Subject(s)
Anti-Inflammatory Agents/administration & dosage , Methylprednisolone/administration & dosage , Retinal Vasculitis/drug therapy , Retinitis/drug therapy , Vasculitis/drug therapy , Administration, Intravenous , Adult , Female , Glucocorticoids/administration & dosage , Humans , Intravitreal Injections , Retinal Vasculitis/complications , Retinitis/complications , Syndrome , Vasculitis/complicationsSubject(s)
Cellulitis/epidemiology , Face , Neck , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Cellulitis/microbiology , Cellulitis/therapy , Drainage , Female , Humans , Male , Middle Aged , Retrospective Studies , Tunisia/epidemiologySubject(s)
Hearing Disorders/surgery , Cochlear Implants , Hearing Disorders/etiology , Humans , TympanoplastyABSTRACT
The authors report a case of infantile embryonal carcinoma of the submandibular gland in a nine months old infant. The diagnosis was based on typical histopathological features, and positive reaction of tumor cells with alpha-foetoprotein. The patient was treated by wide surgical excision and chemotherapy. The clinical course was favourable two years later with normalization of serum alpha-foetoprotein levels and with no abnormality on the thoraco-abdomino-facial CT scan.
Subject(s)
Submandibular Gland Neoplasms/pathology , Teratoma/pathology , Humans , Infant , Male , Submandibular Gland Neoplasms/therapy , Teratoma/therapyABSTRACT
Severe staphylococcal infections, and notably those affecting the face, are frequent in Tunisia. We report 52 cases observed between December 1981 and September 1989. The epidemiological, clinical and therapeutic features of the disease are presented. New antibiotics have reduced the mortality rate to 4%. Lethal cases and sequelae are due to delayed treatment. This demonstrates the importance of an early treatment and, above all, of prevention by vigorous chemotherapy of even the mildest facial skin infections.
Subject(s)
Face , Staphylococcal Skin Infections/etiology , Adrenal Cortex Hormones/therapeutic use , Adult , Anti-Bacterial Agents/therapeutic use , Female , Humans , Male , Prognosis , Staphylococcal Skin Infections/drug therapy , Staphylococcal Skin Infections/epidemiology , Staphylococcus aureus , TunisiaABSTRACT
Differentiated carcinoma of the thyroid may generate bone or lung metastases. Some times, thyroid cancer remains latent, and is revealed by the presence of secondary bone tumors. In the present paper, we relate our personal experiences with two patients who had thyroid cancer diagnosed indirectly through the occurrence of distant metastases. The secondary tumors were localized in the right frontal sinus and the cranial vault, respectively. We discuss the diagnostic and therapeutic problems involved with such metastases. We further present a review of the literature dealing with this topic.
Subject(s)
Carcinoma, Papillary/pathology , Frontal Sinus , Paranasal Sinus Neoplasms/secondary , Skull Neoplasms/secondary , Thyroid Neoplasms/pathology , Female , Humans , Lymph Node Excision , Middle Aged , Neck Dissection , Prognosis , ThyroidectomyABSTRACT
Based on seventeen cases of upper digestive and respiratory tract tuberculosis, the authors review the different localizations of the disease. The mean age of the patients is 34 years old. The diagnostic is based on bacteriological and especially histological examination. The prognostic of the affection is excellent if tuberculosis chemotherapy is used for a minimum of 9 months.
Subject(s)
Digestive System Diseases/diagnosis , Respiratory Tract Diseases/diagnosis , Tuberculosis/diagnosis , Adult , Aged , Digestive System Diseases/microbiology , Female , Humans , Male , Middle Aged , Respiratory Tract Diseases/microbiology , Retrospective Studies , Tuberculosis/microbiologyABSTRACT
Our work consists of a comparative study of 4 therapeutic protocols for treatment of otological infection from the pyocyanic bacillus, and more specifically of 19 patients with a necrotizing malignant otitis, 24 patients with perichondritis and 12 patients suffering from a post-operative infection. The association of Cefsulodin (a 3rd generation Cephalosporin) and Gentamicin gave the best results. A major decrease of the time of treatment and a total absence of infectious complications were in fact recorded. The adjuvant therapies were duly observed for the 4 protocols, in particularly the surgical treatment and the treatment of the site (diabetes).
Subject(s)
Bacterial Infections/drug therapy , Cefsulodin/therapeutic use , Otitis/drug therapy , Drug Therapy, Combination/therapeutic use , Humans , Necrosis , Postoperative Complications/drug therapyABSTRACT
A review of fifteen new cases of cystic cervicofacial lymphangiomas is presented. While discussing the different localizations of these malformations, the authors emphasize the relationships existing between this type of malformation and both the facial nerve and the vasculonervous axis of the neck. They recommend surgical management. 1-to-10 years' follow-up revealed one case of local recurrence associated with incomplete excision.
Subject(s)
Head and Neck Neoplasms/pathology , Lymphangioma/pathology , Adolescent , Adult , Child, Preschool , Cysts/pathology , Female , Humans , Infant, Newborn , Male , Middle AgedABSTRACT
Basing themselves on a series of twelve cases of cervicofacial cylindromas, the authors review the different clinical data pertaining to the evolution of these tumors, which they find to be prevalent in females aged around sixty. Cylindromas predominantly occur in the submandibular and accessory salivary glands. Out of twelve cases, the report mentions three local recurrences and two pulmonary metastases. Management was surgical in all instances.
Subject(s)
Carcinoma, Adenoid Cystic/pathology , Salivary Gland Neoplasms/pathology , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Diseases of cranial nerves are very seldom associated with multiple myeloma. However, their occurrence as a harbinger of multiple myeloma seems to bear a particular significance and is worth mentioning. In the present paper, we discuss two cases in which disorders of cranial nerves heralded Kahler's disease. The patients presented with posterior laterocondylar space and cochleovestibular (otoliquorrhea) syndromes, respectively. We stress the diagnostic problems involved and analyze the pathogenesis of diseases of the nervous system associated with multiple myeloma. Diseases of cranial nerves are seldom associated with multiple myeloma. Nonetheless, the clinical setting and laboratory tests will direct the diagnosis. The same does not hold true when one is confronted with Collet-Sicard's syndrome or cochleovestibular syndrome accompanied by otoliquorrhea.
Subject(s)
Cranial Nerve Diseases/etiology , Multiple Myeloma/complications , Adult , Aged , Ear Diseases/etiology , Humans , Male , Multiple Myeloma/diagnosis , Vestibular Diseases/etiologyABSTRACT
Lateral cysts and fistulas of the neck are branchial cleft malformations. Lateral fistulas occurring at the basis of the neck account for about 5% of all congenital neck fistulas. Concerning 18 personal case observations of 2nd and 3rd branchial arch cysts, the authors report the chief clinical findings in this type of malformation, as well as discussing fistulography as a valuable investigational technique. They present the characteristics of surgical therapy as the sole possible solution.
Subject(s)
Branchioma/pathology , Fistula/pathology , Head and Neck Neoplasms/pathology , Neck , Adolescent , Adult , Child , Child, Preschool , Female , Fistula/congenital , Humans , MaleABSTRACT
The authors describe 5 cases of auriculobranchial anomalies, including 2 fistulas, 2 cysts, and 1 case of combined cyst + fistula of the primary cleft. They take this opportunity to review the underlying pathogenic mechanism, the clinical manifestations and therapeutic procedures.