RESUMO
Isolated laryngeal leishmaniasis in an immunocompetent patient: a case report. OBJECTIVE: Isolated laryngeal Leishmaniasis presents neither explicit laryngeal lesions nor specific symptoms. In fact, it may mimic many inflammatory and neoplastic diseases. Considering the low incidence of this atypical localization, laryngeal Leishmaniasis, is rarely contemplated by physicians in differential diagnoses of laryngeal tumour lesions. We present the case of a 62-year-old immunocompetent subject who developed a single Leishmania mucosal lesion on the left vocal cord, simulating a laryngeal cancer. METHODS: A case report and discussion of the clinical case by referring to the literature. RESULTS: Specific therapy with miltefosine led to clinical and endoscopic improvement. We had no relapse after three years of follow-up. CONCLUSIONS: This clinical case highlights the need to consider isolated laryngeal Leishmaniasis in the differential diagnoses of laryngeal tumour lesions, even in immunocompetent subjects who live in endemic zones, in order to ensure an early and correct therapeutic approach.
Assuntos
Doenças da Laringe/parasitologia , Leishmaniose , Humanos , Imunocompetência , Doenças da Laringe/diagnóstico , Doenças da Laringe/tratamento farmacológico , Leishmaniose/diagnóstico , Leishmaniose/tratamento farmacológico , Masculino , Pessoa de Meia-IdadeRESUMO
This paper describes work being undertaken as part of the IERAPSI (Integrated Environment for the Rehearsal and Panning of Surgical Intervention) project. The project is focussing on surgery for the petrous bone, and brings together a consortium of European clinicians and technology providers working in this field. The paper presents the results of a comprehensive user task analysis that has been carried out in the first phase of the IERAPSI project, and details the current status of development of a pre operative planning environment and a physically-based surgical simulator.
Assuntos
Simulação por Computador , Craniotomia , Planejamento de Assistência ao Paciente , Osso Petroso/cirurgia , Interface Usuário-Computador , Implante Coclear/instrumentação , Humanos , Neuroma Acústico/cirurgia , Prótese Ossicular , Cirurgia do Estribo/instrumentaçãoRESUMO
The authors describe a case of gustatory rhinorrhoea that appeared one year after skull trauma with delayed facial palsy. Traumatic interruption and abnormal regrowth of salivary parasympathetic fibers is hypothesized. In order to explain the pathogenesis of this syndrome an anatomical review of the transpetrosal nerves is included. A review of the literature is also presented.
