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
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
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.