scholarly journals Synchronous occurrence of odontogenic keratocyst and ameloblastoma: A case report and review of the literature

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Norman Firth ◽  
Abdulhameed Alsarraf ◽  
Nathan Vujcich ◽  
Omar Kujan
Keyword(s):  
Oral Cavity ◽  
Management Plan ◽  
Odontogenic Keratocyst ◽  
Odontogenic Cysts ◽  
Special Focus ◽  
Review Of The Literature ◽  
Diagnostic Work ◽  
Work Up ◽  
Prevention Of Recurrence ◽  
Careful Management

Odontogenic keratocyst (OKC) and ameloblastomas are distinct histopathologically diagnosed odontogenic lesions of the oral cavity. Both are primarily located in the posterior regions of the mandible, however, they can involve the maxilla as well. The occurrence of both an OKC and ameloblastoma in a patient is very uncommon. This case demonstrated such a lesion in the mandible of a 57 years old female. The diagnostic work-up and features of both lesions are illustrated with special focus on histopathological variances distinguishing OKC from ameloblastoma with the support of immunohistochemistry. This case highlights the importance of identifying accurate diagnoses for such lesions which may prompt clinical implications. Clinico-pathologic understanding of both lesions signifies the need for careful management plan and prevention of recurrence. Previously reported simultaneous occurrences of odontogenic cysts and/or tumors in the oral cavity are also reviewed.

scholarly journals Ultrasound-guided injections in pelvic entrapment neuropathies

2021 ◽  
Vol 21 (85) ◽  
pp. e139-e146
Author(s):  
Urša Burica Matičič ◽  
◽  
Rok Šumak ◽  
Gregor Omejec ◽  
Vladka Salapura ◽  
...  
Keyword(s):  
Nerve Entrapment ◽  
Diagnostic Process ◽  
Special Focus ◽  
Ultrasound Guided ◽  
Ilioinguinal Nerve ◽  
Pelvic Region ◽  
Entrapment Neuropathies ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Pelvic entrapment neuropathies represent a group of chronic pain syndromes that significantly impede the quality of life. Peripheral nerve entrapment occurs at specific anatomic locations. There are several causes of pelvic entrapment neuropathies, such as intrinsic nerve abnormality or inflammation with scarring of surrounding tissues, and surgical interventions in the abdomen, pelvis and the lower limbs. Entrapment neuropathies in the pelvic region are not widely recognized, and still tend to be underdiagnosed due to numerous differential diagnoses with overlapping symptoms. However, it is important that entrapment neuropathies are correctly diagnosed, as they can be successfully treated. The lateral femoral cutaneous nerve, ischiadic nerve, genitofemoral nerve, pudendal nerve, ilioinguinal nerve and obturator nerve are the nerves most frequently causing entrapment neuropathies in the pelvic region. Understanding the anatomy as well as nerve motor and sensory functions is essential in recognizing and locating nerve entrapment. The cornerstone of the diagnostic work-up is careful physical examination. Different imaging modalities play an important role in the diagnostic process. Ultrasound is a key modality in the diagnostic work-up of pelvic entraptment neuropathies, and its use has become increasingly widespread in therapeutic procedures. In the article, the authors describe the background of pelvic entrapment neuropathies with special focus on ultrasound-guided injections.

Oral Cavity Infection: An Underestimated Source of Pyogenic Spondylodiscitis?

2017 ◽  
Vol 79 (03) ◽  
pp. 218-223 ◽  
Author(s):  
Matthias Troeltzsch ◽  
Christof Birkenmaier ◽  
Christoph Schwartz ◽  
Bogdana Suchorska ◽  
Stefan Zausinger ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Nicotine Dependence ◽  
Clinical Status ◽  
Outcome Analysis ◽  
Symptom Duration ◽  
Pyogenic Spondylodiscitis ◽  
Source Of Infection ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Background The incidence of pyogenic spondylodiscitis is increasing; however, the source of infection often remains obscure. We analyzed predisposing factors, pathogens, and outcome of patients undergoing surgical and/or conservative treatment of spondylodiscitis with a focus on the diagnostic work-up including a comprehensive maxillofacial assessment. Patients The analysis of prognostic factors comprised comorbidities, nicotine dependence, symptom duration, and oral cavity peculiarities. After a standardized diagnostic work-up, a detailed examination of the oral cavity was also performed. The outcome analysis included assessment of the patients' clinical status. Results Forty-one patients with pyogenic spondylodiscitis were investigated of whom 24% had undergone spinal surgery within 4 weeks before the infection. A total of 29% of patients were found to have a concomitant bacterial oral cavity disease, and in 22% the definitive source of infection remained unidentified. Among the 12 patients with oral cavity infections, 10 patients had periodontitis; 8, root canal pathologies; 6, periapical lesions, and another 8 patients, caries. In 25% of these patients, typical oral cavity pathogens were found in the intervertebral disk. The prevalence of oral cavity infections was associated with a history of nicotine dependence (p = 0.003). All other analyzed comorbidities did not differ compared with patients without an oral cavity focus. Conclusion Oral cavity infections appear to be a frequent source of pyogenic spondylodiscitis, with smoking its most relevant associated risk factor. In case of an unidentified infection focus, a detailed diagnostic work-up including a mandatory maxillofacial assessment is strongly recommended.

scholarly journals Pubic Osteomyelitis after Treatment for Prostate Cancer A Case Report and Review of the Literature

2018 ◽  
Vol 2 (3) ◽  
pp. 1-4
Author(s):  
Els Van Nieuwenhuyse
Keyword(s):  
Prostate Cancer ◽  
Laboratory Tests ◽  
Medical Condition ◽  
Rare Complication ◽  
Treatment Options ◽  
Review Of The Literature ◽  
Surgical Modality ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Osteomyelitis pubis is a known, rare complication related with the treatment of prostate cancer. It can occur after surgery, radiotherapy and after ultrasound therapy. The latency between the treatment modality and the onset of the osteomyelitis is different for all treatment options. Symptoms are mostly subtle and non - specific, causing a delay in the diagnosis. For the diagnostic work - up, clinical examination, laboratory tests and medical imaging are necessary. The irrevocable diagnosis will be made by culture of a bone aspirate. Treatments consist of antibiotic therapy and surgery. The medical condition of the patient and the location of the infection determine the type and extent of the surgical modality.

scholarly journals How to Tackle Tremor – Systematic Review of the Literature and Diagnostic Work-Up

2012 ◽  
Vol 3 ◽  
Author(s):  
A. W. G. Buijink ◽  
M. F. Contarino ◽  
J. H. T. M. Koelman ◽  
J. D. Speelman ◽  
A. F. van Rootselaar
Keyword(s):  
Systematic Review ◽  
Review Of The Literature ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Eosinophilic myocarditis in an adolescent: a case report and review of the literature

2012 ◽  
Vol 23 (2) ◽  
pp. 277-283 ◽  
Author(s):  
Ilhan Aslan ◽  
Marcus Fischer ◽  
Kai T. Laser ◽  
Nikolaus A. Haas
Keyword(s):  
Enzyme Inhibitor ◽  
Acute Myocarditis ◽  
Complete Recovery ◽  
Parasitic Infections ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Unique Case ◽  
Eosinophilic Myocarditis ◽  
Diagnostic Work ◽  
Work Up

AbstractEosinophilic myocarditis is a rare disease occurring mainly in adulthood. It is generally known to be caused by autoimmune diseases, parasitic infections, hypersensitivity to drugs or substances, and after vaccinations. We describe the case of a 15-year-old adolescent, who presented initially with flu-like symptoms, as well as syncope. Subsequently, catecholaminergic treatment had to be initialised because of cardiac failure. Peripheral eosinophil count was normal at admission and at the time of endomyocardial biopsy. The biopsy, however, proved the diagnosis of eosinophilic myocarditis, but the causative agent remained unclear despite intensive diagnostic work-up. Cardiac magnetic resonance imaging showed signs of acute myocardial oedema and a delayed enhancement in the basal inferolateral segments consistent with acute myocarditis. Under treatment with corticosteroids, angiotensin-converting enzyme inhibitor, and warfarin, we accomplished a rapid and complete recovery of cardiac function and histology. This unique case of eosinophilic myocarditis is rare in childhood. The differential diagnosis and diagnostic pathway is discussed, and a review of the literature and therapeutic options based on the literature is performed.

Aplastic anaemia in childhood. Description of two cases and review of the literature

Open Medicine ◽  
2009 ◽  
Vol 4 (3) ◽  
pp. 363-368
Author(s):  
Maria Scalzone ◽  
Paola Coccia ◽  
Palma Maurizi ◽  
Giorgio Attinà ◽  
Lucia Liotti ◽  
...  
Keyword(s):  
Aplastic Anaemia ◽  
Opportunistic Infections ◽  
Supportive Therapy ◽  
Review Of The Literature ◽  
Life Threatening ◽  
Diagnostic Work ◽  
Work Up ◽  
Timely Treatment ◽  
Diagnostic Work Up ◽  
Fatal Complications

AbstractChildhood aplastic anaemia (AA) is an uncommon but potentially fatal haematological disorder. Patients with AA receive supportive care based on transfusions and timely treatment of opportunistic infections, along with specific therapies, which may be bone marrow transplantation and immunosuppressive therapy. Early diagnosis and supportive therapy are required to prevent fatal complications like overwhelming sepsis or life threatening haemorrhages. We report two cases of aplastic anaemia having a different aetiology. The diagnostic work-up and the therapeutic management for each case are described below.

scholarly journals Kümmell’s disease — uncommon or underreported disease: A clinicopathological account of a case and review of literature

2013 ◽  
Vol 04 (04) ◽  
pp. 439-442 ◽  
Author(s):  
Manish Ranjan ◽  
Samapth Sommana ◽  
Anita Mahadevan ◽  
Shankar Shankar Krishna ◽  
Chandrajit Prasad
Keyword(s):  
Traumatic Event ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Rare Form ◽  
Diagnostic Dilemma ◽  
Kummell’S Disease ◽  
Post Traumatic ◽  
Diagnostic Work ◽  
Work Up ◽  
Kümmell’S Disease

ABSTRACTKümmell’s disease is a rare form of vertebral body osteonecrosis, which develops as a delayed post-traumatic event. It is infrequently reported in literature and to the best of our knowledge, has not been reported from India. We describe the clinical, radiological, and pathological features of a case occurring in a 60-year-old man and relevant brief review of the literature of this rare disease. Its close resemblance to more commonly occurring bony tuberculosis poses a diagnostic dilemma particularly in developing country like India, where tuberculosis is endemic. Awareness of this entity, though rare, is essential to avoid unnecessary diagnostic work up and treatment.

scholarly journals Dermatofibrosarcoma protuberans – a wolf in sheep’s clothing: a case report and review of the literature

2021 ◽  
Vol 11 (3) ◽  
pp. 246-249
Author(s):  
Mohammad Kamrul Ahsan ◽  
Md Rashedul Islam
Keyword(s):  
Subcutaneous Tissue ◽  
Skin Flap ◽  
Dermatofibrosarcoma Protuberans ◽  
Surgical Excision ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Diagnostic Work ◽  
Work Up ◽  
Slow Growing

Dermatofibrosarcoma protuberans (DFSP) is a locally invasive and slow growing tumor of the subcutaneous tissue. It rarely metastasizes but progressive and recurs frequently after surgical excision. The trunk and proximal extremities are the most common sites of the disease. A 53-year-old woman presented to dermatology outpatient department with a 3-cm, firm, violaceous and multinodular mass located on the left upper shoulder. Diagnostic work-up including magnetic resonance imaging and histopathological findings of biopsy were consistent with DFSP. The patient underwent wide local excision with skin flap reconstruction. No recurrence has been observed during ten months of follow-up. BIRDEM Med J 2021; 11(3): 246-249

Cardiac Paraganglioma: Diagnostic Work Up and Review of the Literature

2012 ◽  
Vol 112 (4) ◽  
pp. 310-313 ◽  
Author(s):  
M. Sook ◽  
E. Hamoir ◽  
L. de Levai ◽  
S. Duquenne” ◽  
R. Larbuissotf ◽  
...  
Keyword(s):  
Review Of The Literature ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Rapidly progressive glomerulonephritis as presenting feature of systemic lupus erythematosus in a Bangladeshi male patient: a rare case report

2020 ◽  
Vol 10 (2) ◽  
pp. 137-138
Author(s):  
Samiha Haque ◽  
Ishrat Jahan ◽  
Tufayel Ahmed Chowdhury ◽  
Muhammad Abdur Rahim ◽  
Mehruba Alam Ananna ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Venous Pressure ◽  
Rapidly Progressive Glomerulonephritis ◽  
Initial Response ◽  
Systemic Lupus ◽  
Renal Manifestation ◽  
Rare Case Report ◽  
Diagnostic Work ◽  
Work Up

Rapidly progressive glomerulonephritis is one of the most dramatic and tragic presentations of lupus nephritis (LN) or renal manifestation of systemic lupus erythematosus (SLE). A 35-year-old Bangladeshi gentleman presented with worsening oedema, scanty, high colored, frothy urine and deteriorating renal function. He had puffy face, anaemia, oedema, normal jugular venous pressure (JVP), high blood pressure (150/90 mm Hg), ascites and bilateral pleural effusions. Diagnostic work-up confirmed SLE with class IV LN. His initial response to specific therapy showed improvement Birdem Med J 2020; 10(2): 137-138

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