ABSTRACT
A literature review concerning blastomycosis has been conducted. The involvement of the head and neck area appears to be very unusual, on the basis of autoptic observations. The most common diagnostic and subsequent therapeutic mistakes are pointed out. A new case is described and its clinical appearance, symptoms, diagnostic work up and therapeutic approach are discussed. This case report is of interest for three reasons: the rarity of this disease in our country, the possibility of confusing a Blastomyces infection with a cryptococcal one [correction of criptococcosy] and finally the therapeutic response to a new drug, not yet commercialized in Italy.
Subject(s)
Blastomycosis/diagnosis , Amphotericin B/therapeutic use , Antifungal Agents/therapeutic use , Blastomycosis/drug therapy , Blastomycosis/pathology , Chronic Disease , Cryptococcosis/diagnosis , Diagnosis, Differential , Drug Therapy, Combination , Face , Humans , Itraconazole , Ketoconazole/analogs & derivatives , Ketoconazole/therapeutic use , Male , Middle Aged , NeckABSTRACT
A new electrogustometer containing variations dictated by clinical practice is presented. Technical innovations are presented and discussed together with application of the technique in the study and prognostic assessment of peripheral paralysis of the facial nerve. Some results obtained in clinical practice in the same pathology with different aetiology are discussed.
Subject(s)
Electrodiagnosis/instrumentation , Facial Paralysis/diagnosis , Taste Buds/physiopathology , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
The present paper describes a case of so-called chromaffin paraganglioma of the hypopharynx. After a critical review of the international literature, the study deals with classification of paragangliomas and methods for more accurate histological identification and histochemical characterization.
