RESUMO
The rabdomiosarcoma (RMS) are infrequent tumors. They are principally described in infancy and located in 35% of the cases in head and neck. The nasopharynx localisation is relatively rare, being in these cases the tongue, palate and oral mucosa the preferent places of establishment. Classically the patient presented very low standard healing with surgery and radiotherapy. The introduction in the middle 70 of systematic chimiotherapy as complementary treatment, improved the survival rate in large scale. In this article the case of an adolescent patient, who presented a RMS at the level of the soft palate, the diagnostic procedure and the therapeutic decision adopted, after revision of the last studies at this respect, are described.
Assuntos
Neoplasias Orofaríngeas/patologia , Palato Mole/patologia , Rabdomiossarcoma/patologia , Adolescente , Humanos , Imageamento por Ressonância Magnética , Masculino , Neoplasias Orofaríngeas/cirurgia , Palato Mole/cirurgia , Rabdomiossarcoma/cirurgiaRESUMO
Los rabdomiosarcomas (RMS) son tumores poco frecuentes. Descritos principalmente en la infancia y localizados en un 35% de los casos en cabeza y cuello. La localización orofaríngea es relativamente rara, siendo en estos casos la lengua, paladar, y mucosa bucal los lugares preferentes de asentamiento. Clásicamente los pacientes presentaban tasas muy bajas de curación con cirugía más radioterapia. La introducción a mediados de los años 70 de la quimioterapia sistémica como tratamiento complementario ha mejorado la supervivencia de manera importante. En este artículo se describe el caso de un paciente adolescente que presentó un RMS a nivel del paladar blando, el procedimiento diagnóstico y la decisión terapéutica adoptada tras revisión de los últimos estudios al respecto
The rabdomiosarcoma (RMS) are infrequent tumors. They are principally described in infancy and located in 35% of the cases in head and neck. The nasopharynx localisation is relatively rafe, being in these cases the tongue, palate and oral mucosa the preferent places of establishment. Classically the patient presented very low standard healing with surgery and radiotherapy. The introduction in the middle 70 of systematic chimiotherapy as complementary treatment, improved the survival rate in large scale. In this article the case of an adolescent patient, who presented a RMS at the level of the soft palate, the diagnostic procedure and the therapeutic decision adopted, after revision of the last studies at this respect, are described
Assuntos
Masculino , Adolescente , Humanos , Palato Mole/patologia , Rabdomiossarcoma/patologia , Neoplasias Orofaríngeas/patologia , Imageamento por Ressonância Magnética , Palato Mole/cirurgia , Rabdomiossarcoma/cirurgia , Neoplasias Orofaríngeas/cirurgiaRESUMO
Malignant external otitis (M.E.O.) is a severe and rare affection, consisting in an infection of the external auditory canal (EAC) whit extension and compromising the structures of the skull base, produced mainly by Ps. Aeruginosa in patients affected by diabetes type II of long evolution and or deterioration of the immunity system. We present a case of a patient affected by this pathology, commenting the caracteristics of this disease, how we arrived to the diagnosis, and the evolution of the case with an exclusively medical treatment.
Assuntos
Otite Externa , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Otite Externa/complicações , Otite Externa/diagnóstico , Otite Externa/tratamento farmacológicoRESUMO
La otitis externa maligna (OEM) es una afección grave y poco frecuente que consiste en una infección del conducto auditivo externo (CAE) con extensión y compromiso de estructuras de la base de cráneo producida mayoritariamente por Ps. Aeruginosa en pacientes que presentan diabetes tipo II de larga evolución y/o deterioro del sistema inmunitario.Presentamos el caso de un paciente afecto de esta patología, comentando las características de esta enfermedad, como se llegó al diagnóstico y la evolución del caso con tratamiento exclusivamente médico
Malignant external otitis (M.E.O.) is a severe and rare affection, consisting in an infection of the external auditory canal (EAC) whit extension and compromising the structures of the skull base, produced mainly by Ps. Aeruginosa in patients affected by diabetes type II of long evolution and or deterioration of the immunity system. We present a case of a patient affected by this pathology, commenting the caracteristics of this disease, how we arrived to the diagnosis, and the evolution of the case with an exclusively medical treatment
Assuntos
Masculino , Idoso , Humanos , Otite Externa/diagnóstico , Diagnóstico por Imagem/métodos , Pseudomonas aeruginosa/patogenicidade , Infecções por Pseudomonas/complicações , Paralisia Facial/etiologia , Ciprofloxacina/administração & dosagem , Otite Externa/tratamento farmacológico , Diabetes Mellitus Tipo 2/complicaçõesRESUMO
With antibiotics and an increasing dental care and hygiene, the profound neck spaces infections have decreased their incidence. Nevertheless we can found them in the clinical practice, and they present a big morbidity and severe complications. We present in this paper a case of profound cervical abscess in a diabetic patient, discussing the clinical and therapeutics aspects.
Assuntos
Abscesso/microbiologia , Complicações do Diabetes , Infecções por Enterobacteriaceae/complicações , Infecções Estreptocócicas/complicações , Doenças da Glândula Submandibular/microbiologia , Abscesso/diagnóstico , Abscesso/tratamento farmacológico , Idoso , Antibacterianos/uso terapêutico , Cefotaxima/uso terapêutico , Diabetes Mellitus/diagnóstico , Infecções por Enterobacteriaceae/tratamento farmacológico , Humanos , Masculino , Infecções Estreptocócicas/tratamento farmacológico , Doenças da Glândula Submandibular/diagnóstico , Doenças da Glândula Submandibular/tratamento farmacológico , Tomografia Computadorizada por Raios XRESUMO
A young man with otitis media and cholesteatoma of the left ear developed secondary cerebral abscess. The clinical debut was non-specific, with headache, mild fever, and mild persistent otalgia in spite of early antibiotic treatment. Studies revealed a cerebral abscess, so ENT surgery in collaboration with the neurosurgery department was decided. This case illustrates that clinical manifestations in such cases can be mild and highlights the need to exclude this type of serious pathology.
Assuntos
Abscesso Encefálico/microbiologia , Colesteatoma da Orelha Média/complicações , Infecções por Bactérias Gram-Positivas/microbiologia , Peptostreptococcus , Adulto , Abscesso Encefálico/cirurgia , Colesteatoma da Orelha Média/microbiologia , Colesteatoma da Orelha Média/cirurgia , Infecções por Bactérias Gram-Positivas/cirurgia , Humanos , Masculino , Peptostreptococcus/isolamento & purificação , Tomografia Computadorizada por Raios XRESUMO
Presentamos el caso de un joven afecto de otitis media colesteatomatosa de oído izquierdo que desarrolló un absceso cerebral piógeno secundario. El debut clínico fue muy inespecífico, con cefalea holocraneal, febrícula y otalgia leve persistente a pesar del tratamiento antibiótico instaurado precozmente. Se evidenció un absceso cerebral tras pruebas de imagen, por lo que decidimos un abordaje conjunto junto a neurocirugía. Este caso es muy ilustrativo, de lo larvada que puede ser la clínica de estos procesos intracraneales y de la necesidad de descartar este tipo de patología, por la gravedad de la, misma (AU)
A young man with otitis media and cholesteatoma of the left ear developed secondary cerebral abscess. The clinical debut was non-specific, with headache, mild fever, and mild persistent otalgia in spite of early antibiotic treatment. Studies revealed a cerebral abscess, so ENT surgery in collaboration with the neurosurgery department was decided. This case illustrates that clinical manifestations in such cases can be mild and highlights the need to exclude this type of serious pathology (AU)
