ABSTRACT
The rates of oropharyngeal squamous cell carcinoma have continued to rise secondary to the increasing prevalence of the human papillomavirus (HPV). HPV-related disease is typically found in younger patients who do not have the traditional risk factors for malignancy. General dental practitioners (GDPs) often examine patients regularly and may therefore have an opportunity to identify oropharyngeal malignancies at an early stage. However, many GDPs are unfamiliar with oropharyngeal anatomy, pathology and clinical examination. This review summarises the key points in identifying patients with oropharyngeal malignancy who necessitate urgent referral.
Subject(s)
Alphapapillomavirus , Oropharyngeal Neoplasms , Papillomavirus Infections , Dentists , Humans , Oropharyngeal Neoplasms/diagnosis , Oropharyngeal Neoplasms/epidemiology , Papillomaviridae , Papillomavirus Infections/complications , Papillomavirus Infections/diagnosis , Professional RoleSubject(s)
Bacterial Infections , Meningitis, Bacterial/microbiology , Adult , Animals , Fishes , Polysaccharides , SeafoodABSTRACT
Staphylococcus lugdunensis is most commonly associated with infections arising from the inguinal region, but here we report this organism as a cause of bacterial sinusitis, highlighting its potential niche as a commensal of the upper airways. The severity of necrosis demonstrates the potential for destructive pathology mimicking Staphylococcus aureus disease.
Subject(s)
Sinusitis/diagnosis , Sinusitis/pathology , Staphylococcal Infections/diagnosis , Staphylococcal Infections/pathology , Staphylococcus lugdunensis/isolation & purification , Aged , Head/diagnostic imaging , Head/pathology , Humans , Magnetic Resonance Imaging , Male , Radiography , Sinusitis/microbiology , Staphylococcal Infections/microbiologyABSTRACT
The case is reported of a young man with Fusobacterium necrophorum septicemia who developed cavernous sinus thrombosis, meningitis, carotid artery stenosis and stroke. This article presents the only reported case of arterial stroke in Lemierre's syndrome. Clinical presentation, diagnostic difficulty and treatment are discussed.
