ABSTRACT
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Subject(s)
Humans , Male , Aged, 80 and over , Tularemia/epidemiology , Tularemia/microbiology , Polymerase Chain Reaction/methods , Spain/epidemiologyABSTRACT
El angiomixoma superficial (AS) es una neoplasia benigna cutánea infrecuente que fue descrita por primera vez por Allen y colaboradores en 1988. Presentamos el primer caso publicado en la literatura médica de angiomixoma superficial localizado en la región parotídea, destacando la importancia de distinguir esta entidad de otras lesiones que pueden aparecer en esta área, como neoplasias cutáneas, tumores o quistes. Así mismo hacemos hincapié en la necesidad de descartar la asociación con el complejo Carney ante el diagnóstico de este tipo de lesiones(AU)
Superficial angiomyxoma (SA) is a rare benign cutaneous neoplasm first described by Allen et al in 1988. To the best of our knowledge, we report the first case of superficial angiomyxoma located in the parotid region. We also stress the importance of distinguishing this entity from other lesions that may be involved in this location such as cutaneous neoplasms, parotid tumours or cysts. We emphasise the need to rule out the Carney complex, which has been associated with these tumours(AU)
Subject(s)
Humans , Male , Middle Aged , Myxoma/diagnosis , Myxoma/surgery , Parotid Neoplasms/diagnosis , Parotid Neoplasms/surgery , Diagnosis, Differential , Myxoma/physiopathology , Myxoma , Parotid Neoplasms , Parotid Gland/pathology , Parotid Gland , Carney Complex/diagnosis , /methods , Biopsy, Needle/methodsABSTRACT
Necrobacillosis, postanginal septicaemia or Lemierres Syndrome is characterised by suppurative thrombophlebitisof the internal jugular vein with embolization to several sites, including the lungs. We report the case of a38-year-old man who was initially hospitalized because of odontogenic cellulitis. Given the deterioration of hisclinical state (septic shock and multiple organ failure), neck computed tomography was performed, revealingboth cervical and parotid abscesses, and thrombosis of the right internal jugular vein. Streptococcus salivariuswas isolated. The patient was treated with intravenous antibiotics, and surgical drainage and after 6 weeks oftreatment, recovered completely. Lemierres Syndrome is an uncommon, but potentially lethal complication of anodontogenic infection. The case reported here is interesting since the pathogen and the site of primary infectionare unusual. Fusobacterium necrophorum is the most common pathogen in Lemierres Syndrome, and to the bestof our knowledge there are no similar case reports with Streptococcus salivarius as the causative bacteria. Earlyrecognition and high-dose antibiotics are critical elements in reducing mortality (AU)
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