RESUMEN
Rosai-Dorfman disease (RDD) is a benign lymphoproliferative disorder characterized by cervical lymph node enlargement with a consistent risk of airway compression and esthetic damage. Extranodal localizations are also described. There is no therapeutic consensus for pediatric forms of RDD. Through 2 pediatric cases with nodal involvement in 1 patient and a sinonasal and soft tissue localization in the other, we focus on the management problems of both nodal and extranodal RDD.
Asunto(s)
Histiocitosis Sinusal/terapia , Adolescente , Humanos , MasculinoRESUMEN
INTRODUCTION: Necrotizing fasciitis is a rapidly progressive and often fatal infection of the soft-tissue fascia deep to the skin but superficial to the muscles. We report a case of necrotizing fasciitis of the anterior chest wall complicating a percutaneous needle biopsy. CASE: A 49-year-old diabetic patient, presented persistent excavated right pulmonary opacities. A percutaneous biopsy was obtained and complicated by a necrotizing fasciitis. The patient underwent surgery for total resection of the necrotic tissues followed by antibiotic treatment. Outcome was favorable after 30 days of antibiotic therapy. DISCUSSION: Necrotizing fasciitis is a life threatening complication of transthoracic percutaneous biopsy. Prognosis depends on rapid diagnosis and treatment.
Asunto(s)
Biopsia con Aguja/efectos adversos , Fascitis Necrotizante/etiología , Antibacterianos/uso terapéutico , Complicaciones de la Diabetes , Fascitis Necrotizante/tratamiento farmacológico , Femenino , Humanos , Persona de Mediana Edad , Neumonía Bacteriana/diagnóstico , Infecciones Estreptocócicas/diagnóstico , Streptococcus constellatus/aislamiento & purificación , Tórax , Resultado del TratamientoRESUMEN
The authors report a case of cervico-thoracic region hydatid cyst suspected by the presence of a palpable right lower neck mass. This location is very rare. Neck ultrasound and computed tomography showed the cyst. Magnetic resonance imaging can be useful for diagnosis and provided the best anatomo-topographic evaluation before surgery.
Asunto(s)
Equinococosis/diagnóstico , Imagen por Resonancia Magnética , Enfermedades del Mediastino/diagnóstico , Cuello , Tomografía Computarizada por Rayos X , Adulto , Medios de Contraste/administración & dosificación , Diagnóstico Diferencial , Equinococosis/cirugía , Gadolinio , Humanos , Masculino , Enfermedades del Mediastino/cirugía , Cuello/cirugíaRESUMEN
Although rare, the possibility of pituitary tuberculoma should be considered in the diagnosis of non-pituitary intrasellar masses, especially in an endemic area and if radiologic imaging shows pituitary stalk thickening. We describe the case of a 52-year-old patient who presented tuberculous meningitis complicated by a pituitary abscess. He was treated with antituberculous drugs. The follow-up MRI 16 and 48 months later showed the decreased size of the pituitary mass. Radiological features and a review of the literature of pituitary tuberculoma are briefly discussed.
Asunto(s)
Absceso/complicaciones , Absceso/diagnóstico , Enfermedades de la Hipófisis/complicaciones , Enfermedades de la Hipófisis/diagnóstico , Tuberculoma/complicaciones , Tuberculoma/diagnóstico , Tuberculosis Meníngea/complicaciones , Tuberculosis Meníngea/diagnóstico , Absceso/tratamiento farmacológico , Antituberculosos/uso terapéutico , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de la Hipófisis/tratamiento farmacológico , Tuberculoma/tratamiento farmacológico , Tuberculosis Meníngea/tratamiento farmacológicoRESUMEN
Lymphocytic hypophysitis is a rare inflammatory disease of the pituitary gland which may be related to an autoimmune process. Only twenty cases are reported in male. Patients usually present with symptoms of an expanding intrasellar mass or varying degrees of hypopituitarism. Most of the cases are misconsidered preoperatively as pituitary adenomas. We report a case of lymphocytic hypophysitis which has occurred at a 37-year-old-man.