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Infection

Oral hairy leukoplakia in an HIV- negative patient

June 12, 2013  |  Evan M. Graboyes, MD; Clint T. Allen, MD; Rebecca D. Chernock, MD; and Jason A. Diaz, MD

Abstract

We report the case of a 31-year-old woman with systemic lupus erythematosus who was found to have oral hairy leukoplakia (OHL). She was on immunosuppressive therapy but was human immunodeficiency virus (HIV)-negative. OHL has been previously reported in HIV-negative patients...

Necrotizing cervical fasciitis: Prognosis based on a new grading system

March 25, 2013  |  Jagdeep Singh Thakur, MS; Neeti Verma, MS; Anamika Thakur, MD; Dev Raj Sharma, MS; Narinder Kumar Mohindroo, MS, DORL

Abstract

We conducted a 10-year retrospective study to determine the prognosis of necrotizing cervical fasciitis (NCF). Our study population included 38 patients-32 males and 6 females, aged 10 months to 70 years (mean: 55 yr)-who had presented for management of NCF at our tertiary care...

Does tonsillectomy affect the outcome of drug treatment for the eradication of gastric H pylori infection? A pilot study

March 25, 2013  |  Ozan Seymen Sezen, MD; Utku Kubilay, MD; Yusuf Erzin, MD; Murat Tuncer, MD; Seref Unver, MD

Abstract

Eradication of Helicobacter pylori, which is associated with diverse gastroduodenal pathologies of varying severity, is sometimes challenging. We conducted a prospective study to determine the effect of tonsillectomy on the eradication of H pylori from the...

Recurrent post-tympanostomy tube otorrhea secondary to aerobic endospore-forming bacilli: A case report and brief literature review

February 25, 2013  |  James J. Jaber, MD, PhD; Matthew L. Kircher, MD; Eric Thorpe, MD; Ryan G. Porter Sr., MD; John P. Leonetti, MD; Sam J. Marzo, MD

Abstract

We report a unique case in which a 57-year-old man with an 8-year history of late recurrent post-tympanostomy tube otorrhea (PTTO) was found to harbor Bacillus subtilis, an aerobic endospore-forming bacillus that is typically resistant to chemical and physical agents...

Hyperplastic epiglottis caused by chronic inflammation

January 24, 2013  |  Mark D. Wilkie, MBChB; Samuel C. Leong, MPhil; Alessandro Panarese, FRCS; Arnab Banerjee, FRCS

Due to the development of Hib vaccines, the epidemiology of epiglottitis has shifted dramatically back toward adult presentations, with a marked decline in the incidence among children.

Middle ear atelectasis

November 1, 2012  |  Min-Tsan Shu, MD; Kang-Chao Wu, MD; Yu-Chun Chen, MD

Tympanic membrane retraction caused by long-term eustachian tube dysfunction may lead to erosion of the ossicles and cholesteatoma.

Chromobacterium violaceum necrotizing fasciitis: A case report and review of the literature

November 1, 2012  |  Jonathan K. Seigel, MD; Michael E. Stadler, MD; Jennifer L. Lombrano, DDS; Jeffrey S. Almony, MD, DDS; Marion E. Couch, MD, PhD; and Thomas H. Belhorn, MD, PhD

Abstract

Necrotizing fasciitis is a severe, rapidly progressive infection of the subcutaneous tissue that causes significant destruction. It is rarely encountered in the pediatric population. We describe the case of a 14-year-old boy who was diagnosed with Chromobacterium...

Otogenic pneumocephalus as a complication of multiple myeloma

September 7, 2012  |  Melissa J. Maguire, MD; Uma Nath, MD; Guiseppe E. Bignardi, MD

Abstract

We report a case of otogenic pneumocephalus in an 80-year-old woman with multiple myeloma. The pneumocephalus was associated with Haemophilus influenzae otitis media and reactive meningitis in the absence of an intracranial...

Endoscopic view of secretion transport in the maxillary sinus following a long-term inferior meatal antrostomy

August 10, 2012  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

It is important to remove any obstruction of the natural ostium of the maxillary sinus or the ethmoid infundibulum because maxillary sinus secretions will be transported toward the natural ostium even when a previously placed large and patent inferior meatal antrostomy is present.

Staphylococcus aureus cavernous sinus thrombosis mimicking complicated fungal sinusitis

July 5, 2012  |  Murat Songu, MD; Nazan Can, MD; Kazim Onal, MD; Secil Arslanoglu, MD; Nezahat Erdogan, MD; Aylin Kopar, MD; Ejder Ciger, MD

Abstract

Septic cavernous sinus thrombosis is a rare and potentially life-threatening complication of infections involving the paranasal sinuses or the middle one-third of the face. We report a challenging case of cavernous sinus thrombosis...

Acute candidal pharyngolaryngitis

July 5, 2012  |  Andrew Mallon, DO; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS

Use of inhaled steroids has been identified as a risk factor for the development of laryngeal candidiasis. Therefore, if dysphonia, cough, and general laryngeal irritation occur in a patient using inhaled steroids, the possibility of laryngeal candidiasis should be considered.

Mycoplasma an unlikely cause of bullous myringitis

June 4, 2012  |  Lisa Cramer, BA; Dina M. Emara, MBBCh; Arun K. Gadre, MD, FACS

Despite common belief, Mycoplasma pneumoniae is an extremely rare causative agent for bullous myringitis. Instead, it is caused by the same organisms responsible for acute otitis media.

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