1/5. A case of thoracic empyema due to suppurative melioidosis.melioidosis is considered a rare disease in hong kong, and its diagnosis and treatment can be difficult. We report the case of a patient who presented with thoracic empyema. The material sampled from the empyema was initially labelled burkholderia cepacia. The diagnosis of melioidosis due to burkholderia pseudomallei could only be made after repeated cultures, and performing arginine dihydrolase and serological tests. The patient was initially treated with imipenem for 2 weeks, and then with ciprofloxacin as maintenance therapy. A resistant strain of the organism developed after 7 months of treatment. The patient was then given co-amoxiclav. Repeated courses of surgical drainage and debridement were also instituted. Subsequent computed tomographic scanning of the thorax showed gradual resolution of the empyema.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
2/5. Intraoral actinomycotic lesion: a case report.actinomycosis often referred to, as the chameleon of the head and neck pathology is a rare disease, uncommon in children. This article refers to a case of intraoral actinomycotic lesion of the palate in a child following a rare aetiology, the relevant literature, clinical course and its successful resolution.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
3/5. Recurrent suppurative thyroiditis due to fourth branchial pouch sinus.Acute suppurative thyroiditis is a rare disease in childhood. The etiology of this condition is not always obvious. The description of a pharyngeal pouch fistula extending from the pyriform sinus to the thyroid gland or perithyroid area, high-lighted the etiopathogenesis of some of the thyroiditis cases. Presented here are the clinical, radiological and pathological aspects of an internal pharyngeal fistula manifesting with recurrent suppurative thyroiditis, until it was completely removed. The clinical features of caudal branchial pouch remnants and their role in the development of acute suppurative thyroiditis is reviewed.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
4/5. pyomyositis tropicans: a diagnostic dilemma.pyomyositis tropicans is a rare disease in non-tropical climates and thus presents diagnostic difficulties. Two children with single staphylococcal psoas muscle abscesses were recently successfully treated. Computerized axial tomography was found to be a useful diagnostic aid, allowing exact localization of the lesion. The diagnosis and therapy of these abscesses are discussed.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
5/5. Acute suppurative thyroiditis.Acute suppurative thyroiditis is a rare disease which may be confused with other, more common thyroid disorders. Gram-positive organisms such as streptococcus, staphylococcus, and Pneumococcus are most frequently responsible for this condition. Appropriate antibiotics should be selected to control local and systemic signs of infection. Incision and drainage of fluctuant areas are indicated. Thyroid function almost always returns to normal with eradication of infection.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |