ABSTRACT
We present a case of an extrapulmonary Pneumocystis carinii infection in a human immunodeficiency virus-positive patient undergoing prophylactic treatment with pentamidine. The diagnosis was established in pleural and ascitic fluid, and the patient died before starting specific systemic treatment. We discuss the cytologic differences between pulmonary and extrapulmonary infections and the importance of careful screening for this pathogen in immunosuppressed patients.
Subject(s)
Acquired Immunodeficiency Syndrome/microbiology , Pleural Diseases/diagnosis , Pneumocystis Infections/diagnosis , Acquired Immunodeficiency Syndrome/diagnosis , Adult , Ascites , Female , Humans , Immunocompromised Host , Pentamidine/administration & dosage , Pentamidine/adverse effectsABSTRACT
Rhinocerebral mucormycosis is a severe, often fulminant, infection. However, there is evidence of more benign mucormycosis limited to paranasal sinuses and the orbit. We report a case of paranasal mucormycosis treated successfully with endoscopic nasosinusal surgery and amphotericin B.
Subject(s)
Aspergillus niger/isolation & purification , Candida/isolation & purification , Mucorales/isolation & purification , Mucormycosis/microbiology , Paranasal Sinuses/microbiology , Amphotericin B/therapeutic use , Endoscopy , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Mucormycosis/drug therapy , Mucormycosis/surgery , Paranasal Sinuses/surgery , Tomography, X-Ray ComputedABSTRACT
Extramedullary plasma cell tumours are uncommon neoplasia. Their highest incidence is in the upper respiratory tract, specially in the nasal cavity, paranasal sinuses and nasopharynx. They represent the 4% of all the non-epithelial tumours of this site. Their evolution is unsteady and a 30% of the cases develop into a multiple mieoloma.
