ABSTRACT
A 42 year-woman suffering from a non-small cell lung cancer, presenting initially as a mediastinal tumor, is hospitalized for fever, headaches and nausea. An aseptic meningitis is diagnosed. The patient died despite the administration of broad spectrum antibiotics and antituberculous agents. The differential diagnoses are presented.
Subject(s)
Adenocarcinoma/diagnosis , Aspergillosis/complications , Lung Neoplasms/diagnosis , Mediastinal Neoplasms/diagnosis , Meningitis, Fungal/diagnosis , Neoplasms, Multiple Primary/diagnosis , Adenocarcinoma/complications , Adult , Female , Humans , Lung Neoplasms/complications , Mediastinal Neoplasms/complications , Meningitis, Fungal/complications , Meningitis, Fungal/microbiology , Neoplasms, Multiple Primary/complicationsABSTRACT
Textiloma is defined as a tumor composed of cotton matrix surrounded by granulomatous reaction. It occurs following operations in which surgical sponges were inadvertently left behind. We describe a case of a 59-year-old man presenting with a pathologic fracture of the proximal left femur. The results of the biopsy, unlike diagnoses suggested by radiographs, CT scan and magnetic resonance imaging revealed a textiloma of 23 years of evolution. Because of major bone loss, resection of the involved bone was performed followed by ipsilateral fibular bone graft.
Subject(s)
Bone Neoplasms/diagnosis , Femur/pathology , Granuloma, Foreign-Body/diagnosis , Sarcoma/diagnosis , Surgical Sponges/adverse effects , Bone Neoplasms/pathology , Bone Transplantation , Diagnosis, Differential , Femoral Fractures/surgery , Femur/surgery , Granuloma, Foreign-Body/pathology , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Postoperative Complications , Sarcoma/pathology , Tomography, X-Ray ComputedABSTRACT
The authors report a case of asymptomatic sternocostoclavicular hyperostosis in a 69-year-old patient. SAPHO syndrome is described and discussed.
