ABSTRACT
Naso-sinusal aspergillosis is an infrequent ailment which true incidence is not correctly assumed and furthermore the cases are increasing because of the progression of immunodeficiency problems. Suspicious become accentuated when repeated antibiotic treatments fail or in patients with previous dental pathology or radiologically show inside of sinus images of forcing bodies. Despite of which the diagnosis should be histological thanks to the examination of the surgical piece gained following the classic approaches through the canine fossa or endoscopic surgery. The only real treatment is surgery. We report one clinical case of an acute naso-sinusal aspergillosis with ineffectiveness of all used treatments and whose diagnose was achieved only through the anatomopathological study of the piece supplied by the Caldwell-Luc procedure.
Subject(s)
Aspergillosis/diagnosis , Maxillary Sinusitis/microbiology , Aged , Biopsy , Humans , Male , Maxillary Sinus/microbiology , Maxillary Sinus/pathology , Maxillary Sinusitis/diagnosis , Tomography, X-Ray ComputedABSTRACT
Nowadays tuberculosis incidence seems to increase again after past decades fall. This event has been worsen because of the growth of resistances, basically due to patient's failure to comply with scheduled specific therapeutics. Anyway the decrease of tuberculosis leads initially to lowering of extrapulmonary forms, being the mouth cavity one of the most infrequent seat, so that location can be omitted at first glance diagnosis. We report one tongue tuberculosis case, which was the first expression of a lung tuberculosis, and discuss other manifestations within oral cavity and also the problems of some cases, as well as the best treatment.
Subject(s)
Tongue Diseases/diagnosis , Tuberculosis, Oral/diagnosis , Tuberculosis, Pulmonary/diagnosis , Humans , Male , Middle Aged , Mycobacterium Infections , Mycobacterium tuberculosis/isolation & purification , Necrosis , Tongue/microbiology , Tongue/pathology , Tongue Diseases/microbiology , Tuberculosis, Oral/complications , Tuberculosis, Oral/microbiology , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/microbiologyABSTRACT
The incidence of acute mastoiditis accounts for 0.004% of acute middle otitis. Nowadays there is a decrease of number of mastoiditis and its complications, but from time to time are seen outbreaks without logical explanation of facts. We report 4 clinical cases of acute mastoiditis complicated with subperiosteal abscess, in children between 8 and 23 month old, seen at our department during the last 3 years, three of them diagnosed in a 4-month term.
Subject(s)
Abscess/etiology , Enterococcus , Gram-Positive Bacterial Infections/complications , Mastoiditis/complications , Peptostreptococcus , Pneumococcal Infections/complications , Abscess/diagnosis , Acute Disease , Female , Gram-Positive Bacterial Infections/diagnosis , Humans , Infant , Male , Mastoiditis/diagnosis , Pneumococcal Infections/diagnosisABSTRACT
Report on a solitary extramedullary plasmacytoma case, an entity rarely diagnosed in daily practice, because of its low incidence. When the process occurs is seen fundamentally located at upper aero-digestive tract. Our patient was a 34-year-old man, who was diagnosed as oropharyngeal plasmacytoma with the peculiarity that the lesion feigned a benign one wether for the clinical features or the macroscopical aspect. The patient underwent surgery and postoperative rontgentherapy, after discarding a systemic disease. Till now the evolution proved good.
