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Infection

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...

Necrotizing fasciitis of the ear: An unusual case

March 19, 2014  |  Jessica L. Gullung, MD; Jacob E. Smith, MD; April D. Hendryx, DO; Krishna G. Patel, MD, PhD

Abstract

We describe a rare case of necrotizing fasciitis of the ear in an otherwise generally healthy 39-year-old man. The ear is rarely involved in this often-fatal disease. The diagnosis was suspected on the basis of clinical examination and confirmed by computed tomography and...

Fungal necrotizing fasciitis of the head and neck in 3 patients with uncontrolled diabetes

March 19, 2014  |  Saravanam Prasanna Kumar, DNB; Arunachalam Ravikumar, MS; Lakshmanan Somu, MS

Abstract

Necrotizing fasciitis is an uncommon, rapidly progressive soft-tissue infection that is associated with a high incidence of morbidity and mortality. It is usually caused by bacteria and rarely caused by or complicated by a fungus. We report 3 cases of necrotizing fasciitis of...

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...

Recurrent auricular perichondritis in a child as the initial manifestation of insulin-dependent diabetes mellitus: A case report

February 12, 2014  |  Andria M. Caruso, MD; Macario Camacho Jr., MD; and Scott Brietzke, MD

Abstract

An 8-year-old boy presented to our otolaryngology clinic three times in a 3-month period for treatment of acute auricular perichondritis. At each visit he was treated with an antibiotic, and he responded quickly in each case, with a complete resolution of his infection. The...

Melioidosis of salivary glands with coexisting diabetes: Management of a difficult case

January 21, 2014  |  M. Panduranga Kamath, MS, DLO; Kiran Bhojwani, MS; Mahabala Chakrapani, MD; Katara P. Vidyalakshmi, MD; K.P. Vishnuprasad, MBBS

Abstract

Melioidosis is an infectious disease caused by the gram-negative bacillus Burkholderia pseudomallei. Melioidosis is endemic in Southeast Asia and northern Australia. An important risk factor for the development of melioidosis is the presence of diabetes mellitus, which...

Concha bullosa mucocele and mucopyocele: A series of 4 cases

January 21, 2014  |  Khalid H. Al-Sebeih, MD, FRCSC, FACS; Mohd H. Bu-Abbas, MD

Abstract

Concha bullosa is an aerated turbinate in the nose. It is a common anatomic variant that can develop a mucocele if obstructed, which can further progress to become a mucopyocele if infected. A mucopyocele can expand and cause destruction of neighboring tissues. A review of the...

Intracranial and internal jugular vein thrombosis secondary to ENT infections: A report of 3 cases

October 24, 2013  |  Faruque Riffat, BSc(Med), MBBS (Hons); Martin Forer, FRACS; Andrew Wignall, FRACS; David Veivers, FRACS; Nirmal Patel, MS, FRACS

Abstract

We report 3 cases of rare, life-threatening intracranial and internal jugular vein (IJV) thrombosis that were caused by common ENT infections. These infections included otitis media in a 6-year-old girl, tonsillitis in a 21-year-old woman, and odontogenic sepsis in a 56-year-...

Dengue fever: A primer for the otolaryngologist

July 22, 2013  |  Demetri Arnaoutakis, MD; Tapan A. Padhya, MD

Abstract

It has been estimated that more than 50 million cases of dengue occur worldwide each year, mostly in the tropics. In light of recent cases appearing in central and southern Florida, dengue has reemerged as a public health issue in the United States with respect to infection...

Laryngotracheal rhinosporidiosis

July 22, 2013  |  J. Madana, MS; Deeke Yolmo, MS; S. Gopalakrishnan, MS; Sunil K. Saxena, MS

Abstract

Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi. It usually affects mucous membranes of the nose, nasopharynx, and ocular conjunctiva. Cutaneous, laryngeal, tracheal, genital, and bony dissemination is rare. Laryngotracheal...

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