ABSTRACT
We report the case of a 46-year-old-woman who presented with anosmia and nasal obstruction. Primary nasal tuberculosis was discovered. Primary nasal tuberculosis is very rare. Women are more touched than men. Symptomatology is often unilateral with nasal obstruction, anterior rhinorrhea or epistaxis. Diagnosis relies on the anatomopathologic and bacteriological examinations. The treatment is mainly medical based on antituberculosis drugs. In the light of this case report, a review of the literature was made.
Subject(s)
Nasal Obstruction/etiology , Nose Diseases/diagnosis , Olfaction Disorders/etiology , Paranasal Sinus Diseases/diagnosis , Tuberculosis/diagnosis , Antitubercular Agents/therapeutic use , Endoscopy , Female , Humans , Middle Aged , Nose Diseases/drug therapy , Paranasal Sinus Diseases/drug therapy , Tuberculosis/drug therapyABSTRACT
INTRODUCTION: Sinonasal aspergillosis is caused by the interaction between the sinonasal mucosa with a cosmopolite fungus (Aspergillus), it is on the increase, this is an infection whose evolution is unpredictable requiring early diagnosis and appropriate support. We report a case of Aspergillus rhinosinusitis of dental origin in pseudo-tumoral form with a review of the literature. CLINICAL CASE: A 31 years-old, women, consulted for a right nasal obstruction with purulent rhinorrhea after dental treatment. On examination, there was a bulge of the inner canthus of the right eye and a mass in the right nasal cavity. The CT scanner showed a process of the left naso-sinus cavity centered by calcic image density. The patient underwent a total excision of the mass endoscopically. Mycological and pathological examination concluded that the etiology was Aspergillus fumigatus. The patient had not received any antifungal treatment. The postoperative course was uneventful. The evolution was favourable with no recurrence after 9 months. DISCUSSION: Aspergillus rhinosinusitis of dental origin is usually due to the emergence of canalicular filling paste into the maxillary sinus through and oral cavity and sinus fistula, neglected it can progress to invasive pseudo-tumoral form. The clinical presentation is nonspecific and the diagnosis often involves imaging (scanner). Mycological and histological examinations are essential for diagnosis. The treatment is based on surgery sometimes associated with antifungal treatment.
Subject(s)
Aspergillosis/diagnosis , Aspergillus fumigatus , Dental Fistula/microbiology , Rhinitis/microbiology , Sinusitis/microbiology , Abscess/complications , Abscess/diagnosis , Abscess/microbiology , Adult , Aspergillosis/complications , Aspergillosis/microbiology , Aspergillus fumigatus/isolation & purification , Dental Fistula/complications , Female , Humans , Maxillary Diseases/complications , Maxillary Diseases/diagnosis , Maxillary Diseases/microbiology , Nasal Obstruction/microbiology , Nasal Polyps/complications , Nasal Polyps/diagnosis , Nasal Polyps/microbiology , Rhinitis/complications , Sinusitis/complicationsSubject(s)
Adenoma, Pleomorphic/surgery , Facial Nerve Injuries/etiology , Facial Paralysis/etiology , Parotid Gland/surgery , Parotid Neoplasms/surgery , Postoperative Complications/therapy , Adenoma, Pleomorphic/pathology , Adult , Facial Nerve Injuries/therapy , Facial Paralysis/therapy , Functional Laterality , Humans , Male , Parotid Neoplasms/pathology , Patient PositioningABSTRACT
INTRODUCTION: Osler-Rendu-Weber syndrome is an inherited disorder characterized by mucocutaneous and visceral telangiectasia. It is often revealed by recurrent epistaxis. It is sometimes profuse and intractable. Hemostasis may be problematic. CASE STUDY: A 61-year-old male patient presented with severe epistaxis due to Osler-Rendu-Weber syndrome. Embolization of the external carotid branches was needed for hemostasis. DISCUSSION: Embolization of external carotid artery branches can be an effective therapeutic alternative when usual treatments fail.
Subject(s)
Epistaxis/etiology , Telangiectasia, Hereditary Hemorrhagic/complications , Embolization, Therapeutic , Epistaxis/diagnosis , Epistaxis/therapy , Humans , Male , Middle Aged , Severity of Illness Index , Telangiectasia, Hereditary Hemorrhagic/diagnosis , Telangiectasia, Hereditary Hemorrhagic/therapyABSTRACT
INTRODUCTION: A leiomyosarcoma is a malignant tumor of the smooth muscle. Its malignancy is difficult to assess. Submandibular gland involvement is extremely rare. OBSERVATION: A 62-year-old patient was admitted with a primary leiomyosarcoma of the submandibular gland. He was treated by surgery and radiotherapy. The patient died 11 months later from pulmonary metastases. DISCUSSION: LMS of the submandibular gland is extremely rare. Its diagnosis is very difficult because of the non-specific clinical and radiological signs. The histological diagnosis often relies on immunohistochemistry. Treatment is based on surgery associated to radiotherapy. The prognosis remains poor because of frequent recurrence and metastases.
Subject(s)
Leiomyosarcoma/diagnosis , Submandibular Gland Neoplasms/diagnosis , Fatal Outcome , Humans , Leiomyosarcoma/secondary , Leiomyosarcoma/surgery , Lung Neoplasms/secondary , Lymph Node Excision , Male , Middle Aged , Neoadjuvant Therapy , Radiotherapy, Adjuvant , Submandibular Gland Neoplasms/surgeryABSTRACT
Tuberculous of the oral cavity is rare, the attack tonsil remains exceptional. We report case a 25-year-old young male, who consults for an ulceration of the left unilateral tonsil, with a homolateral adenopathy jugulo-carotidien. The examination anatomopathologic of the tonsil biopsy revealed a tuberculous of the tonsil. The patient profited from an antituberculous treatment, the evolution was good.
Subject(s)
Tonsillitis/microbiology , Tuberculosis/diagnosis , Adult , Antitubercular Agents/therapeutic use , Diagnosis, Differential , Humans , Male , Tonsillar Neoplasms/diagnosis , Tonsillitis/diagnosis , Tonsillitis/drug therapy , Tuberculosis/drug therapyABSTRACT
INTRODUCTION: Alveolar rhabdomyosarcoma of salivary glands is a rare malignant neoplasm, presenting a striated muscular differentiation. It is typically observed in children, adolescents, and young adults but can sometimes be diagnosed in older people. OBSERVATION: We report the case of a 57 year-old man presenting with a primary alveolar rhabdomyosarcoma of the parotid gland. The patient was treated by surgery and radiotherapy. DISCUSSION: According to literature data, alveolar rhabdomyosarcoma of the parotid gland is exceptionally described after 40 years of age. In that case it has the worst prognosis and its lethality is due mainly to its very early metastasis.
Subject(s)
Parotid Neoplasms/diagnosis , Rhabdomyosarcoma, Alveolar/diagnosis , Cell Nucleus/ultrastructure , Cytoplasm/ultrastructure , Fatal Outcome , Humans , Male , Middle Aged , MyoD Protein/analysis , Neoadjuvant Therapy , Vimentin/analysisABSTRACT
The laryngeal tuberculous is the most frequent granulomatous disease of the larynx. It is generally associated with a pulmonary cave, and represents a prognosis element extremely serious and can be complicated extreme dysphagia and pains. Among all the extrapulmonary localisations. The isolated laryngée localisation is rare. It is secondary the dissemination coming hematogen, air or lymphatic way. All the structures of the larynx can be reached. The beginning is progressive and insidious and appears by the dysphony, cough, the odynophagy and dyspnea. We report the case of laryngeal tuberculosis in a 21 year old young man. The authors point out the characteristics of this localization and insist on the biopsy in front of any chronic laryngitis no aetiology. The treatment is medical.
Subject(s)
Tuberculosis, Laryngeal/complications , Tuberculosis, Laryngeal/diagnosis , Adult , Humans , Male , Severity of Illness Index , Tuberculosis, Laryngeal/pathology , Voice Disorders/diagnosis , Voice Disorders/etiologyABSTRACT
We report a case of a 36 year old woman who presented a chronic rhinitis and a hypertrophy of the inferior turbinates. Primary nasal tuberculosis was discovered by chance after the inferior turbinectomy. Primary nasal tuberculosis is very rare and is more frequent in women. Symptomatology is often unilateral with nasal obstruction, anterior rhinorrhea or epistaxis. The clinical examination may discover ulceration or a polyp located generally in the nasal septum or the inferior turbinate. Diagnosis relies on the anatomopathologic and bacteriological examinations. The treatment is mainly medical based on antituberculosis drugs. In the light of this case report, a review of the literature was made.
