Las características de presentación de la parotiditis aguda supurada de nuestros . Full Text Available Introducción: La apendicitis aguda es la enfermedad. La apendicitis es difícil de diagnosticar y más cuando quien la En este momento se puede hablar de apendicitis aguda supurada (con pus). APENDICITIS AGUDA EN EL. EMBARAZO. Albert Bolaños Cubillo *. Alejandra Quesada Araya **. SUMMARY. Acute appendicitis is the most common.
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Serie de 8 casos de parotiditis supurada aguda neonatal. Directory of Open Access Journals Sweden.
Latero-cervical lymph node metastases N1b represent an additional risk factor for papillary thyroid cancer outcome. Papillary thyroid carcinoma PTCthe most common thyroid cancer histotype, has a good prognosis even when spread to the neck lymph node LN. The prognostic role of LN metastases’ location is still controversial. The aim of the present study was to evaluate the clinical relevance of the number and supurwda of LN metastases at presentation in PTCs.
This retrospective study included a consecutive series of PTC patients followed for a mean period of 5. All patients have undergone thyroidectomy with the dissection of at least six LNs. According to the LN status, patients were subdivided into N0 Age at diagnosis was significantly lower in N1b El objetivo de este trabajo es revisar la patogenia Tromboflebitis extensa como causa de fiebre insidiosa puerperal.
tromboflebitis supurada laterocervical: Topics by
The lesion was clinically suspected as malignant on the basis of clinical and radiological findings namely, computed tomography scan and positron emission tomography.
The Wegener granulomatosis must be added to the list of the differential diagnoses of the masses of the nasopharynx associated with or without enlarged laterocervical nodes. We report a case of Wegener’s granulomatosis clinically mistaken for carcinoma in a year-old girl presenting with an ulcerated mass of the nasopharynx associated with enlarged laterocervical nodes.
However, multiple biopsies were not conclusive for malignancy showing histological change suggestive of Wegener’s granulomatosis. Clinical findings and image studies suggested an erroneous diagnosis of malignancy whereas a definitive diagnosis of Wegener’s granulomatosis was achieved only after repeated biopsies thus leading to a correct therapeutic approach. Primary leiomyosarcoma of the innominate vein.
Primary venous leiomyosarcoma is rare. We report the case of a primary leiomyosarcoma of the left innominate vein, with neoplastic thrombus extending into the left jugular and subclavian veins. The tumor was curatively resected en bloc with anterior mediastinal and laterocervical lymphatics, through a median sternotomy prolonged into left cervicotomy. Primary venous sarcomas may be associated with prolonged survival in individual cases, with curative resection recommended as the standard treatment, in the absence of distant spread.
Relato de Caso Renal amyloidosis in a Shar-Pei dog: The clinical and pathological findings of a case of renal amyloidosis in a nine-year-old male Shar-Pei dog were described.
Clinically, there were signs of sporotrichosis and renal insufficiency, besides being positive to leishmaniasis and ehrlichiosis.
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On the day before death, the animal became apathetic, dehydrated and anuric. On gross examination, there were several whitish millimetric spots seen widespread in both renal cortices and consolidation of the left diaphragmatic pulmonary lobe. The most important microscopic finding was a deposition of amorphous acellular material on the glomerular tufts which stained positively by congo red stain.
Other changes were multifocal suppurative nephritis, thickening of the Bowman capsule and chronic suppurative bronchopneumonia.
The origin of the amyloidosis in this case could be hereditary, being similar to familiar amyloidosis described in Shar-Pei breed, or due to. An amygdaloid cyst is a rare high laterocervical cystic tumor arising from the second branchial cleft. The diagnosis of primary carcinoma or intracystic metastasis is a controversial issue.
We report a rare case of degenerate amygdaloid cyst meeting the diagnostic criteria for intracystic squamous cell carcinoma determined by Martin and Khafif. A year-old female patient consulted for a left cervical swelling in ; the diagnosis was an amygdaloid cyst.
She had a history of squamous cell carcinoma of the hard palate T1NoMo surgery and radiation therapy aggudaapndicitis recurrence. Three years later, the swelling increased to a large size without any cervical node involvement. An exploratory cervicotomy with histological study revealed intracystic squamous cell degeneration.
Primary squamous cell carcinoma location in the wall of an amygdaloid cyst is extremely rare and a highly controversial issue. The challenge is to be able to discriminate between a cystic metastasis of squamous cell carcinoma of the aerodigestive tract and a primary squamous cell carcinoma located in the wall of an amygdaloid cyst. Martin and Khafif defined specific criteria to confirm the diagnosis of primary branchiogenic carcinoma. Full Text Available Objective. The aim of this study was to validate the role of diffusion-weighted imaging DWI at 3 Tesla in the differential diagnosis between agudw and malignant laterocervical lymph nodes in patients with head and neck squamous cell carcinoma HNSCC.
Before undergoing surgery, 80 patients, with biopsy proven HNSCC, underwent a magnetic resonance exam. Sensitivity Se and specificity Spe of conventional criteria and DWI in detecting laterocervical lymph node metastases were calculated. Histological results from neck dissection were used as standard of reference.
In the histologically proven metastatic lymphadenopathies, the mean apparent diffusion coefficient ADC value was 0. In the pathologically confirmed benign lymph nodes, an average ADC value of 1. In a DWI negative neck for malignant lymph nodes, the planned dissection could be converted to a wait-and-scan policy, whereas DWI positive neck would support the decision to perform a neck dissection. Unilateral extended suboccipital approach for a C1 dumbbell schwanoma. Full Text Available Craniovertebral junction tumors represent a complex pathology carrying a high risk of injuring the vertebral artery and the lower cranial nerves.
Dumbbell C1- C2 schannomas are very rare tumors in this location. We present a case of a 66 years old male accepted for left laterocervical localized pain, headache and vertigo, with a large C1 dumbbell schwannoma extending in lateral over the C1 arch and displacing the C3 segment of the vertebral artery superiorly and anteriorly.
Complete removal of the tumor was achieved using a far lateral approach. The approach is discussed with focus on the vertebral artery anatomy as the approach should give enough space to gain control of the artery without creating instability.
Safe removal of C1 nerve root schwanomas can be achieved even if they compress and displace the vertebral artery by entering a fibrous tissue plane between the tumor and the vertebral artery. Autoimmune lymphoproliferative syndrome and non-Hodgkin lymphoma: Suggestions from a case report. A young patient with undefined autoimmune lymphoproliferative syndrome ALPS-U and low back pain underwent a CT and MRI study that showed enhancing vertebral lesions, some pulmonary nodules and diffuse latero-cervical lymphadenopathy.
A bone marrow biopsy showed a “lymphomatoid granulomatosis”, a rare variant of B-cell non-Hodgkin lymphoma NHL. Pain as the only manifestation of internal carotid artery dissection. Internal carotid artery dissection is a major cause of ischemic stroke in the young. Pain is the leading symptom and is associated with other focal signs such as Horner’s syndrome and painful tinnitus or with signs of cerebral or retinal ischemia.
We report two patients with angiographically confirmed extracranial apendivitis carotid artery dissection presenting with cephalic pain as the only manifestation. The first patient had a diffuse headache and a latero-cervical pain lasting for 12 days, reminiscent of carotidynia. The second patient auda an exploding headache suggestive of subarachnoid hemorrhage, which was ruled out by dupurada tomography of the head and cerebrospinal fluid study.
These patients demonstrate that recognition of carotid artery dissection as a cause of carotidynia and headache suggestive of subarachnoid hemorrhage may permit an earlier diagnosis and possibly the prevention of a stroke through the use of anticoagulation.
Full Text Available Distinguishing between benign and malign adenopathies remains a challenge and could represent a source of aguea in a diagnosis.
We report a case of right laterocervical adenopathy in a year-old teenager admitted to hospital with an episode of fever associated with dysphagia, congested pharynx, and pultaceous deposits. Initially the adenopathy was considered to be secondary to a coinfection with Streptococcus B-hemolytic and Epstein-Barr virus, as suggested by the positive bacteriological and serological tests. The onset of the adenopathy before the episode and the ultrasound modifications raised the suspicion of a malignancy, later confirmed by the histopathologic examination of the lymph node excision.
The final diagnosis was nodal metastasis of an undifferentiated lymphoepithelial carcinoma with an ENT starting point. Currently, the adolescent is hospitalised in the ENT ward, where the pharynx carcinoma with nodal metastasis was confirmed. Sometimes the infectious context can mask or unmask aapendicitis malign chronic disease with insidious evolution. We report a case shpurada cervical abscess after the ingestion of foreign body chicken bone secondary to probable esophageal perforation that it was sent to us with suspicion of mediastinal complication.
The girl, 17 years-old, nothing else to arrive our hospitalary center required entrance in ICU due to her severe clinical process: High fever, intense neck-thoracic pain, laterocervical diffuse and progressive left inflammation and bad general state.
The CT showed the presence of a well defined abscess and abundant aerial component that dissected the cervical muscles that made necessary to perform drainage verifying intraoperatively no mediastinal involvement.
We agudda a serie of considerations at respect of aaguda microorganism and its clinical signification. Parotiditis por Streptococcus Pyogenes: Presentacion de un caso.
For poorly differentiated rhinopharyngeal carcinomas, the clinical presentation association with the Epstein-Barr virus, paraneoplastic syndromes, onset of lymphoma and the histopathological features can be polymorphous and they can confound or delay diagnosis and preparation of an adequate treatment plan radio-chemotherapy. Often these neoplasms arise as clinically primitive laterocervical metastases, masked by clinical findings and a history that can lead to the mistaken diagnosis of systemic lymphoproliferative processes such as Hodgkin’s disease.
Here an observation of this type is presented in a young patient 19 years old who came under observation for a laterocervical tumefaction recurrent from a previous exeresis performed at another hospital and symptoms of serotine febricula, dysphagia and serology positive qguda the Epstein-Barr virus EBV.
The patient underwent surgery and then radiotherapy and has been under close post-operative follow-up for two years. To date the patient’s condition–both local and general–is good. The particular histology of the neoformation lies abuda the abundant infiltration of plasma cell and lymphocyte eosinophils, at times in blastic form.
Moreover, elements with a large clear nucleus and evident nucleolus Hodgkin-like and scattered multinucleate Langhans-type giant cells can be seen. Immunohistologically the tumor cells markedly express for cytokeratin and the latent membrane protein LMP1 of the Epstein-Barr virus EBV and show a high growth fraction. Under the electron microscope, the plurinucleate giant cells present large nuclei with morphology similar to that of tumor cells.
The clear cytokeratin-positivity of the tumor elements and the histological and apejdicitis features mentioned led to apendiccitis diagnosis of a massive metastasis from lymphoepithelial carcinoma, the Schmincke variant, plus EBV infection of the neoplastic cells. The authors conclude assuming apenndicitis the particular granulomatous reaction is due to the. Septic pulmonary embolism is a serious and rare illness characterized by pulmonary infiltrates associated with an extrapulmonary infectious focus.
It is mainly related to right-sided endocarditis, pelvic thrombophlebitis, vascular access and less frequently to deep infections such as osteomyelitis, septic arthritis and pyomyositis. The community-acquired methicillin-resistant Staphylococcus aureus MRSA is an emerging pathogen with high virulence and rapid spread involving subjects without previous related diseases or known risk factors.
Acute appendicitis: computed tomography findings – an iconographic essay
It causes infections of skin and soft apendicigis and less frequently other serious infections such as necrotizing fascitits, septic arthritis, osteomyelitis, pyomyositis and necrotizing pneumonia. Epidemiologically, pathogenesis and clinical manifestations differ from those caused by MRSA acquired in the hospital. We present the case of a 67 year-old male with septic. Etmoiditis complicada con celulitis orbitaria en un lactante.
Streptococcus pneumoniae, Staphylococcus aureus y Haemophilus influenzae son microorganismos frecuentemente responsables de este cuadro.