ABSTRACT
Tuberculous dactylitis is an uncommon condition which is particularly difficult to differentiate from other lesions, particularly tumors. Diagnosis must be confirmed by histology and/or bacteriology studies. We report the case of a 64-year-old diabetic woman who consulted for a painful tumefaction on her fourth finger of the left hand which had developed after minimal trauma. The x-ray of the hand visualized multiple bony defects involving the second phalanx of the fourth finger and a fracture. Pathology examination of a biopsy specimen revealed granulomatous osteitis with typical caseous necrosis. The clinical signs and radiographic images resolved after anti-tuberculosis treatment.
Subject(s)
Finger Injuries/microbiology , Fractures, Bone/microbiology , Tuberculosis, Osteoarticular/complications , Tuberculosis, Osteoarticular/diagnosis , Antitubercular Agents/therapeutic use , Biopsy , Diabetes Complications , Diagnosis, Differential , Female , Humans , Middle Aged , Osteonecrosis/microbiology , Tuberculosis, Osteoarticular/drug therapyABSTRACT
Actinomyces is an anaerobic, gram-positive bacteria saprophyte of the oral cavity, lungs, genital and gastro-intestinal tracts. Tubo-ovarian infection is rare. The authors report a case of tubo-ovarian abscess, due to actinomyces ruptured in the sigmoid and diagnosed in a 30-year-old woman using an intra-uterine device for more than 5 years. After salpingo-oophorectomy and partial sigmoid resection, pathology confirmed the diagnosis.
Subject(s)
Actinomycosis/complications , Colon, Sigmoid , Fallopian Tubes , Ovarian Diseases/complications , Actinomycosis/surgery , Adult , Female , Genital Diseases, Female/complications , Genital Diseases, Female/surgery , Humans , Intrauterine Devices/adverse effects , Ovarian Diseases/surgery , Rupture, SpontaneousABSTRACT
Necrotizing sarcoid granulomatosis is a rare granulomatous pulmonary angeitis that was first described by Liebow in 1973. We report the case of a 36-year-old woman who was admitted for exploration of chest pain, cough and fever at 39 degrees which had progressed for more than 2 months. Chest X-ray showed several inconstant pulmonary opacities. The physical examination, the radiographic and endoscopic aspects were non-specific. The diagnosis was made only by open lung biopsy which showed histological findings of necrotizing sarcoid granulomatosis. The opacities disappeared with no recurrence spontaneously at one year.
Subject(s)
Granuloma, Respiratory Tract/diagnosis , Lung Diseases/diagnosis , Vasculitis/diagnosis , Adult , Biopsy , Chest Pain/etiology , Cough/etiology , Disease Progression , Female , Fever/etiology , Granuloma, Respiratory Tract/etiology , Humans , Lung Diseases/etiology , Necrosis , Remission, Spontaneous , Vasculitis/etiologySubject(s)
Hospitals, Religious/history , Christianity/history , History, 18th Century , History, 19th Century , Spain , TunisiaABSTRACT
Inflammatory fibroid polyp is a rare benign tumor of the digestive tract. The authors report three cases: two intestinal and one gastric. These cases are of particular interest because of the association ill one case of an intestinal submucosal lipoma with the inflammatory fibroid polyp, and the existence in the gastric case of an inflammatory reaction caused by food debris. This offers, further evidence in support of the theory implicating a chronic inflammatory reaction.
