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Infection

Necrotizing tonsillitis caused by group C beta-hemolytic streptococci

March 2, 2015  |  Jassem M. Bastaki, DMD, MPH

Abstract

Tonsillitis and pharyngitis are among the most common infections in the head and neck. Viral tonsillitis is usually caused by enterovirus, influenza, parainfluenza, adenovirus, rhinovirus and Epstein-Barr virus (causing infectious mononucleosis). Acute bacterial tonsillitis is...

Mucormycosis (Mucor fungus ball) of the maxillary sinus

October 18, 2014  |  Hang Sun Cho, MD; Hoon Shik Yang, MD, PhD; Kyung Soo Kim, MD, PhD

Abstract

A fungus ball is an extramucosal fungal proliferation that completely fills one or more paranasal sinuses and usually occurs as a unilateral infection. It is mainly caused by Aspergillus spp in an immunocompetent host, but some cases of paranasal fungal balls reportedly...

A rare occurrence of a fungus ball in the sphenoethmoid recess

October 18, 2014  |  Jae-Hoon Lee, MD; Ha-Min Jeong, MD

A fungus ball usually appears as a calcification within the sinus, suggesting the presence of a foreign body.

Primary laryngeal tuberculosis: An unusual cause of hoarseness

October 18, 2014  |  Peter Fsadni, MD, MRCP(UK); Claudia Fsadni, MD, MRCP(UK), MSc(Lond); Brendan Caruana Montaldo, MD, FACP

Abstract

Tuberculosis (TB) of the larynx is usually associated with concomitant pulmonary TB, but approximately 20% of cases represent primary disease. We report the case of an 85-year-old woman with asthma who presented with a 6-month history of persistent hoarseness. Bronchoscopy...

Bilateral nontuberculous mycobacterial middle ear infection: A rare case

September 18, 2014  |  Ing Ping Tang, MS; Shashinder Singh, MS; Raman Rajagopalan, MS

Abstract

Nontuberculous Mycobacterium (NTM) middle ear infection is a rare cause of chronic bilateral intermittent otorrhea. We report a rare case of bilateral NTM middle ear infection in which a 55-year-old woman presented with intermittent otorrhea of 40 years' duration. The patient...

Non-otogenic lateral sinus thrombosis: A complication of acute sphenoid sinusitis

August 28, 2014  |  Jessica M. Somerville, MD; Erik Lyman, MD; Jerome W. Thompson, MD, MBA; Rosemary Stocks, MD, PharmD

Abstract

The consequences of intracranial spread of sinus infection can be dismal. The subtle presentation of sphenoid sinusitis often leads to a delay in diagnosis. The disease may go unrecognized until complications are severe enough to cause more localizing symptoms. Often infections...

Invasive primary aspergillosis of the larynx presenting as hoarseness and a chronic nonhealing laryngeal ulcer in an immunocompetent host: A rare entity

July 14, 2014  |  Mimi Gangopadhyay, MD; Kaushik Majumdar, MD; Arghya Bandyopadhyay, MD; and Anup Ghosh, MS(ENT)

Abstract

Primary aspergillosis usually affects the paranasal sinuses, orbit, ear, and lower respiratory tract. Laryngeal aspergillosis usually occurs as a result of secondary invasion from the tracheobronchial tree, more commonly in immunocompromised hosts. Primary laryngeal...

Rhinosporidiosis: An unusual presentation

July 14, 2014  |  Borlingegowda Viswanatha, MS, DLO, PhD

Abstract

Rhinosporidiosis is a chronic granulomatous disease that primarily affects the mucous membranes of the nose and nasopharynx. It is caused by Rhinosporidium seeberi. Clinically it presents as a reddish, bleeding, polypoid mass with a characteristic strawberry-like appearance on...

Otologic manifestation of Samter triad

July 14, 2014  |  Danielle M. Blake, BA; Alejandro Vazquez, MD; Senja Tomovic, MD; Robert W. Jyung, MD

It is important for otolaryngologists to be aware of the mucoid quality of these middle ear effusions, as they tend to be persistent and they do not respond well to myringotomy and tube placement, which usually results in tube obstruction.

Bacteriology and antimicrobial susceptibility of ENT infections in a tropical hospital

June 9, 2014  |  Yok Kuan Chew, MBBS; Jack Pein Cheong, MBBS; Nambiar Ramesh, MBBS; Mohamad Din Noorafidah, MPath; Sushil Brito-Mutunayagam, MS; Abdullah Khir, MS; Narayanan Prepageran, FRCS

Abstract

We conducted a retrospective observational study to determine the spectrum and antibiotic sensitivity pattern of organisms isolated in otorhinolaryngologic (ORL) infections. We reviewed the laboratory culture and sensitivity records of 4,909 patients-2,773 males (56.5%) and 2,...

Condyloma acuminatum of the buccal mucosa

June 9, 2014  |  Rashmi Jaiswal, PhD; Manoj Pandey, MS; Mridula Shukla, DipNB; Mohan Kumar, MD

Abstract

Condyloma acuminatum is a human papillomavirus (HPV)-induced disease. It is usually transmitted sexually, and it frequently occurs in the anogenital area. A finding of condyloma acuminatum in the oral cavity is rare. Besides HPV, other risk factors for oral condyloma include...

Descending necrotizing mediastinitis: A conservative approach

March 19, 2014  |  Sriram Iyer, MRCP; Joseph Collum, MRCP; Marta Babores, FRCP

Abstract

Descending necrotizing mediastinitis (DNM) is a now-rare complication of dental and pharyngeal infections. Reports in the literature have emphasized the need for early, aggressive surgical intervention. We present a case of DNM with bilateral empyemas that arose secondary to a...

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