Tuberculosis of the thyroid: case report

Thyroid is a rare localization of tuberculosis. The clinical course of the disease may resemble toxic goiter or acute thyroiditis or may follow a subacute or chronic pattern without specific symptomatology. We report the case of a 37 year-old woman referred to the hospital with a diagnosis of goiter without clinical signs of tuberculosis. The diagnosis was established after total thyroidectomy and histological exam. Six-month treatment with antituberculous drugs was administered with a good outcome

[Hyperbaric oxygen [HBO] on sudden hearing loss about 69 cases]

Sudden hearing loss is a typical otologic urgency. The pathophysiological mechanisms and the definition of sudden deafness are controversed. Several therapeutic diagrams were proposed for the management of this sensorineural urgency. But therapeutic results were not estimated to be efficient with conventional medical treatments. The purpose of the study: The authors report this study to evaluate the efficiency of hyperbaric oxygen [HBO] on sudden hearing loss, to revise factor prognosis and finally to seek for clinical forms of sudden deafness in which HBO must be primary indicated. A retrospective study was performed on 69 patients with sudden deafness, treated by HBO after unfavourable evolution under conventional treatments: In spite of the late time [20 days], fifty six percent of the patients had a satisfactory recovery. Efficiency of HBO was improved when it is practiced before the tenth day of the affection [92%]. Finally, this study shows an excellent systemic tolerance of HBO; since no severe incidents were recorded