in HIV patients. Despite being an uncommon disease in adults, it’s important to be included in differential diagnosis in clinical presentations, as in the case reported.

scholarly journals A Rare Case of Suppurative Aspergillosis of the Thyroid

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Nikhil Dinaker Thada ◽  
Sampath Chandra Prasad ◽  
Bhasker Alva ◽  
Monika Pokharel ◽  
Kishore Chandra Prasad
Keyword(s):  
Rare Case ◽  
Hematological Malignancies ◽  
Fungal Infections ◽  
Rare Condition ◽  
Immunocompetent Patient ◽  
Subtotal Thyroidectomy ◽  
Solid Organ ◽  
Fungal Hyphae ◽  
Right Lobe ◽  
The Right

Suppurative fungal infection of the thyroid is an extremely rare condition even more so in an immunocompetent patient. Fungal infections of the thyroid usually occur in immunocompromised patients with hematological malignancies, recipients of bone marrow and solid organ allografts on immunosuppression, and patients with AIDS. A 65-year-old male presented with swelling in the front of the neck for 2 years. Examination revealed a  cm non-tender, firm swelling of the right lobe of the thyroid. The patient was taken up for a subtotal thyroidectomy. Intra-operatively, an abscess cavity with pus was found in the right lobe of the thyroid. Histopathology revealed features of fungal abscess and staining demonstrated fungal hyphae characteristic ofAspergillusssp.

Tonsillar Inflammation, a Rare Cause of Bradycardia and Hypotension

2018 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Streptococcus Pyogenes ◽  
Fusobacterium Necrophorum ◽  
Outpatient Setting ◽  
Peritonsillar Abscess ◽  
The Other ◽  
Streptococcus Group ◽  
Other Hand ◽  
Group A

Tonsillitis is a frequently encountered pathology in the outpatient setting, usually caused by viruses [1]. When bacterial, the most common causatory microbe is streptococcus group A [1]. Tonsillar and peritonsillar abscess (PTA) on the other hand are never viral, and are usually caused by streptococcus pyogenes, Streptococcus melleri, fusobacterium necrophorum and staphylococci [1,2]. The overall incidence of PTA is suggested to be 37/100,000 patients, with the highest incidence between ages 14-21 at 124/100,000 [3].

Prevalence and Characteristics of Liver Cancer Patients in Immanuel Hospital Bandung within January 2013 until December 2014 Period

2016 ◽  
Vol 1 (4) ◽  
Author(s):  
Achmad R. Permadi ◽  
Hana Ratnawati ◽  
Teresa L. Wargasetia
Keyword(s):  
Liver Cancer ◽  
Cancer Patients ◽  
Medical Records ◽  
Clinical Symptoms ◽  
Data Retrieval ◽  
Common Cancer ◽  
Key Words Liver Cancer ◽  
Liver Cancer Patient ◽  
Right Lobe ◽  
The Right

Liver cancer is the fifth most common cancer in Indonesia. This research is to find out the prevalence and characteristics of liver cancer patients in Immanuel Hospital Bandung within the January 2013 until December 2014 period based on age, gender, clinical symptoms and predilections. This study was a descriptive verificative research with data retrieval of patients medical records that have been diagnosed with liver cancer that were hospitalized in Immanuel Hospital Bandung within January 2013 until December 2014 period. The study showed that the liver cancer patient prevalence in Immanuel Hospital Bandung within the period of January 2013 until December 2014 was 46 people. Characteristics of liver cancer patients in Immanuel Hospital Bandung within January 2013 until December 2014 period showed that the most liver cancer patients were male, compare with female with ratio 4:1, the most common age group of 56-65 years old, the most common clinical symptoms were abdominal pain with or without reffered pain to the right scapular bone and the most common predilection was right lobe of the liver. Key words: liver cancer, patients' characteristics, prevalence 

CLINICAL CASE OF A MALIGNANT PECOMA OF THE LUNG

2019 ◽  
Vol 65 (5) ◽  
pp. 756-759
Author(s):  
Mikhail Postolov ◽  
Nadezhda Kovalenko ◽  
K. Babina ◽  
Stanislav Panin ◽  
Yelena Levchenko ◽  
...  
Keyword(s):  
Good Condition ◽  
Lung Neoplasm ◽  
Rare Condition ◽  
Epithelioid Cell ◽  
X Ray ◽  
Perivascular Epithelioid Cell ◽  
Mesenchymal Neoplasm ◽  
Preoperative Ct ◽  
Lymph Duct ◽  
The Right

Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal neoplasm characterized by expression of both mela-nocytic and smooth muscle markers. Only 10 primary malignant lung PEComas have been reported up to date. We report a 59-year-old male who presented with a lung neoplasm, found during the routine X-ray examination. Preoperative CT-scan revealed the 3,5-cm-sized mass, located at the border of the upper, middle and lower lobes of the right lung. Patient underwent a thoracotomy, resection of the upper, middle and lower lobes of the right lung accompanied with mediastinal lymphadenectomy. After surgery, chylothorax was revealed. Conservative treatment was unsuccessful, so we performed laparoscopic clipping of the thoracic lymph duct. Patient was dismissed from hospital on the 10-th day after the second operation in good condition. In this report, we intend to increase the limited knowledge relating to natural history and optimal treatment of such a rare condition as a primary malignant lung PEComa.

scholarly journals Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Hiroki Sato ◽  
Kiyoaki Tsukahara ◽  
Ray Motohashi ◽  
Midori Wakiya ◽  
Hiromi Serizawa ◽  
...  
Keyword(s):  
Thyroid Carcinoma ◽  
Papillary Carcinoma ◽  
Thyroid Tissue ◽  
Needle Aspiration ◽  
Left Lobe ◽  
Thyroid Hemiagenesis ◽  
Poorly Differentiated ◽  
Node Metastases ◽  
Right Lobe ◽  
The Right

Background. Thyroid carcinoma complicated by hemiagenesis is very rare, and previous reports have not described this cancer on the side of the absent lobe. Methods and Results. We report the case of a 64-year-old woman in whom left thyroid hemiagenesis was discovered incidentally during investigations of abnormal sensation during swallowing. A tumorous 1.4 cm lesion was also found on the side of the absent lobe, left of the isthmus. Fine-needle aspiration biopsy revealed class V papillary carcinoma, but no lymph node metastases. Total thyroidectomy was performed for stage cT1bN0M0 carcinoma. Histopathology revealed normal thyroid tissues in the right lobe and isthmus, while the left lobe was absent. The mostly papillary carcinoma was adjacent to the truncated thyroid tissue, with a portion histologically consistent with poorly differentiated carcinoma. Conclusions. All previously reported cases of thyroid cancer complicated by hemiagenesis have represented carcinoma occurring within the present lobe. This case is extremely rare.

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