RESUMO
This report describes the case of a 26-year-old patient hospitalized for spontaneous abdominal pain. Palpation during clinical examination demonstrated a mass in the right abdomino-pelvic cavity. Radiological examination visualized the presence of grains suggestive of actinmycosis. The patient responded favorably to antimicrobial therapy. Actinomyces israeli is a gram-positive anaerobic bacterium that can cause tumor-like lesions usually on the face and neck and more rarely on retroperitoneal structures. Because renal involvement can require nephrectomy, diagnosis of renal actinmycosis must be made during pre-operative work-up. Ultrasound-guided needle biopsy of the lesion can achieve diagnosis and avoid nephrectomy since medical treatment using antimicrobial therapy is effective.
Assuntos
Actinomicose/diagnóstico , Nefropatias/microbiologia , Dor Abdominal , Adulto , Anti-Infecciosos/uso terapêutico , Diagnóstico Diferencial , Feminino , Humanos , Nefropatias/diagnóstico por imagem , Palpação , RadiografiaRESUMO
Visceral leishmaniasis due to Leishmania infantum is endemic in Tunisia. The incidence in adult patients has increased in recent years; but most of these patients are not HIV positive as in other Mediterranean countries where all the cases are associated with HIV. We present the case of a woman with symptoms suggestive of leishmaniasis but whose bone marrow was sterile and whose serological tests for Leishmania spp. were negative. For this patient, the parasite was only detected in a routine duodenal biopsy. There are few reports of visceral leishmaniasis cases diagnosed by duodenal biopsy and almost all patients were HIV positive in that case. Thus it seems interesting to perform a duodenal biopsy in case of a difficult diagnostic even in the absence of gastrointestinal symptoms and/or HIV infection.
Assuntos
Duodeno/parasitologia , Leishmania infantum/isolamento & purificação , Leishmaniose Visceral/diagnóstico , Dor Abdominal/etiologia , Idoso , Animais , Anticorpos Antiprotozoários/sangue , Biópsia , Exame de Medula Óssea , Reações Falso-Negativas , Evolução Fatal , Feminino , Febre/etiologia , Soronegatividade para HIV , Hepatomegalia/etiologia , Humanos , Imunocompetência , Leishmania infantum/imunologia , Leishmaniose Visceral/epidemiologia , Esplenomegalia/etiologia , Tunísia/epidemiologiaRESUMO
The authors report a case of Scrotal subcutaneous dirofilariasis in man for the first time in Tunisia. The diagnosis was established by pathological examination of a biopsy but the identification of the species was not possible. Surgical exeresis of the node was followed by a complete recovery.
Assuntos
Dirofilariose/diagnóstico , Dermatopatias Parasitárias/diagnóstico , Adulto , Biópsia , Dirofilariose/cirurgia , Humanos , Masculino , Escroto , Pele/parasitologia , Dermatopatias Parasitárias/cirurgia , TunísiaRESUMO
The synovial lipoma are uncommon articular tumors of unknown origin. We report two cases of synovial lipoma arborescens arisen in a man and a woman respectively 41 and 27 years old. Both had already consulted for a tumefaction progressively increasing in volume. It was accompanied in the first case by a laxity in the knee joint. Radiography and arthroscopy showed an important hyperplasia of the articular synovia. A total synovectomy was performed in both cases. The synovia had a hairy aspect and was extremely thickened. It weighted 1.5 kg in the first case and its section had a fatty aspect. The histological examination confirmed the diagnosis of synovial lipoma arborescens. The observed aspect of the two tumors and particularly their volume, which was very important in the first case are arguments in favor of their tumoral nature.
Assuntos
Artropatias/diagnóstico , Articulação do Joelho/patologia , Lipoma/diagnóstico , Membrana Sinovial/patologia , Adulto , Artroscopia , Feminino , Humanos , Artropatias/patologia , Artropatias/cirurgia , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/cirurgia , Lipoma/patologia , Lipoma/cirurgia , Masculino , Radiografia , SinovectomiaRESUMO
The clinical, follow up and diagnostic features of a case of chemodectoma (paraganglioma) of the orbit are reviewed. 30 cases are reported in the literature. Chemodectoma may arise in any area of the body where non chromaffin paraganglion structures are situated. These are localized in the orbit of the chimpanzee but not in the orbit of man. Malignant behavior of chemodectoma has been a controversial subject, with most authors considering them to be benign tumors. Some authors have diagnosed locally recurrent and infiltrative tumors as malignant. The authors report one case of chemodectoma of the orbit. A 5 year old child has had right exophthalmos. She was treated by tumorectomy. The follow-up is marked by recurrence of the tumor and infiltration of the right hemi-face.
Assuntos
Neoplasias Orbitárias/patologia , Paraganglioma Extrassuprarrenal/patologia , Pré-Escolar , Exoftalmia/etiologia , Feminino , Humanos , Recidiva Local de Neoplasia/patologia , Neoplasias Orbitárias/complicações , Paraganglioma Extrassuprarrenal/complicaçõesRESUMO
The authors report a case of aspergillus granuloma of the brain, in a 28 year old woman, simulating a meningioma. Preoperative diagnosis of aspergilloma is difficult. However, it may be suspected in a patient who has associated pulmonary and paranasal sinus fungal infection. Peroperatively it may be confused with a brain tumour. The lesions usually are in the frontal lobes. Diagnosis can be made only by surgical biopsy with identification of fungal elements. Granuloma induce a good host response, and a high capacity to elaborate antibodies.
Assuntos
Aspergilose/diagnóstico , Encefalopatias/diagnóstico , Granuloma/diagnóstico , Adulto , Idoso , Anfotericina B/uso terapêutico , Aspergilose/complicações , Aspergilose/terapia , Encefalopatias/complicações , Encefalopatias/terapia , Neoplasias Encefálicas/diagnóstico , Criança , Diagnóstico Diferencial , Feminino , Flucitosina/uso terapêutico , Granuloma/complicações , Granuloma/terapia , Humanos , Masculino , Meningioma/diagnóstico , Pessoa de Meia-Idade , Transtornos do Olfato/etiologia , Tomografia Computadorizada por Raios XRESUMO
The authors report two cases of papillary carcinoma of a thyreoglossal duct cyst. In both cases, the thyroïd gland was normal. Clinical manifestations are not specific and the diagnosis is usually made by histopathologic examination which reveals in the majority of cases a papillary carcinoma. When loco-regional or metastatic extension are absent surgical excision of the cyst is sufficient.
Assuntos
Carcinoma Papilar/patologia , Cisto Tireoglosso/patologia , Adulto , Carcinoma Papilar/diagnóstico , Carcinoma Papilar/cirurgia , Feminino , Humanos , Cisto Tireoglosso/diagnóstico , Cisto Tireoglosso/cirurgiaRESUMO
Adenocarcinoma of the gastric cardia is increasing in incidence. The purpose of this study was to determine whether intestinal metaplasia of the esophagogastric and having a malignant potential junction can be considered as an ultra-short segment Barrett's esophagus. To study the epidemiologic and histological features of the intestinal metaplasia of esophagogastric junction two groups of patients were compared for the prevalence of this condition. Group 1 included 82 patients with gastroesophageal reflux symptoms et group 2 consisted of 82 healthy individuals. Both groups had two biopsy specimens taken from the esophagogastric junction. Histological evidence of intestinal metaplasia was defined as specialized columnar epithelium containing goblet cells staining with alcian blue at pH 2.5. Intestinal metaplasia of the esophagogastric junction was present in 12 patients in group 1 and 9 individuals in group 2. The global prevalence of this condition was 12.8% and there was not a statistically significant difference in the prevalence of this condition between the two groups. A significant difference could not be found when sex was considered. There was a significant association between this condition and older age (p = 0.01). Intestinal metaplasia of the esophagogastric junction and Barrett's esophagus do not have the same epidemiologic features. Therefore, we suggest that screening biopsy specimens of the esophagogastric junction be limited to study protocols at this time.
Assuntos
Esôfago de Barrett/epidemiologia , Esôfago de Barrett/patologia , Junção Esofagogástrica/patologia , Adolescente , Adulto , Fatores Etários , Idoso , Feminino , Refluxo Gastroesofágico/complicações , Refluxo Gastroesofágico/epidemiologia , Refluxo Gastroesofágico/patologia , Humanos , Incidência , Masculino , Metaplasia , Pessoa de Meia-Idade , PrevalênciaRESUMO
We report 65 cases of MALT gastric lymphomas. HP was looked for with Giemsa and Whartin Starry stains. Immunohistochemistry was done with PAP method. Anti-HP treatment was used in 9 cases. 38 were of low grade of malignancy, 23 were high grade, 4 were high grade with a low grade component. The mean age was 51.5 years, the sex ratio 1.5. Epigastric pain was the most frequent feature (87.7% of cases). Endoscopically, low grade lymphomas presented as unique or multiple ulcerations (55.3% of cases) with antral localisation (52.6% of cases). 60% of our patients were stage IE, of which 61% had low grade lymphoma, 18% were at stage II2E, 10% at stage III and 10% at stage IV. From 23 operated patients, 29% had early lymphoma which was low grade malignant in 71.5% of cases, and 71% had lymphomas which were widely spread beyond the submucosa. HP was found in 63% of cases. Histologic regression of two early lymphomas of low grade malignancy was achieved after HP eradication.
Assuntos
Infecções por Helicobacter/complicações , Helicobacter pylori , Linfoma de Zona Marginal Tipo Células B/microbiologia , Linfoma de Zona Marginal Tipo Células B/patologia , Neoplasias Gástricas/microbiologia , Neoplasias Gástricas/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Feminino , Gastrectomia , Gastroscopia , Infecções por Helicobacter/tratamento farmacológico , Humanos , Imuno-Histoquímica/métodos , Linfoma de Zona Marginal Tipo Células B/cirurgia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Estudos Prospectivos , Estudos Retrospectivos , Neoplasias Gástricas/cirurgiaRESUMO
The authors point out three cases of appendicular taeniasis disease into an analytical retrospective study of 5,000 appendicectomies. In these 3 cases the parasite does not induce important processes level with the appendix. The localisation of the parasite is very rare.