Subject(s)
Hernia, Abdominal/diagnostic imaging , Hernia, Abdominal/therapy , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/therapy , Laparoscopy , Peritoneum , Tomography, X-Ray Computed , Cecal Diseases/diagnostic imaging , Diagnosis, Differential , Female , Hernia, Abdominal/complications , Humans , Intestinal Obstruction/etiology , Intestine, Small/diagnostic imaging , Middle Aged , Peritoneal Diseases/diagnostic imaging , Peritoneal Diseases/etiology , Peritoneal Diseases/therapy , Risk Factors , Treatment OutcomeSubject(s)
Anti-Infective Agents/adverse effects , Brain Diseases/chemically induced , Metronidazole/adverse effects , Olivary Nucleus/drug effects , Brain Abscess/drug therapy , Follow-Up Studies , Fusobacterium Infections/drug therapy , Fusobacterium nucleatum/drug effects , Humans , Hypertrophy , Magnetic Resonance Imaging , Male , Middle Aged , Olivary Nucleus/pathologyABSTRACT
OBJECTIVE: To report a clinical case of acute otitis media in a child, complicated by septic temporomandibular arthritis and to present a review of the literature. PATIENT AND METHODS: We report a case of a 7-year-old boy who presented an altered general condition, major hyperthermia, associated with a left temporozygomatic mass in a context of recurrent bilateral acute otitis media lasting for 2 months. Emergency computed tomodensitometry (CT scan) showed left temporomandibular joint arthritis. Treatment consisted of a parenteral double antibiotic therapy and prevention of temporomandibula (TM) ankylosis. RESULTS: After 20 months of follow-up, the child showed a normal ORL examination with no maxillofacial sequelae. CONCLUSION: All temporozygomatic masses presenting in a septic context should suggest the diagnosis of TM arthritis; computed tomodensitometry should be done immediately.
Subject(s)
Arthritis, Infectious/diagnosis , Otitis Media/complications , Temporomandibular Joint Disorders/diagnosis , Acute Disease , Anti-Bacterial Agents/therapeutic use , Arthritis, Infectious/complications , Arthritis, Infectious/drug therapy , Child , Drug Therapy, Combination , Humans , Male , Otitis Media/diagnosis , Otitis Media/drug therapy , Recurrence , Temporomandibular Joint Disorders/complications , Temporomandibular Joint Disorders/drug therapyABSTRACT
Deep cerebral venous system thrombosis is uncommon and is usually encountered in children, generally in the neonatal period. In adults, this pathology is even more exceptional. We report two cases in adults. Deep cerebral venous system thrombosis mainly affects women taking oral contraception. The most common clinical pattern combines headaches and confusion. A comatose state is rather exceptional. This pathology, formerly considered to have poor prognosis, has benefited from diagnostic and therapeutic progress. Favorable outcome has been achieved in several recent cases, as one of ours, without after-effects. Diagnosis, often suggested by the CT-scan, is based on MRI associated with MRA. Thrombus formation is easily diagnosed by MRI at the subacute stage, but far less easily at the acute and chronic stages as the low signal is identical to the normal flow void. MRA, in phase contrast or time of flight sequences, is highly interesting at the acute phase. In case of doubt, an angiography can be applied. Therapy is based on heparin. The contribution of local infusion of thrombolytic agents, recently used with success, remains to be determined.
