ABSTRACT
Presentamos 2 casos clínicos de leishmaniasis laríngea, diagnosticados en nuestro hospital. La leishmaniasis aislada de laringe es una rara forma de leishmaniasis mucosa que en el litoral mediterráneo se ha asociado a infección por leishmania donovani ifantum. En nuestros pacientes la aparición de esta extraña forma de leishmaniasis se ha asociado a alcoholismo crónico en el primer caso y a la toma de esteroides inhalados en el segundo. En ninguno de los 2 pacientes existe antecedentes de viajes al extranjero ni se asocia la enfermedad a infección por HIV. El diagnóstico se realizó en los 2 casos por observación directa de las leishmanias en las biopsias mucosas. El tratamiento propuesto fueron los antimoniales, siendo sustituidos en uno de los casos por amfotericina B liposomal por intolerancia a los primeros (AU)
Subject(s)
Aged , Male , Middle Aged , Humans , Leishmaniasis/complications , Leishmaniasis/diagnosis , Leishmaniasis/drug therapy , Amphotericin B/administration & dosage , Amphotericin B/therapeutic use , Leishmania infantum/isolation & purification , Meglumine/therapeutic use , Voice Disorders/complications , Voice Disorders/diagnosis , Meglumine/administration & dosage , Meglumine/pharmacology , Amphotericin B/pharmacology , Amphotericin B/administration & dosageABSTRACT
A prospective study was carried out on 25 patients showing symptoms suggestive of peritonsillar abscess. Twelve patients were treated with i.v. antibiotics and three months later underwent tonsillectomy. Thirteen patients underwent acute tonsillectomy within 24-48 hours. In order to evaluate the benefits of acute tonsillectomy we compared three parameters; operation length, intraoperative bleeding and overall length of hospitalization.
Subject(s)
Abscess/pathology , Palatine Tonsil/pathology , Palatine Tonsil/surgery , Abscess/drug therapy , Abscess/surgery , Anti-Bacterial Agents/therapeutic use , Hospitalization , Humans , Intraoperative Complications , Length of Stay , Prospective StudiesABSTRACT
After reviewing the Arnau de Vilanova Hospital's records, a total of ten cases of inverted papillomas were found. Nasal obstruction was present in 100% of the cases. External surgery was performed in 70% of these patients, finding that in 50% of them, the real size of the tumor was smaller than that show in the radiological study. After surgical treatment, only one of the patients developed a malignant tumor. Incidence of papilloma recurrence was 30%.
Subject(s)
Papilloma, Inverted/pathology , Papilloma, Inverted/surgery , Paranasal Sinus Neoplasms/pathology , Paranasal Sinus Neoplasms/surgery , Paranasal Sinuses/pathology , Paranasal Sinuses/surgery , Adult , Aged , Female , Humans , Male , Middle Aged , Neoplasm Recurrence, Local , Papilloma, Inverted/diagnosis , Paranasal Sinus Neoplasms/diagnosis , Tomography, X-Ray ComputedABSTRACT
We report on the bacterial flora of the external ear canal and of induced aural cholesteatoma in 14 Mongolian gerbils (Meriones unguiculatus). In the control, nonmanipulated external ear canal, gram-positive and gram-negative organisms were isolated. In the contents of the cholesteatoma sac, only monomicrobial, gram-negative isolates were found; in each animal they were different from the isolates from the nonmanipulated external ear canal. Obligate anaerobes were absent in all cases. Ligation of the external ear canal in the left ear provoked cholesteatoma in all cases.
Subject(s)
Cholesteatoma/microbiology , Ear Canal/microbiology , Ear Diseases/microbiology , Gram-Negative Bacteria/isolation & purification , Gram-Positive Bacteria/isolation & purification , Animals , GerbillinaeABSTRACT
One of the models of colon carcinogenesis in rats is produced by s.c. injections of 1,2-dimethylhydrazine (DMH). This specific colon carcinogen provokes other tumors in the rat, notably intestinal tumors. Ear tumors are just marginally mentioned in the literature. We have studied the appearance and histologic characteristics of ear tumors produced by 19 s.c. injections of 21 mg/kg of DMH in 18 Sprague-Dawley rats: 15 tumors appeared in 13 ears of 10 rats (55% of the animals). Simultaneously there were 23 colonic tumors: four (26.6%) of the tumors were carcinomas, 10 (66.6%) papillomas and one (6.6%) pseudoepitheliomatous hyperplasia. We conclude that ear tumors induced by DMH appear in 55% of the rats and that it is not possible to distinguish macroscopically in terms of size and aspect between benign and malignant lesions.
Subject(s)
Carcinogens , Colonic Neoplasms/chemically induced , Dimethylhydrazines , Ear Neoplasms/chemically induced , Ear, External , 1,2-Dimethylhydrazine , Animals , Carcinoma, Squamous Cell/chemically induced , Carcinoma, Squamous Cell/pathology , Ear/pathology , Ear Neoplasms/pathology , Hyperplasia/chemically induced , Papilloma/chemically induced , Rats , Rats, Inbred StrainsABSTRACT
The majority of patients suffering AIDS-syndrome present with ENT aspects, being the most prevalent lateral adenopathy of the neck firstly, followed by thrush, pharyngo-esophageal candidiasis and herpes simplex. Differences regarding the distribution in percentage in risk groups are signaled by the AA. between their own statistics and those of the americans writers.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Otorhinolaryngologic Diseases/etiology , Adult , Candidiasis/etiology , Candidiasis, Oral/etiology , Child , Ear Neoplasms/etiology , Esophageal Diseases/etiology , Female , Herpes Simplex/etiology , Humans , Hypopharynx , Laryngeal Diseases/etiology , Lymphatic Diseases/etiology , Male , Mastoiditis/etiology , Otitis/etiology , Pharyngeal Diseases/etiology , Risk Factors , Sarcoma, Kaposi/etiologyABSTRACT
The interest of the relapsing polychondritis is specially due to its otolaryngological implications. The case reported evolved favourably and responded fairish to the corticoidtherapy. Nevertheless an assidous follow-up will be wise in order to stablish the pronostic in view of the outbreacks of the illness. The AA. compare the own case with others referred to in the literature.
Subject(s)
Otorhinolaryngologic Diseases/diagnosis , Polychondritis, Relapsing/diagnosis , Adult , Female , HumansABSTRACT
Report of a case of middle ear tuberculosis in an elderly woman with a chronic discharging ear withstanding the common treatment. The diagnosis could be made through examination of the pieces taken at surgery (tympanoplasty). The A. advice is to arouse suspicion when findings compatible with tubercular otitis are encountered, in order to treat wisely the patient and avoid complications.
Subject(s)
Otitis Media, Suppurative/diagnosis , Tuberculosis/diagnosis , Aged , Antitubercular Agents/therapeutic use , Chronic Disease , Drug Therapy, Combination , Female , Humans , Otitis Media, Suppurative/drug therapy , Otitis Media, Suppurative/pathology , Tuberculosis/drug therapy , Tuberculosis/pathologyABSTRACT
Comments of the AA regarding the diagnosis and management of cholesteatoma and description of their current surgical procedure are presented.
