RESUMO
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Assuntos
Humanos , Masculino , Adolescente , Lipomatose/diagnóstico por imagem , Encefalopatias/diagnóstico por imagem , Neuroimagem , Epilepsia/complicações , Diagnóstico Precoce , Lobo Temporal/diagnóstico por imagem , Lobo Temporal/patologia , Couro Cabeludo/patologiaRESUMO
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Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Síndrome de Poland/diagnóstico , Pneumonia , Achados Incidentais , Músculos Peitorais/anormalidadesRESUMO
We present one case of a pluripathologic female patient who has developed an submaseterin abscess secondary to an actinomyces mandibular osteomielitis. The initial presentation seems an acute supurative parothiditis. We describe its presentation, evolution, special tests done for its diagnostic, as also the discussion of the type and duration of the treatment. And we include also a differential diagnosis between the two diseases, with a similar form. We do also a bibliographic revision of the few similar cases published.
Assuntos
Actinomicose/diagnóstico , Actinomicose/microbiologia , Músculo Masseter/microbiologia , Parotidite/diagnóstico , Actinomicose/diagnóstico por imagem , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Músculo Masseter/diagnóstico por imagem , RadiografiaRESUMO
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No disponible
Assuntos
Idoso , Feminino , Humanos , Parotidite , Diagnóstico Diferencial , Músculo MasseterRESUMO
A case of gaseous gangrene by Clostridium septicum associated with colorectal cancer is presented. The patient evolved rapidly towards septic shock and death. Autopsy showed occult neoplasm and pelvic and retroperitoneal myonecrosis. An exceptional finding was that of myocarditis in which thick gram-positive bacilli were identified. A review of the literature was carried out regarding the pathogenesis and clinical manifestations of this disease. The association of colonic neoplasm and Clostridium septicum may be related with the sensitivity of the cells of this neoplasm to the toxins of the microorganisms. The usefulness of this cytotoxicity is being tested in the therapeutic reduction of tumoral mass. With respect to clinical attitude, all the authors agree on the need for clinical suspicion as to the possible existence of occult colon neoplasm in individuals with septic shock by gaseous gangrene with no obvious entry site. Diagnosis is performed by imaging techniques with barium enema and if this is normal colonoscopy is carried out. Emergency treatment consists in laparotomy with resection of the neoplasm and debridement of the area accompanied by hyperbaric oxygen and antibiotics.