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1.
BMJ Case Rep ; 20182018 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-30232202

RESUMO

Pelvic actinomycosis is a rare entity that occurs almost exclusively in women, the presentation of which is usually non-specific and variable. Pelvic actinomycosis is almost always associated with the use of an intrauterine contraceptive device (IUD). Pelvic actinomycosis unrelated to IUD use is almost always associated with previous surgical procedures. The symptoms, clinical signs and radiological findings are usually non-specific, mimicking an ovarian malignancy. So an awareness of this rare condition and a proper diagnosis can avoid unnecessary surgeries because these cases can be treated with a prolonged course of antibiotics. We present a case of pelvic actinomycosis which masqueraded as an ovarian malignancy.


Assuntos
Actinomicose/diagnóstico , Neoplasias Ovarianas/patologia , Doença Inflamatória Pélvica/patologia , Actinomicose/tratamento farmacológico , Adulto , Antibacterianos/uso terapêutico , Feminino , Humanos , Neoplasias Ovarianas/diagnóstico por imagem , Neoplasias Ovarianas/microbiologia , Neoplasias Ovarianas/cirurgia , Doença Inflamatória Pélvica/diagnóstico por imagem , Doença Inflamatória Pélvica/microbiologia , Doença Inflamatória Pélvica/cirurgia , Penicilinas/administração & dosagem , Penicilinas/uso terapêutico , Doenças Raras , Resultado do Tratamento
2.
Indian J Palliat Care ; 22(4): 499-503, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27803574

RESUMO

AIM: The tongue plays a major role in articulation. Speech outcome depends on the site of lesion, extent of resection, and flexibility of the remaining structures. The aim of this study is to evaluate the speech outcome measures such as sounds that are misarticulated and speech intelligibility and its connection to tumor site before and after surgery. METHODOLOGY: Totally, 24 (12 pre- and 12 post-operative patients) patients who had buccal and tongue cancer underwent speech intelligibility rating and articulation screening. RESULT: The results show that the speech outcome is worse in postoperative patients when compared to preoperative patients. The articulation errors produced by tongue cancer patients were more than the errors produced in buccal cancer patients. The type of reconstruction also affects the speech outcome. CONCLUSION: The perceptual analysis of oral cancer patients showed specific articulation issues and reduced intelligibility of speech in regards to site of lesion and type of reconstruction surgery. To reduce the speech errors, effective rehabilitation is recommended. A comprehensive speech evaluation and analysis of error patterns would help us in planning the rehabilitative measures of speech which is the most important factor in re-establishing interpersonal communication and well-being of the individual.

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