scholarly journals Tuberculous parotitis in an immuno-competent adult: A rare clinical entity

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Yasir Nuhu Jibril ◽  
Nafisatu Bello-Muhammad ◽  
Auwal Adamu ◽  
Abdulrazak Ajiya
Keyword(s):  
Histological Examination ◽  
Rare Condition ◽  
The Body ◽  
High Index ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Laboratory Evidence ◽  
Pulmonary System ◽  
High Index Of Suspicion

Majority of the cases of Tuberculosis (TB) occur in the pulmonary system, other extrapulmonary sites are rare, accounting for 15% of all TB cases. Among the extrapulmonary manifestations, TB parotitis is extremely rare, only few cases were reported in Africa despite the endemicity of the disease. We present a 23 years old man who developed a right infra-auricular swelling of three month duration, with no clinical or laboratory evidence of immunosuppression or TB in the lungs or other part of the body. High index of suspicion is required to diagnose this rare condition and the place of histological examination is imperative.

scholarly journals Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199223
Author(s):  
Xiaolin Zhang ◽  
Hongmei Jiao ◽  
Xinmin Liu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Respiratory Infections ◽  
Relevant Literature ◽  
Rare Condition ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Esophageal Diverticulum ◽  
Bronchoesophageal Fistula ◽  
Fatal Complications

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.

scholarly journals Primary Lymphangioma of the Tonsil: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Dimitrios G. Balatsouras ◽  
Alexandros Fassolis ◽  
George Koukoutsis ◽  
Panayotis Ganelis ◽  
Antonis Kaberos
Keyword(s):  
Case Report ◽  
Histological Examination ◽  
Clinical Examination ◽  
Lymphatic System ◽  
White Male ◽  
Clinical Entity ◽  
Benign Tumors ◽  
Rare Clinical Entity ◽  
Rare Occurrence ◽  
The Right

Benign tumors of the tonsils occur infrequently. Lymphangiomas are rare congenital tumors of the lymphatic system, and tonsillar lymphangioma is an extremely rare occurrence. Its pathogenesis is uncertain, but history, clinical examination, and histological examination should establish the diagnosis. We present a 17-year-old white male with lymphangioma of the right tonsil. The tonsils were excised and biopsy confirmed the diagnosis. Tonsillar lymphangioma is a rare clinical entity, which should be known to the otolaryngologist, in order to diagnose and treat it appropriately and avoid confusion with tonsillar malignancies.

scholarly journals The Amyand’s Hernia: A Rare Clinical Entity Diagnosed by Computed Tomography

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Suat Keskin ◽  
Cihan Şimşek ◽  
Zeynep Keskin
Keyword(s):  
Computed Tomography ◽  
Inguinal Hernia ◽  
Rare Condition ◽  
Vermiform Appendix ◽  
Clinical Entity ◽  
Ct Scans ◽  
Amyand’S Hernia ◽  
First Person ◽  
Rare Clinical Entity ◽  
Abdominal Computed Tomography

Amyand’s hernia, named for the first person to describe an inguinal hernia containing the vermiform appendix, is an uncommon variant of an inguinal hernia. Amyand’s hernia is an extremely rare condition and is often misdiagnosed. Traditionally, these hernias have been diagnosed at surgery but are increasingly diagnosed by abdominal computed tomography (CT) scans. CT of the abdomen may help in guiding the diagnosis.

Maxillary Sinus Hypoplasia—A Not-so-uncommon Clinical Entity: A Review

2016 ◽  
Vol 9 (1) ◽  
pp. 43-45
Author(s):  
Saurabh Srivastava ◽  
Mohd Shakeel ◽  
Prasoon Varshney
Keyword(s):  
Maxillary Sinus ◽  
Clinical Evaluation ◽  
Endoscopic Sinus Surgery ◽  
High Index ◽  
Clinical Entity ◽  
Outpatient Department ◽  
Radiological Diagnosis ◽  
Sinus Surgery ◽  
High Index Of Suspicion ◽  
Maxillary Sinus Hypoplasia

ABSTRACT Bilateral sinus maxillary sinus hypoplasia is a rare anomaly. Radiological diagnosis of maxillary sinus hypoplasia is important for diagnosis to prevent recurrent rhinosinusitis and complications during endoscopic sinus surgery. A high index of suspicion is required by outpatient department examination for proper clinical evaluation and further management of these patients. How to cite this article Bhargava A, Khanduri S, Shakeel M, Srivastava S, Varshney P. Maxillary Sinus Hypoplasia-A Not-so-uncommon Clinical Entity: A Review. Clin Rhinol An Int J 2016;9(1):43-45.

scholarly journals MALROTATION OF GUT PRESNTING IN ADOLECENTS AND ADULTS AT A TERTIARY CARE HOSPITAL - A PROSPCTIVE STUDY

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Shabir Ahmad Mir ◽  
Mohd Riyaz Lattoo ◽  
Wasim Dar ◽  
Mumtazdin Wani
Keyword(s):  
Tertiary Care ◽  
Rare Condition ◽  
High Index ◽  
Care Hospital ◽  
Age Group ◽  
Diagnostic Challenge ◽  
Adult Age ◽  
Stoma Formation ◽  
Adolescents And Adults ◽  
High Index Of Suspicion

Background: Malrotation of gut presenting in adolescents and adults though rare but exists. Also its presentation is nonspecific.  Hence its diagnosis needs high index of suspicion. Material and methods: This prospective study was done  the of department of surgery SMHS hospital at GMC Srinagar over a period of 5.5 years  from July 2012 to December 2017.The patients included all  the adolescent and adult patients who proved  to be cases  of malrotation of gut on intraoperative  visualisation. Results: During the study period of 5.5 years, a total of 14 patients with malrotation of gut (belonging to adolescent and adult age group) were recorded. Age of the patients ranged from 16 to 54 years with an average of 26.21± 11.15years (SD=11.149). Majority of the patients belonged to adolescent age group. Preoperatively CT (computed tomography) was done only in 4 patients, thereby making the diagnosis of malrotation preoperatively in these 4 patients. In all other patients, the diagnosis was made only after laparotomy (done for acute abdomen) and intraoperative visualisation. Ladd´s procedure was done successfully in majority of patients with two patients requiring resection of gangrenous small bowl with stoma formation. Conclusion: Malrotation of gut presenting in adolescents and adults is a rare phenomenon and also the symptoms are similar to several other abdominal pathologies, hence it represents a diagnostic challenge. Hence a high index of suspicion is needed to diagnose this rare entity early without undue delay, so as to avoid or limit further complications .Threshold for CT scan should be kept a little low in suspicious cases so as diagnose and intervene in time. Well trained senior person should be involved during the surgical intervention of this rare condition. Further studies and reporting is needed to get familiar with this rare condition. Key words: Malrotation; adolescents and adults; Ladd´s procedure; gangrene.

scholarly journals Primary vaginal non-Hodgkin’s lymphoma: report of a rare clinical entity

2015 ◽  
Vol 5 (4) ◽  
Author(s):  
Vera Silva ◽  
Paulo Correia ◽  
Nuno Oliveira ◽  
Luís Sá
Keyword(s):  
Hodgkin’S Lymphoma ◽  
Tumor Regression ◽  
Disease Free Survival ◽  
The Body ◽  
Clinical Entity ◽  
Hodgkin's Lymphoma ◽  
Clinical Impression ◽  
Rare Clinical Entity ◽  
Non Hodgkin’S Lymphoma ◽  
Non Hodgkin's Lymphoma

A 52-year-old woman was referred to the gynecology outpatient clinic with a 2 months history of vaginal bleeding with intercourse, and no other symptoms. Vaginal examination revealed a firm, non-tender, mass in the posterior vaginal wall. The initial clinical impression was that of a vaginal carcinoma and a biopsy under local anesthesia was performed, but the result was inconclusive. A deeper biopsy, under general anesthesia, was performed and a histological diagnosis of non-Hodgkin’s lymphoma was done. The staging workup permitted to exclude any other site of the body affected by the malignancy. Hematologists reviewed the patient and recommended chemotherapy. A complete tumor regression was observed and the patient has now a disease-free survival of 72 months. This case report intends to create awareness of this rare clinical entity. Although the gynecologist will rarely be faced to extranodal lymphoma, it should be included in the differential diagnosis of gynecologic malignancies.

scholarly journals Diagnostic and therapeutic approach in a rare case of primary bilateral adrenal tuberculosis

2010 ◽  
Vol 59 (12) ◽  
pp. 1527-1529 ◽  
Author(s):  
Cosmo Del Borgo ◽  
Carlo Urigo ◽  
Raffaella Marocco ◽  
Valeria Belvisi ◽  
Luisa Pisani ◽  
...  
Keyword(s):  
Histological Examination ◽  
Therapeutic Approach ◽  
Rare Case ◽  
Adrenal Glands ◽  
High Accuracy ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Febrile Patient ◽  
Radiological Pattern

Here, we report a case of a febrile patient with primary bilateral adrenalitis who was successfully treated with an antituberculous regimen. Primary isolated tubercular adrenalitis is a very rare clinical entity but it should be considered in cases of fever and enlargement of the adrenal glands. Integration of radiological pattern data with epidemiological, clinical and immunological data has high accuracy and specificity, even without histological examination.

scholarly journals Spinal intramedullary abscess due to Candida albicans in an immunocompetent patient: A rare case report

2021 ◽  
Vol 12 ◽  
pp. 275
Author(s):  
Paulo Eduardo Albuquerque Zito Raffa ◽  
Rafael Caiado Caixeta Vencio ◽  
Andre Costa Corral Ponce ◽  
Bruno Pricoli Malamud ◽  
Isabela Caiado Vencio ◽  
...  
Keyword(s):  
Candida Albicans ◽  
Hospital Admissions ◽  
Critical Evaluation ◽  
Rare Condition ◽  
Immunocompetent Patient ◽  
Clinical Entity ◽  
Lumbar Pain ◽  
Rare Clinical Entity ◽  
Intramedullary Abscess ◽  
First Case

Background: A spinal intramedullary abscess is a rare clinical entity in which patients classically present with a subacute myelopathy and progressive paraplegia, sensory deficits, and/or bowel and bladder dysfunction. We report the second case of spinal intramedullary abscess caused by Candida albicans to ever be published and the first case of its kind to be surgically managed. Case Description: A 44-year-old female presented with severe lumbar pain associated with paraparesis, incontinence, and paraplegia. She reported multiple hospital admissions and had a history of seizures, having already undergone treatment for neurotuberculosis and fungal infection of the central nervous system unsuccessfully. Nevertheless, no laboratory evidence of immunosuppression was identified on further investigation. Magnetic resonance imaging showed a D10-D11, well-circumscribed, intramedullary mass within the conus, which was hypointense on T1-weighted imaging and hyperintense on T2/STIR weighted. The patient underwent surgery for removal and biopsy of the lesion, which provided the diagnosis of an intramedullary abscess caused by C. albicans, a very rare condition with only one case reported in literature so far. Conclusion: C. albicans intramedullary abscess is a very rare clinical entity, especially in immunocompetent patients. We highlight C. albicans as an important etiology that must be considered in differential diagnosis. Critical evaluation of every case, early diagnosis, timely referral and surgical management of the abscess is essential to improve neurological outcome.

scholarly journals Giant posterior gastric perforation in a 40 years old male: a case report

2021 ◽  
Vol 8 (6) ◽  
pp. 1907
Author(s):  
Raheel Hussan Naqvi ◽  
Khushwant Singh ◽  
Rahul Singh
Keyword(s):  
Gastric Perforation ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
The Body ◽  
Clinical Entity ◽  
Delayed Presentation ◽  
Relative Paucity ◽  
Life Saving ◽  
Clinical Signs And Symptoms ◽  
High Index Of Suspicion

Posterior perforation of gastric ulcer is a rare clinical entity and has a propensity for delayed presentation and missed diagnosis. By virtue of their location, posterior gastric perforations may rupture into the retroperitoneum which leads to abscess formation and development of adhesions and consequently, leads to a delay in the onset of symptoms. Alternatively, ulcers located in the fundus or the body of the stomach may perforate into the lesser sac, which results in sealing off the perforation and less dramatic clinical signs and symptoms. This delay in presentation contributes to higher morbidity, higher infection rates and higher mortality. Thus, it is essential to have a high index of suspicion for this condition, particularly in patients with a protracted clinical presentation and classical risk factors so that timely, life-saving intervention is possible. We report a case of giant posterior gastric perforation with benign histopathology in a 40-years-old male. This case is being presented due to the rarity of this clinical entity and the relative paucity of literature on the same.

Klebsiella pneumoniae liver abscess with endophthalmitis in a diabetic man with gallstones

2021 ◽  
Vol 14 (2) ◽  
pp. e239835
Author(s):  
Michael David ◽  
Anna Louise Pouncey ◽  
Rajab Kerwat ◽  
Sami Habal
Keyword(s):  
Risk Factors ◽  
Klebsiella Pneumoniae ◽  
East Asia ◽  
Liver Abscess ◽  
Rare Condition ◽  
High Index ◽  
Metastatic Spread ◽  
Potential Development ◽  
High Index Of Suspicion ◽  
Ct And Mri

Invasive liver abscess syndrome (ILAS) is caused by Klebsiella pneumoniae and is typically seen in people from East Asia, often with diabetes and gallstones. ILAS includes metastatic sequelae of the infection, commonly to the eyes. The case described below occurred in a London hospital. The patient’s abscess was diagnosed on CT and MRI and he developed endophthalmitis secondary to metastatic spread of the infection. He was treated with intravenous and intravitreal antibiotics and discharged with a plan for vitrectomy and cholecystectomy as an outpatient. We discuss the epidemiology, risk factors, pathogenesis, prognosis and management of this rare condition. There have been a number of recent reports of cases of this nature outside of Asia and we believe greater awareness is required. A high index of suspicion should be held for the potential development of metastases in patients of this demographic presenting with abscesses of this nature.

Sign in / Sign up

Export Citation Format

Share Document