ABSTRACT
We describe a case of rhinoentomophthoromycosis, also known as rhinophycomycosis, in an Indian man hailing from the tropical northern region of the country. The patient presented with subcutaneous swelling in the midline of the forehead, dorsum of the nose, adjoining cheek area (more on the right side), philtrum, and upper lip. Biopsy taken from the right nostril area revealed nasofacial phycomycosis. The patient was treated successfully with itraconazole, 200 mg twice daily, and potassium iodide, 5 drops in fruit juice three times daily.
Subject(s)
Antifungal Agents/therapeutic use , Conidiobolus/isolation & purification , Dermatomycoses/diagnosis , Itraconazole/therapeutic use , Potassium Iodide/therapeutic use , Zygomycosis/diagnosis , Dermatomycoses/drug therapy , Dermatomycoses/microbiology , Humans , Male , Middle Aged , Nose/drug effects , Nose/microbiology , Tropical Medicine , Zygomycosis/drug therapy , Zygomycosis/microbiologyABSTRACT
We report a rare case of sewing needle impaction in the nasopharynx of an adult patient after sneezing. The impacted foreign body was removed using nasal endoscope. To the authors' knowledge, such a case has not been previously reported in medical literature.
Subject(s)
Endoscopy/methods , Foreign Bodies/surgery , Nasopharynx/injuries , Otorhinolaryngologic Surgical Procedures/methods , Adult , Female , Foreign Bodies/diagnostic imaging , Humans , Nasopharynx/diagnostic imaging , RadiographyABSTRACT
OBJECTIVE: Foreign body in aural canal is a common ENT (ears, nose, and throat) emergency, although not always managed by an otolaryngologist. The purpose of this study is to evaluate the effectiveness of treatment of this emergent problem by medical personnel other than otolaryngologist. MATERIALS AND METHOD: A retrospective study in 738 consecutive cases with an internal control group was carried out at the Dr Ram Manohar Lohia Hospital, New Delhi, India, and the Institute of Medical Sciences, Banaras Hindu University, Varanasi, India, over a period of 2 years each. The methodology of removal and complications were tabulated and statistically analyzed using chi(2). RESULT: A complication rate of 77% and general anesthesia (GA) induction for removal in 10% of cases was seen in patients treated by other health care personnel, whereas a minimum complication rate of 19.5% and a GA induction in only 3.5% of cases were recorded in patients managed by otolaryngologist. CONCLUSION: The collected data, when put to statistical examination, clearly indicate that patients manipulated by medical personnel other than ENT surgeon have a much higher chance of complication and GA induction for removal of foreign body. This underlines the importance of strict otolaryngologist management in all cases.
