ABSTRACT
Darkening of the tongue and oral mucosa is a reaction pattern that can be related to a number of physiologic, metabolic, and toxic disorders, and medications and exogenous substances. Black discoloration of the tongue should be distinguished from black "hairy" tongue, which is characterized by hypertrophy of the filiform papillae. We report a case of a 42-year-old man presented with a black discoloration of his tongue during treatment with linezolid for spondylodiscitis. So in conclusion, tongue discoloration is a benign and reversible condition and a probable adverse event associated with linezolid. We present this case to increase clinicians' awareness of a new potential adverse effect of linezolid.
Subject(s)
Acetamides/adverse effects , Anti-Infective Agents/adverse effects , Oxazolidinones/adverse effects , Tongue/drug effects , Acetamides/therapeutic use , Adult , Anti-Infective Agents/therapeutic use , Discitis/drug therapy , Humans , Linezolid , Male , Oxazolidinones/therapeutic use , Tongue/pathologyABSTRACT
Inflammatory pseudotumors are rare benign lesions that can occur throughout the body. These masses are usually associated with fever, pain, and mass effect, and are frequently mistaken for malignant neoplasms. Liver pseudotumors are especially rare, with 150 cases reported up to 2007, since the original report of Pack and Baker in 1953. We describe the case of a patient with suspected multiple hepatic abscesses, who was finally diagnosed with an inflammatory pseudotumor by percutaneous biopsy. The patient received prolonged antibiotic therapy, with complete resolution of the pseudotumor. The differential diagnosis and management of this entity is discussed.
Subject(s)
Bacteremia/complications , Enterococcus/isolation & purification , Gram-Positive Bacterial Infections/complications , Granuloma, Plasma Cell/etiology , Liver Diseases/etiology , Anti-Bacterial Agents/therapeutic use , Bacteremia/diagnosis , Bacteremia/drug therapy , Biopsy, Needle , Diagnosis, Differential , Ertapenem , Gram-Positive Bacterial Infections/diagnosis , Gram-Positive Bacterial Infections/drug therapy , Granuloma, Plasma Cell/diagnosis , Granuloma, Plasma Cell/pathology , Humans , Liver Abscess/diagnosis , Liver Diseases/diagnosis , Liver Diseases/pathology , Male , Middle Aged , beta-Lactams/therapeutic useABSTRACT
Los seudotumores inflamatorios son lesiones raras, benignas y con diferentes localizaciones. Habitualmente asocian fiebre, dolor y efecto masa, y con frecuencia pueden diagnosticarse erróneamente como neoplasias. Los seudotumores hepáticos son especialmente infrecuentes, con menos de 150 casos descritos hasta 2007 tras la primera descripción de Pack y Baker en 1953. Describimos el caso de un paciente con sospecha de abscesos hepáticos múltiples, diagnosticado finalmente de seudotumor inflamatorio hepático mediante biopsia de la lesión. Recibió tratamiento antibiótico prolongado hasta la resolución del cuadro. Se discutirá el manejo clínico y el diagnóstico diferencial(AU)
Inflammatory pseudotumors are rare benign lesions that can occur throughout the body. These masses are usually associated with fever, pain, and mass effect, and are frequently mistaken for malignant neoplasms. Liver pseudotumors are especially rare, with 150 cases reported up to 2007, since the original report of Pack and Baker in 1953. We describe the case of a patient with suspected multiple hepatic abscesses, who was finally diagnosed with an inflammatory pseudotumor by percutaneous biopsy. The patient received prolonged antibiotic therapy, with complete resolution of the pseudotumor. The differential diagnosis and management of this entity is discussed(AU)
Subject(s)
Humans , Male , Middle Aged , Liver Diseases/etiology , Bacteremia/complications , Enterococcus/isolation & purification , Gram-Positive Bacterial Infections/complications , Liver Diseases/diagnosis , Liver Diseases/pathology , Liver Abscess/diagnosis , Anti-Bacterial Agents/therapeutic use , Bacteremia/diagnosis , Bacteremia/drug therapy , Biopsy, Fine-Needle , Diagnosis, Differential , Gram-Positive Bacterial Infections/diagnosis , Gram-Positive Bacterial Infections/drug therapySubject(s)
Anaplasma phagocytophilum/isolation & purification , Ehrlichiosis/epidemiology , Animals , Bacteremia/microbiology , Bites and Stings/complications , Bites and Stings/microbiology , Czech Republic/ethnology , Ehrlichiosis/diagnosis , Ehrlichiosis/microbiology , Female , Humans , Middle Aged , Spain/epidemiology , Ticks/microbiology , TravelABSTRACT
No disponible
Subject(s)
Female , Middle Aged , Humans , Anaplasmosis/diagnosis , Anaplasma phagocytophilum/isolation & purification , Anaplasma phagocytophilum/pathogenicity , Risk Factors , Doxycycline/therapeutic useSubject(s)
AIDS-Related Opportunistic Infections/diagnosis , Bacteroides Infections/complications , Bacteroides fragilis , HIV Infections/complications , Meningitis, Bacterial/complications , AIDS-Related Opportunistic Infections/microbiology , AIDS-Related Opportunistic Infections/mortality , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Bacteroides Infections/diagnosis , Bacteroides Infections/mortality , Bacteroides fragilis/isolation & purification , Cerebrospinal Fluid/microbiology , Fatal Outcome , HIV Infections/mortality , Humans , Imipenem/administration & dosage , Imipenem/therapeutic use , Male , Meningitis, Bacterial/diagnosis , Meningitis, Bacterial/microbiology , Meningitis, Bacterial/mortality , Middle Aged , Time FactorsABSTRACT
No disponible
