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Painful rash of the auricle: Herpes zoster oticus

December 19, 2014  |  Chao-Yin Kuo, MD; Yuan-Yung Lin, MD; Chih-Hung Wang, MD, PhD

A PCR assay in addition to conventional serologic testing provides quick confirmation of the diagnosis of herpes zoster oticus infection.

TNF-Alpha inhibitor as a cause of refractory suppurative laryngitis and rhinosinusitis

September 18, 2017  |  Sevtap Akbulut, MD; Lyndsay L. Madden, DO; Berrylin J. Ferguson, MD, FACS; Clark A. Rosen, MD, FACS

Discontinuation of TNF-α inhibitors is recommended in patients with bacterial infections requiring antibiotic therapy or those with severe upper respiratory infection.

An embedded earring backing in the tragus

July 18, 2017  |  Ta-Chin Wang, MD; Kai-Chieh Chan, MD

If signs of infection occur, the earring(s) should be removed and antiseptics or antibiotics applied.

Idiopathic pretracheal deep neck space infection with mediastinal extension: A series of 3 cases and review of the literature

June 20, 2017  |  Samuel Roberts, BMed; Lyndon Chan, MBBS (Hons); Robert Eisenberg, MBBS, FRACS

Abstract

Idiopathic pretracheal deep neck space infection is an extremely rare condition with potentially devastating complications. We present a series of 3 cases of pretracheal deep neck space infection that arose in the absence of trauma or a congenital lesion and that exhibited...

Nasal, pharyngeal, and laryngeal pemphigus vulgaris successfully treated with rituximab

April 30, 2017  |  Naveed Sami, MD

Abstract

Pemphigus vulgaris is a potentially fatal autoimmune blistering disease that can involve the nasopharyngeal and laryngeal tissues. The disease can be recalcitrant to conventional oral treatments, and treatment alternatives are limited. This retrospective study evaluated the...

Nasal, oral, and pharyngolaryngeal manifestations of pemphigus vulgaris: Endoscopic ororhinolaryngologic examination

March 24, 2017  |  Masafumi Ohki, MD; Shigeru Kikuchi, MD, PhD

Abstract

Pemphigus vulgaris is an autoimmune blistering disorder that involves the skin and mucous membranes. Few reports have described nasal and oropharyngolaryngeal lesions in pemphigus vulgaris using an endoscopic ororhinolaryngologic examination. We retrospectively reviewed the...

Efficacy of Intralipid infusion in reducing amphotericin-B-associated nephrotoxicity in head and neck invasive fungal infection: A randomized, controlled trial

February 20, 2017  |  Mehrdad Hasibi, MD; Sirous Jafari, MD; Seyyed Ali Dehghan Manshadi, MD; Marjan Asadollahi, MD; Mohammadreza Salehi, MD; Varasteh Vakili Zarch, MD; Ali Kouhi, MD

Abstract

Amphotericin B deoxycholate (ABD) is the best therapeutic agent available for the treatment of most systemic fungal infections. However, some untoward adverse effects such as nephrotoxicity may limit its appropriate therapeutic use. We conducted a randomized, controlled trial...

Acute bacterial meningitis caused by acute otitis media in adults: A series of 12 patients

January 25, 2017  |  Daniel M. Kaplan, MD; Ofer Gluck, MD; Mordechai Kraus, MD; Youval Slovik, MD; Hindy Juwad, Bsc

Abstract

We conducted a retrospective chart review to characterize the outcomes of 12 patients-9 men and 3 women, aged 21 to 79 years (mean: 49)-who had been treated at our tertiary care center for acute bacterial meningitis caused by acute otitis media (ABMAO). Fever was the most...

Invasive fungal laryngopharyngitis resulting in laryngeal destruction with complete laryngotracheal separation: Report of a case

January 25, 2017  |  Tyler Swiss, BS; Sergio Santino Cervantes, MD; Michael Hinni, MD; David G. Lott, MD

Abstract

As the treatment of hematopoietic cancers evolves, otolaryngologists will see a higher incidence of opportunistic infections. We discuss a case of invasive fungal disease that invaded the larynx, pharynx, trachea, and pulmonary parenchyma after chemotherapy. The patient, a 46-...

Blastomycosis of the nose: A case report

August 21, 2016  |  Thomas M. Jetmore, MD; Jennifer Phan, MD; Abideen O. Yekinni, MD, FACS

Abstract

Blastomyces dermatitidis is a thermally dimorphic fungus endemic to the North American soil near the Mississippi, Ohio, and St. Lawrence river valleys, as well as the Great Lakes Basin. It is responsible for blastomycosis, a systemic pyogranulomatous disease. Blastomycosis of...

Idiopathic nasal bone osteitis: A preliminary report on a recently recognized entity

August 21, 2016  |  Yotam Shkedy, MD; Ohad Ronen, MD; Sarah Gips, MD; Avi Front†; Tal Marshak, MD; Nechama Uri, MD

Abstract

Osteitis of the nasal bones is a rare disease; when it occurs, it usually has a known etiology. To the best of our knowledge, idiopathic nasal bone osteitis (NBO) has not been described before. We conducted a study to analyze the behavior of idiopathic NBO and its outcome and...

Detection of CMV DNA in the perilymph of a 6-year-old boy with congenital cytomegalovirus infection

June 14, 2016  |  Ina Foulon, MD; Oriane Soetens, PhD; Leen Vleurinck, MA; Frans Gordts, PhD; Astrid Leus, MD; Anne Naessens, PhD

Abstract

We present the case of a 6-year-old boy who received a cochlear implant for profound sensorineural hearing loss after being born with cytomegalovirus (CMV) infection. Even after 6 years, CMV DNA was still found in the perilymph of the cochlea. Our case shows that CMV DNA can be...

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