ABSTRACT
Introduction: Tuberculosis (TB) of shoulder joint is uncommon. It has an incidence rate of 0.9-1.7%. We report a case of 50 year old man presenting with cold abscess over scapula bone, secondary to the shoulder joint involvement (with sinus tracking to the anterior aspect of shoulder joint). Case Report: A 50-year-old male presented to our hospital with complaints of swelling over right scapular area since 2 months. The patient had similar swelling on the anterior aspect of right shoulder about 4 months back, which drained spontaneously forming a sinus. At presentation, this sinus was healed but patient had a new sinus track in axilla draining pus. This patient also had a history of constitutional symptoms. His investigations were indicative of infective arthritis of the shoulder with humeral head destruction with associated abscess extending along the back and rotator cuff muscles. We treated this patient with incision and drainage of the scapular abscess. Around 100 mL of pus was drained. Furthermore, anterior aspect of shoulder was exposed to debride shoulder joint. Mycobacterium TB was isolated on gene expert and the patient was started on anti- TB treatment regimen (ATT; DOTS- category I). On subsequent follow-up, the patient had complete resolution of symptoms within 4 months. His overall condition improved - his appetite increased and he also gained weight. Conclusion: High degree of suspicion should be kept in mind in diagnosing shoulder TB. Once diagnosed, the prognosis is excellent with appropriate treatment-ATT alone or in combination with surgical debridement.
ABSTRACT
OBJECTIVES: To know the nature, incidence and severity of oral manifestations occurring in postmenopausal women. STUDY DESIGN: Oral changes were observed in 365 postmenopausal women and 365 age matched male individuals attending the department of Oral Medicine and Radiology. The patients were asked about complaints of dry mouth, taste and breath changes, mucosal and facial pain and were examined for oral changes such as ulceration, white and red lesions. The results obtained from the study were then correlated with various other similar studies. RESULTS: The important oral findings in postmenopausal women were mucosal burning/pain (25.8%), dry mouth (27.1%), altered taste (3.6%), altered breath (6.3%) and facial pain (3.6%). Oral submucous fibrosis (OSMF) was significantly more common in males (5.5%) as compared to postmenopausal females (1.9%). CONCLUSION: Results from the present study reveal that oral symptoms are common problems in postmenopausal women. Postmenopausal patients showed significantly more oral changes than the control. These changes could be related to the hormone alterations. Therefore, dentists need to refer postmenopausal women with oral symptoms to a gynaecologist for more careful examinations and medical interventions if necessary. Key words:Menopause; postmenopause; xerostomia; pallor; oral changes.
ABSTRACT
Most of the systemic diseases manifest signs and symptoms in oral cavity. Periodontal lesions are common in patients with acute leukemia throughout the course of the disease. Although many cases of gingival enlargement in patients with acute myeloid leukemia have been reported in literature, cases of gingival hypertrophy secondary to acute lymphoblastic leukemia in adult female are rare. This is a case report of gingival enlargement in acute lymphoblastic leukemia along with a case of gingival enlargement in patient with acute myeloid leukemia.
