RESUMEN
A 42 year-woman suffering from a non-small cell lung cancer, presenting initially as a mediastinal tumor, is hospitalized for fever, headaches and nausea. An aseptic meningitis is diagnosed. The patient died despite the administration of broad spectrum antibiotics and antituberculous agents. The differential diagnoses are presented.
Asunto(s)
Adenocarcinoma/diagnóstico , Aspergilosis/complicaciones , Neoplasias Pulmonares/diagnóstico , Neoplasias del Mediastino/diagnóstico , Meningitis Fúngica/diagnóstico , Neoplasias Primarias Múltiples/diagnóstico , Adenocarcinoma/complicaciones , Adulto , Femenino , Humanos , Neoplasias Pulmonares/complicaciones , Neoplasias del Mediastino/complicaciones , Meningitis Fúngica/complicaciones , Meningitis Fúngica/microbiología , Neoplasias Primarias Múltiples/complicacionesRESUMEN
Textiloma is defined as a tumor composed of cotton matrix surrounded by granulomatous reaction. It occurs following operations in which surgical sponges were inadvertently left behind. We describe a case of a 59-year-old man presenting with a pathologic fracture of the proximal left femur. The results of the biopsy, unlike diagnoses suggested by radiographs, CT scan and magnetic resonance imaging revealed a textiloma of 23 years of evolution. Because of major bone loss, resection of the involved bone was performed followed by ipsilateral fibular bone graft.
Asunto(s)
Neoplasias Óseas/diagnóstico , Fémur/patología , Granuloma de Cuerpo Extraño/diagnóstico , Sarcoma/diagnóstico , Tapones Quirúrgicos de Gaza/efectos adversos , Neoplasias Óseas/patología , Trasplante Óseo , Diagnóstico Diferencial , Fracturas del Fémur/cirugía , Fémur/cirugía , Granuloma de Cuerpo Extraño/patología , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Sarcoma/patología , Tomografía Computarizada por Rayos XRESUMEN
The authors report a case of asymptomatic sternocostoclavicular hyperostosis in a 69-year-old patient. SAPHO syndrome is described and discussed.