ABSTRACT
The incidence of tuberculosis has lately increased in developed countries. The most frequent affectation is the pulmonar one and in the ORL area the laryngeal. The lingual affectation is exceptional. We present a case of a man 39 years old, with bilateral pulmonar, left vocal cord and mobile tongue affectation, negative Mantoux, positive spit culture and presence of acido-alcohol resistent bacillus in lingual and laryngeal biopsies. After antituberculosis treatment during 6 months the laryngeal and lingual lesions disappeared. We have only found two cases published of simultaneous tuberculosis in these three localisations in the last 30 years.
Subject(s)
Tongue Diseases/complications , Tuberculosis, Laryngeal/complications , Tuberculosis, Pulmonary/complications , Tuberculosis/complications , Vocal Cords , Adult , Antitubercular Agents/administration & dosage , Antitubercular Agents/therapeutic use , Biopsy , Humans , Larynx/pathology , Male , Mycobacterium tuberculosis/isolation & purification , Radiography, Thoracic , Time Factors , Tongue/pathology , Tongue Diseases/drug therapy , Tongue Diseases/microbiology , Tongue Diseases/pathology , Treatment Outcome , Tuberculosis/drug therapy , Tuberculosis/microbiology , Tuberculosis, Laryngeal/drug therapy , Tuberculosis, Laryngeal/microbiology , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/microbiologyABSTRACT
Supernumerary nostril is an extremely rare congenital anomaly as a result of aberrant embryological development. Frequently it leads to a narrow cavity; in the end, opening into the nearest nasal cavity or just stops blindly after a short course. It can appear isolated or in association with other anomalies. Treatment is always surgical. We present a case of a triple nostril, associated to a congenital auricular hypoplasia and we also review the existing literature.
Subject(s)
Nose/abnormalities , Rhinoplasty/methods , Aged , Female , Humans , Nose/diagnostic imaging , RadiographyABSTRACT
La tercera ventana nasal es una anomalía congénita muy rara que resulta de un desarrollo embriológico aberrante. La mayor parte de las veces se continúa hacia atrás en una cavidad nasal que a su vez puede comunicar con la fosa natural más cercana o acabar en fondo de saco. Puede aparecer aislada o asociada a otras anomalías. El tratamiento es quirúrgico. Presentamos un caso de tercera ventana nasal con hipoplasia de pabellón auricular derecho asociada, revisando la literatura existente (AU)
Supernumerary nostril is an extremely rare congenital anomaly as a result of aberrant embryological development. Frequently it leads to a narrow cavity; in the end, opening into the nearest nasal cavity or just stops blindly after a short course. It can appear isolated or in association with other anomalies. Treatment is always surgical. We present a case of a triple nostril, associated to a congenital auricular hypoplasia and we also review the existing literature (AU)
Subject(s)
Female , Humans , Aged , Rhinoplasty/methods , Nose/abnormalities , RadiographyABSTRACT
La infección de la herida quirúrgica es la complicación postquirúrgica inmediata más frecuente. Repercute en la morbilidad del paciente así como en la prolongación de la estancia hospitalaria, con el consiguiente aumento en el gasto sanitario. La profilaxis antibiótica reduce de manera significativa la probabilidad de aparición de la infección postquirúrgica. En este artículo pretendemos consensuar una pauta de profilaxis, tras revisar las tendencias actuales (AU)