1/11. Parotid abscess caused by mycobacterium tuberculosis.Tuberculosis of the parotid gland is rare. A 16-month-old US-born male infant with immigrant parents from sudan presented to his primary care physician with periorbital cellulitis and preauricular lymphadenitis. He underwent incision and drainage of an abscess in the right intraparotid lymph node. The aspirate was positive for acid-fast bacilli by auramine-rhodamine stain and subsequently grew mycobacterium tuberculosis. Antitubercular medications were started postoperatively.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/11. Simultaneous occurrence of hodgkin disease and tuberculosis: report of three cases.Tuberculosis (TB) has been described in association with malignancies including hodgkin disease (HD). We report three cases of simultaneous occurrence of TB and HD. In two of these cases clinical symptoms improved after TB treatment was instituted and before HD was diagnosed. Fever recurrence in one case and persistence of mediastinal lymphadenopathy in the other, however, prompted consideration of an additional diagnosis. Interestingly, in one these two patients, both TB and HD diagnosis were obtained from the same lymph node. Since both diseases share many symptoms and signs, physicians faced with initial therapeutic failure when caring for HD and TB patients should be aware of the possibility of the simultaneous occurrence of both diseases.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/11. actinomycosis or tuberculosis? A diagnostic dilemma.actinomycosis of spine is a very rare disease. Very few cases have been studied and reported in the past. The dilemma of distinguishing the condition from other disorders relies on the competency of the treating physician and a proper knowledge of the subtle radiological differences between these disorders especially in underdeveloped and developing countries where tuberculosis still has a very strong foothold. A rare atypical case of actinomycosis of spine resembling tuberculosis is presented.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/11. Tuberculosis of the middle ear in an infant.Tuberculosis of the middle ear is currently a rare disease. As most physicians are unfamiliar with the typical presenting features, the diagnosis is made too late, with resulting complications, such as irreversible hearing loss and facial nerve paralysis. A case report and review of the literature are presented, emphasizing that tuberculosis should be considered in the differential diagnosis of chronic ear infection.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/11. Tuberculosis epidemic among hospital personnel.Six employees of the emergency department at Parkland Memorial Hospital developed active tuberculosis in 1983-1984. Five of the cases occurred four to 12 months after exposure to the index case, a patient with severe cavitary tuberculosis seen in the emergency department in April 1983. One resident physician developed cavitary disease after exposure to this patient. An additional employee case may have resulted from transmission from one of the initial employee cases. One immunocompromised patient may have acquired tuberculosis as a result of exposure to the index case. In addition, the tuberculin skin tests of at least 47 employees exposed to the index case converted from negative to positive. Of 112 previously tuberculin-negative emergency department employees who were tested in October 1983, 16 developed positive skin tests, including the 5 employees with active disease. Fifteen of these new positives had worked on April 7, 1983, while the index case was in the emergency department (X2 = 20.6, P less than 0.001). Factors related to the genesis of the epidemic included the disease characteristics in the index case and the recirculation of air in the emergency department. This investigation indicates that city-county hospital emergency department employees should be screened at least twice a year for evidence of tuberculosis and that the employee health services of such hospitals should regard the surveillance of tuberculosis infection among personnel at a high-priority level.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/11. Disseminated BCG disease associated with immunotherapy by scarification in acute leukemia.Disseminated BCG infection developed in a patient with acute leukemia receiving BCG immunotherapy by scarification. Predisposing factors included the underlying malignancy, intensive chemotherapy, and continuous high-dose corticosteroids. The scarification technique is safe; however, physicians should be alert to this syndrome as a cause of fever of unknown origin in cancer patients receiving BCG immunotherapy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/11. Tuberculosis of the middle ear: review of the literature with an instructive case report.Tuberculosis of the middle ear is currently a rare disease in developed countries but one that still occurs and typically causes significant morbidity manifested by profound and permanent hearing loss. diagnosis is difficult since most physicians are unfamiliar with the typical presenting features; in addition, special cultural and pathologic studies are required for diagnosis. A case report and review of the literature are presented to delineate typical clinical, epidemiologic, and laboratory features of tuberculous otitis media and associated tuberculous disease. A diagnostic and therapeutic plan is outlined that would allow early therapy and preservation of hearing.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/11. Tuberculous psoas abscess.Although its historical significance is well established, mycobacterium tuberculosis today is considered an extremely rare cause of psoas abscess. Nontuberculous bacterial infection, most commonly secondary to an intraabdominal process but at times appearing without an identifiable source, is responsible for the vast majority of psoas abscesses. The recent resurgence of tuberculosis may portend another change in the etiologic trend of psoas abscess. It is essential that the emergency physician not only recognize the potentially subtle presentation of psoas abscess, but also include tuberculosis in the differential diagnosis of infectious causes of this entity. A case of tuberculous psoas abscess in an hiv-negative man is presented. A review of the anatomy, pathophysiology, clinical presentation, epidemiology, and treatment follows, highlighting the similarities and differences between tuberculous and nontuberculous psoas infection.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
9/11. Tuberculosis as the cause of diffuse parotitis.Parotid swelling as the presenting symptom of acute tuberculosis is uncommon and often missed. Inappropriate treatment or referral can lead to serious sequelae. Because the incidence of extrapulmonary tuberculosis at all sites has been increasing steadily since 1985, this diagnosis now must enter into the differential of any individual at risk. awareness on the part of the emergency physician will allow prompt recognition and appropriate treatment of this disease.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
10/11. An unusual presentation: primary tuberculosis of the middle ear cleft.Tuberculosis rarely affects the middle ear cleft; therefore, except for those working in close association with respiratory physicians, the disease is a curiosity and not often considered in the differential diagnosis of otorrhea. The diagnosis is thus made too late, with resulting complications such as irreversible hearing loss and facial nerve paralysis. A case report and review of the literature are presented, emphasizing that tuberculosis should be considered in the differential diagnosis of chronic ear infection.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
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