RESUMO
Atypical pneumonia shows clinical features that are different from those of typical pneumonia, and it can mimic other entities. We report the case of a 42-year-old male with a solitary pulmonary nodule found in an X-ray for a preoperative evaluation. Our patient was asymptomatic, and a pulmonary neoplasm was the first diagnostic suspicion. The round-shaped nodule seen in the X-ray turned out to be a linear ground glass opacity in a thoracic CT scan. Viral pneumonia due to SARS-CoV-2 was diagnosed. We emphasize here the educational value of this case report. We do not report a new radiological finding because lung nodules resembling neoplasms have already been reported in the medical literature. However, some clinical features of COVID-19 are relatively new and can mimic other entities, and the results of some investigations and clinicians' interpretations of them can be misleading. Atypical radiological findings make it necessary to widen the spectrum of alternative diagnoses.
Assuntos
Abscesso/diagnóstico por imagem , Nádegas/microbiologia , Gangrena Gasosa/diagnóstico , Infecções dos Tecidos Moles/diagnóstico , Abscesso/tratamento farmacológico , Abscesso/microbiologia , Abscesso/cirurgia , Nádegas/patologia , Infecções por Clostridium/tratamento farmacológico , Clostridium perfringens/isolamento & purificação , Desbridamento/métodos , Feminino , Gangrena Gasosa/etiologia , Humanos , Injeções Intramusculares/efeitos adversos , Pessoa de Meia-Idade , Necrose , Infecções dos Tecidos Moles/tratamento farmacológico , Infecções dos Tecidos Moles/microbiologia , Infecções dos Tecidos Moles/cirurgia , Resultado do TratamentoRESUMO
Fusobacterium necrophorum is the oropharyngeal pathogen usually associated with Lemierre's syndrome, a pharyngeal infection which evolves to sepsis, septic emboli and thrombophlebitis of the adjacent neck vessels. It is an uncommon causative bacteria of a liver abscess, and an extensive workup should, therefore, be performed in order to rule out potential sources of the infection. This case report describes the workup that led to the diagnosis of a colorectal carcinoma, which was deemed to be the source of the Fusobacterium bacteraemia.
Assuntos
Dor Abdominal/microbiologia , Bacteriemia/microbiologia , Infecções por Fusobacterium/microbiologia , Fusobacterium necrophorum/isolamento & purificação , Abscesso Hepático/microbiologia , Sepse/microbiologia , Antibacterianos/uso terapêutico , Ceftriaxona/uso terapêutico , Infecções por Fusobacterium/complicações , Infecções por Fusobacterium/tratamento farmacológico , Humanos , Abscesso Hepático/complicações , Abscesso Hepático/tratamento farmacológico , Masculino , Metronidazol/uso terapêutico , Pessoa de Meia-Idade , Náusea/microbiologia , Ácido Penicilânico/análogos & derivados , Ácido Penicilânico/uso terapêutico , Piperacilina/uso terapêutico , Combinação Piperacilina e Tazobactam , Sepse/tratamento farmacológico , Resultado do Tratamento , Vômito/microbiologiaRESUMO
Lymphatic malformations, also known as lymphangiomas or cystic hygromas, are benign masses that typically affect newborns and infants and involve the head and neck regions. They are, however, rare in adults and even rarer in the axillary region. Although surgery is considered to be the treatment of choice, we present a rare case of a recurrent cystic hygroma 32 years after the first surgical operation. Due to the cosmetic concerns and the risks of a surgical approach, non-surgical therapy with percutaneous sclerosants was performed, with a good outcome after a 2-year follow-up period.
Assuntos
Linfangioma Cístico/terapia , Recidiva Local de Neoplasia/terapia , Neoplasias de Tecidos Moles/terapia , Adulto , Axila , Feminino , HumanosRESUMO
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