A Rare Case of Rhinofacial Zygomycosis due to Conidiobolus Infection

ABSTRACT Background Rhinofacial zygomycosis is the infection of subcutaneous tissues of maxillofacial region caused by zygomycetes class of fungi. It is commonly caused by the order mucorales and is acute and fulminant. Infections by the order entomophthorales are rare but indolent. Case report We report an unusual case of rhinofacial zygomycosis due to Conidiobolus coronatus of the order Entomophthorales in an immunocompetent adult male to highlight the clinical presentation, diagnosis and treatment. We treated the patient with multiple drugs, that is amphotericin-B, cotrimoxazole, and itraconazole along with endoscopic debridement of nasal polyps with excellent result. Conclusion Rhinofacial zygomycosis due to entomophthorales is rare but treatable condition. Appropriate histopathological diagnosis and a multipronged approach with timely medical as well as surgical management is the key to clinical cure. How to cite this article Chakravarti A, Mishra M. A Rare Case of Rhinofacial Zygomycosis due to Conidiobolus Infection. Int J Otorhinolaryngol Clin 2014;6(2):65-67.

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Benign myoepithelioma of the soft palate: an unusual clinical entity

BMJ Case Reports ◽

10.1136/bcr-2020-240384 ◽

2021 ◽

Vol 14 (6) ◽

pp. e240384

Author(s):

Marianna Guadalupe Mireles ◽

Angelica Julián ◽

Fabiola Salgado-Chavarría ◽

Guillermo Manuel González

Keyword(s):

Soft Palate ◽

Unusual Case ◽

Clinical Presentation ◽

Histopathological Examination ◽

Histopathological Diagnosis ◽

Exocrine Glands ◽

Present Case Report ◽

Common Location ◽

Benign Tumours ◽

Growing Mass

Myoepitheliomas are rare benign tumours that affect the exocrine glands and are sporadically located in the salivary glands. The most common location of myoepithelioma in the oral cavity is the parotid gland and it is seldom encountered in the palate. The diagnosis of this entity is challenging since its clinical presentation may resemble those of more common neoplasms, rendering a complex histopathological diagnosis. The aim of the present case report is to describe an unusual case of myoepithelioma of the soft palate in a male patient, which developed as an asymptomatic, slowly growing mass. The tumour was assessed with histopathological examination and the diagnosis was verified via immunohistochemistry. Finally, the treatment included surgical resection of the tumour and no signs of recurrence were noted 2.5 years after the surgical procedure. Early diagnosis and treatment plays an important role in the prognosis of this pathological entity.

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Lipoma of the left tonsillar fossa

The Journal of Laryngology & Otology ◽

10.1017/s0022215100127252 ◽

1994 ◽

Vol 108 (6) ◽

pp. 507-508 ◽

Cited By ~ 6

Author(s):

R. Benson-Mitchell ◽

N. Tolley ◽

C. B. Croft ◽

D. Roberts

Keyword(s):

Adipose Tissue ◽

Connective Tissue ◽

Literature Review ◽

Clinical Presentation ◽

Aerodigestive Tract ◽

Upper Aerodigestive Tract ◽

Tonsillar Fossa ◽

Subcutaneous Tissues

AbstractLipomas are common benign connective tissue tumours composed of adult adipose tissue. They are relatively rare in the upper aerodigestive tract, although they occur with considerable frequency in other areas, particularly in the subcutaneous tissues of the neck. Although there are several reports of this tumour occurring in the oropharynx, there is no recorded case of a lipoma of the tonsillar fossa. An 83-year-old man with a left tonsillar fossa lipoma is presented. Clinical presentation, management and a literature review are discussed.

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A Case of Multiple Chemical Sensitivities: Cognitive Therapy for Somatization Disorder and Metaworry

Journal of Cognitive Psychotherapy ◽

10.1891/jcop.17.3.267.52532 ◽

2003 ◽

Vol 17 (3) ◽

pp. 267-277 ◽

Cited By ~ 1

Author(s):

Scott Temple

Keyword(s):

Cognitive Therapy ◽

Unusual Case ◽

Clinical Presentation ◽

Somatization Disorder ◽

Case Conceptualization ◽

Marital Problems ◽

Multiple Chemical Sensitivities ◽

Common Clinical Presentation ◽

History Of ◽

Multiple Chemical

“Multiple chemical sensitivities” has become an increasingly common clinical presentation to physicians, though it is infrequently seen by psychotherapists. This case report describes a 61-year-old woman who presents with a long history of chemical sensitivities, that led to a somatization disorder with debilitating agoraphobia, depression, and marital problems. Features of a variety of anxiety disorders are present, as are metacognitions that required an unusual case conceptualization. A cognitive therapy case conceptualization and treatment are described, which address the highly idiosyncratic clinical presentation of this patient.

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Vibrio vulnificus necrotizing fasciitis associated with acupuncture

Infectious Disease Reports ◽

10.4081/idr.2015.5901 ◽

2015 ◽

Vol 7 (3) ◽

Cited By ~ 4

Author(s):

Yael Kotton ◽

Soboh Soboh ◽

Naiel Bisharat

Keyword(s):

Necrotizing Fasciitis ◽

Unusual Case ◽

Vibrio Vulnificus ◽

Needle Insertion ◽

Infectious Complications ◽

Alcoholic Fatty Liver ◽

Acupuncture Needle ◽

Life Threatening ◽

Subcutaneous Tissues ◽

Alcoholic Fatty Liver Disease

Necrotizing fasciitis is a severe life-threatening infection of the deep subcutaneous tissues and fascia. Infection with Vibrio vulnificus, a halophilic Gram-negative bacillus found worldwide in warm coastal waters, can lead to severe complications, particularly among patients with chronic liver diseases. We herein present an unusual case of necrotizing fasciitis caused by V. vulnificus triggered by acupuncture needle insertion. The patient, who suffered from diabetes mellitus and non-alcoholic fatty liver disease and worked at a fish hatchery, denied any injury prior to acupuncture. This is the first ever reported case of V. vulnificus infection triggered by acupuncture needle insertion, clearly emphasizing the potential hazards of the prolonged survival of V. vulnificus on the skin. The potential infectious complications of acupuncture needle insertion are discussed.

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A report on a case of Giardia duodenalis

Journal of Pathology of Nepal ◽

10.3126/jpn.v7i2.18029 ◽

2017 ◽

Vol 7 (2) ◽

pp. 1218-1220

Author(s):

Sujata Pudasaini ◽

Rakesh Pathak ◽

Satyam Upadhyaya ◽

Anna Sharma

Keyword(s):

Weight Loss ◽

Developing Countries ◽

Giardia Lamblia ◽

Clinical Presentation ◽

Giardia Duodenalis ◽

Duodenal Biopsy ◽

Histopathological Diagnosis ◽

Intestinal Protozoan ◽

Worldwide Distribution ◽

Common Causes

ABSTRACTGiardia is caused by protozoa, Giardia lamblia. It is one of the most common causes of water born or food born diarrhea and it has a worldwide distribution. The prevalence is approximately 20-30% in developing countries. Giardia duodenalis is the most commonly reported intestinal protozoan in humans mainly affecting children. The infection is usually associated with malabsorption, weight loss and growth retardation.We report a case of four years old boy who presented with diarrhea and malabsorption for last 2 years. Its clinical presentation and histopathological diagnosis on duodenal biopsy is discussed.

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Disseminated Histoplasmosis: A Fatal Opportunistic Infection in Disguise

Journal of Laboratory Physicians ◽

10.4103/0974-2727.180797 ◽

2016 ◽

Vol 8 (02) ◽

pp. 129-131 ◽

Cited By ~ 1

Author(s):

Ruchita Tyagi ◽

Arshdeep Kaur ◽

Pavneet Kaur Selhi ◽

Harpreet Kaur Puri ◽

Neena Sood

Keyword(s):

Unusual Case ◽

Histoplasma Capsulatum ◽

Clinical Presentation ◽

Cervical Lymphadenopathy ◽

Cost Effective ◽

Needle Aspiration ◽

Hiv Positive ◽

African Origin ◽

Disseminated Histoplasmosis ◽

Variable Nature

ABSTRACTHistoplasma capsulatum is no longer confined to certain geographic areas and should always be considered in the differential diagnosis of lymphadenopathy and organomegaly in HIV-positive patients. We present an unusual case of a 20-year-old immunocompromised male of African origin presenting with fever, jaundice, hepatosplenomegaly, and retroperitoneal and cervical lymphadenopathy. Fine needle aspiration (FNA) smears from the cervical lymph node revealed numerous yeast forms of histoplasma in macrophages. The patient succumbed to the fulminant infection. Postmortem liver biopsy also revealed infiltration by histoplasma, confirming the diagnosis of disseminated histoplasmosis. This case highlights the variable nature of the clinical presentation of disseminated histoplasmosis which can mimic tuberculosis, leishmaniasis, or lymphoma. FNA cytology is a rapid, cost-effective, and reliable diagnostic tool for early detection and prompt management of histoplasmosis.

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Seborrheic keratosis of the nasal tip-an unusual case report

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v21i2.27652 ◽

2016 ◽

Vol 21 (2) ◽

pp. 119-121

Author(s):

Abdullah Al Mamun ◽

Dewan Mahmud Hasan

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Unusual Case ◽

Clinical Presentation ◽

Histopathological Examination ◽

Histopathologic Examination ◽

Seborrheic Keratosis ◽

Hyperkeratotic Lesion ◽

Unusual Case Report ◽

Skin Mucosa

Seborrheic keratosis is a benign tumour of skin, a common hyperkeratotic lesion of the epidermis,that usually occurs in the trunk and less frequently in the extremities, face and the scalp. A 65-year old farmer presented with a long standing, slowly growing, firm, redbrown, polypoidal mass about 2×2.5 cm in size, located at the skin mucosa interfare of the tip of nose. The lesion was excised under general anesthesia and histopathologic examination showed seborrheic keratosis. Diagnosis is made on the basis of clinical & histopathological examination. Here, we discuss the clinical presentation, differential diagnosis, pathological diagnosis and management of such a case. There was no recurrence during a year follow-up.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 119-121

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Neonatal Campylobacter Fetus Meningitis: A Report of an Unusual Case

Clinical Pediatrics ◽

10.1177/000992289203100416 ◽

1992 ◽

Vol 31 (4) ◽

pp. 255-256 ◽

Cited By ~ 3

Author(s):

William T. Bingham ◽

Anthony Chan ◽

Robert Rennie ◽

Kurt E. Williams ◽

Koravangattu Sankaran

Keyword(s):

High Risk ◽

Unusual Case ◽

Clinical Presentation ◽

Neonatal Meningitis ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group ◽

Campylobacter Fetus

Campylobacter fetus is a rare cause of meningitis in the pediatric age group and, in particular, among neonates. The clinical presentation of campylobacter meningitis in high-risk neonates is not well-described. A review of campylobacter meningitis by Lee et al1 in 1985 reported nine cases occurring in neonates, of which only one case was caused by C. fetus. In the ensuing six years only three more confirmed cases of neonatal meningitis caused by C. fetus have been reported.2,3 We here report another confirmed case of C. fetus meningitis in a neonate.

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Glial fibrillary acidic protein antibody-positive meningoencephalomyelitis

Practical Neurology ◽

10.1136/practneurol-2017-001863 ◽

2018 ◽

Vol 18 (4) ◽

pp. 315-319 ◽

Cited By ~ 9

Author(s):

Angeliki Zarkali ◽

Oliver Cousins ◽

Dilan Athauda ◽

Samuel Moses ◽

Nicholas Moran ◽

...

Keyword(s):

Nervous System ◽

Glial Fibrillary Acidic Protein ◽

Clinical Presentation ◽

Psychiatric Symptoms ◽

Acidic Protein ◽

Inflammatory Condition ◽

Autoimmune Conditions ◽

Treatable Condition

Glial fibrillary acidic protein antibody-positive meningoencephalomyelitis is a newly described, possibly under-recognised, severe inflammatory condition of the nervous system. The clinical presentation is variable but most commonly is a combination of meningitis, encephalitis and myelitis; other manifestations may include seizures, psychiatric symptoms and tremor. There is a significant association with malignancies, often occult, and with other autoimmune conditions. Although the disease responds well to corticosteroids acutely, it typically relapses when these are tapered, and so patients need long-term immunosuppression. We report a young man presenting with subacute meningoencephalitis and subsequent myelitis, and discuss the typical presentation and management of this severe but treatable condition.

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