ABSTRACT
Oriental cholangiohepatitis (OCH) is a disease endemic to Asia. U.S. military physicians and surgeons deployed to these regions should be aware of this regional disease. Western physicians encounter OCH with the increasing immigration of Asians to the United States. OCH should be suspected in patients with signs of cholangitis who have traveled from Asia. Initial treatment is medical with antibiotics and identification of helminthic and parasitic infection. Unless there is inadequate response to medical treatment, surgery is delayed. Operation consists of exploration and drainage of the common bile duct. Overall results are satisfactory with prompt recognition and appropriate medical and operative treatment.
Subject(s)
Cholangitis/diagnosis , Cholelithiasis/diagnosis , Echinococcosis, Hepatic/diagnosis , Adult , Anti-Bacterial Agents/therapeutic use , Bile Ducts/pathology , Cholangitis/therapy , Cholecystectomy , Diagnostic Imaging , Echinococcosis, Hepatic/therapy , Humans , MaleABSTRACT
Early recognition of necrotizing fasciitis is the key to successful treatment. However, initial presentation of this disease is variable. In this case report, the first clinical evidence was a gram stain of the deep surface of the superficial fascia.
Subject(s)
Diabetes Mellitus, Type 2/pathology , Fasciitis/pathology , Biopsy , Diagnosis, Differential , Fascia/pathology , Humans , Male , Middle Aged , Muscles/pathology , NecrosisABSTRACT
Two cases of biopsy-proven mycosis fungoides are described. Case 1 appears to be the first reported instance of mycosis fungoides in the maxillary sinus. Case 2 involves persistently recurring lesions within the oral cavity, which appear to have been placed in a long-term remission by a full course of cobalt irradiation therapy to the entire oral cavity.