Cisticercosis lingual. Diagnóstico, manejo clínico y tratamiento de un caso clínico / Lingual cysticercosis. Diagnosis, clinical management and treatment of a clinical case

Objetivo: Las comunicaciones bucosinusales y buco- nasales son condiciones patológicas que se caracterizan por la presencia de una solución de continuidad entre la cavidad bucal y el seno maxilar o la cavidad nasal respectivamente. Una vez que se ha instalado una comunicación es deseable ce- rrar este defecto, evitando así la infección del seno maxilar y posibles dificultades en la deglución, fonación y masticación. Se han propuesto diferentes tratamientos para su resolución, algunos no quirúrgicos y otros quirúrgicos. Los quirúrgicos pueden realizarse desplazando tejidos locales, regionales o injertando. El presente trabajo tiene como objetivo presentar situaciones clínicas de comunicaciones bucosinusales y buco- nasales con diferentes etiologías y sus distintos tratamientos según tamaño y ubicación del defecto. Casos clínicos: Se identificaron pacientes que asistie- ron al Servicio de Cirugía Maxilofacial del Hospital Piñero presentando cuatro comunicaciones bucosinusales agudas y crónicas y una comunicación buconasal crónica. Los casos analizados fueron tratados de manera quirúrgica utilizando di- versos colgajos según tamaño y ubicación del defecto (AU)

Aim: Oroantral and oronasal communications are patho- logical conditions characterized by the presence of a solu- tion of continuity between the oral cavity and the maxillary sinus or nasal cavity respectively. Once a communication has been installed, it is desirable to close this defect, thus avoid- ing infection of the maxillary sinus and possible difficulties in swallowing, phonation, and mastication. Different treatments have been proposed for its resolution, some non-surgical and others surgical. Surgical procedures can be performed by dis- placing local or regional tissue or by grafting. The aim of this case report is to present clinical situations of oral sinus and oral nasal communication with different etiologies and their different treatments according to the size and location of the defect. Clinical cases: A group of patients who attended the Maxillofacial Surgery Service of Piñero Hospital presenting four acute and chronic oral sinus and one oronasal communi- cations were identified. The analyzed cases were treated sur- gically using different flaps according to the size and location of the defect (AU)

Infecções parasitárias do apêndice cecal e suas relações com apendicite aguda / Parasitic infection of the appendix and its possible relationship to acute appendicitis

Investigou-se a prevalência de infecções parasitárias do apêndice cecal e suas relações com a apendicite. Dos 1.600 apêndices estudados 24 (1,5 por cento) apresentaram infecção parasitária. Enterobius vermicularis foi encontrado em 23 casos (95,8 por cento) e Taenia sp em apenas um (4,2 por cento). Dezesseis pacientes (66,7 por cento) eram menores de 10 anos; 15 eram masculinos e 9 femininos. A análise histopatológica demonstrou inflamação aguda supurativa em 12 casos (50 por cento), eosinofilia em 13 (54,2 por cento) e hiperplasia linfóide em 10 (41,7 por cento). Complicações como peritonite ocorreram em 11 e gangrena em 3 casos. As infecções parasitárias do apêndice são causa pouco freqüente de apendicite aguda em crianças e adolescentes.

From 1,600 surgically removed appendices, 24 (1.5 percent) were found to have helminths. Enterobius vermicularis was observed in 23 of the 24 specimens (95.8 percent) and Taenia sp was detected in only 1 (4.2 percent) case. Sixteen patients (66.7 percent) were less than 10 year-old; 15 patients were male and 9 female. Pathologic analysis disclosed acute neutrophilic inflammation in 12 cases and lymphoid hyperplasia in 10 of the 24 appendices. Gangrenous appendicitis was diagnosed in 3 cases and peritonitis was found in 11 of the 24 infested appendices. Parasitic infection of the appendix is an uncommon cause of acute appendicitis in children and adolescents.

Small intestinal perforation caused by tape worm

Infestation with tapeworms is common and does not always have serious sequelae. Howerver, some times they can cause serious problems including intestinal perforation. We are reporting a rare cause of intestinal perforation cauded by a 360 cms long tapeworm

Anastomotic esophageal leak due to Taenia saginata following esophagectomy for esophageal cancer

A 50-year-old female with squamous cell carcinoma of the lower third of the esophagus underwent an esophagectomy via laparotomy and right thoracotomy. She developed a major anastomotic leak on the third postoperative day. The chest tube slipped out on the 10th postoperative day and a segment of Taenia saginata tapeworm came out through the tube drain site and was extracted. She was given praziquantel tablets treatment; after which the leakage dropped dramatically and ceased completely after one week. Patients scheduled for esophagectomy who experienced recurrent abdominal pain in areas endemic with a tapeworm need to be screened for taeniasis before surgery

Oral expulsion of Taenia saginata.

We report a 25-year-old woman who presented with abdominal pain, vomiting and fever, and had an epigastric lump on examination. At laparotomy she was diagnosed to have acute segmental jejunitis. Three days postoperative, she vomited a 2-meter-long tapeworm (Taenia saginata), a rare route of expulsion.

Calcificaçöes de neurocisticercose em tomografias computadorizadas no Hospital Universitário Säo Vicente de Paulo / Neurocysticercosis calcifications foun in computed tomography: a report of the Department of Radiology of HSVP

Realizou-se um estudo transversal e prospectivo em tomografias compputadorizadas, analisando calcificaçöes encefálicas de Neurocisticercose no período de 18/10/93 a 21/03/94 no Hospital Universitário Säo Vicente de Paulo - Passo Fundo, RS, no Serviço de Radiologia. Tentou-se determinar a prevalência da patologia na regiäo. Foram avaliadas 1.088 Tomografias computadorizadas do crânio-encéfalo, observando-se que 146 apesentaram calcificaçöes encefálicas compatíveis com Neurocisticercose, determinando uma prevalência de 13,41 por cento e indicando que esta regiäo deve ser incluida entre as zonas endêmicas da doença no Brasil

Estudio de la teniasis y la cisticercosis en la provincia Ciego de Avila en el trienio 1981 a 1983 / Study of taeniasis and cysticercosis in Ciego de Avila province during 1981-1983 triennium

Se realiza un estudio sobre la teniasis por Taenia saginata y de cisticercosis bovina en el trienio de 1981 a 1983. Se informa que el número de casos de Taenia saginata aumentó en los años de estudio, y se alcanzó en el periódo de una tasa de 47,9. Se indica que la cisticercosis presentó un porcentaje de parasitación del 0,45 en 1981 al 0,64 en 1983. Se aplica una encuesta epidemiológica a 69 pacientes y se detecta que los síntomas principales fueron: debilidad, pérdida de peso y náuseas. Se observa que las amas de casa fueron el grupo más afectado. Se hace énfasis en la necesidad de coordinar esfuerzos de la Salud Pública y Veterinaria para el control de esta zoonosis parasitaria