Cases reported "Tonsillitis"

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11/27. Neuro-Behcets/neuro-Sweets disease presents simultaneously with severe tonsillitis, and features mimicking bacterial meningitis with skin lesions.

    The patient was hospitalized due to rapidly undulant fever and sore throat. Empirical antibiotic therapy was started, however, headache also occurred. Lumbar puncture disclosed polynuclear leukocyte-predominant pleocytosis indicating that the patient suffered from bacterial meningitis. The antibiotics therapy was increased, however, consciousness became impaired and erythema multiforme-like skin lesions appeared. T2-weighted brain magnetic resonance imaging showed high signal intensity in the brainstem. HLA testing revealed B54 and Cw1. The patient presented futures of Behcets disease at the same time as those of Sweets syndrome and it was difficult to distinguish between the two diseases. Administration of prednisolone showed remarkable effect.
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ranking = 1
keywords = fever
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12/27. Unstable occult cervical-spine fracture.

    Recognition of injuries to the cervical spine is of critical importance. Such injuries may be difficult to recognize in patients who have an altered level of consciousness or other significant injuries. We present the case of an alert ambulatory patient with no complaint of neck pain, no tenderness of the neck on physical examination, and no history of trauma who, while being evaluated for fever, was found to have an unstable cervical-spine fracture that was not present on radiographs done one year earlier.
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ranking = 1
keywords = fever
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13/27. Acute nonrheumatic perimyocarditis complicating streptococcal tonsillitis.

    Streptococcal infection is a rarely recognized cause of nonrheumatic perimyocarditis. We report a case of a young patient who developed acute perimyocarditis as manifested by diffuse electrocardiogram changes, and markedly elevated cardiac enzymes, concurrently with streptococcal tonsillitis. Despite the dramatic presentation, the patient recovered uneventfully. We conclude that streptococci can involve the heart also directly by a bacterial component or toxin, and not only through a delayed immunologic mechanism as in rheumatic fever. Further studies are necessary to accurately determine the incidence of myocardial involvement during early stages of streptococcal infection.
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ranking = 1
keywords = fever
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14/27. Fatal human cyclical neutropenia with unresolving tonsillitis and bilateral cervical abscesses.

    Human Cyclical neutropenia is a rare haematological disorder, characterized by periodic oscillations in peripheral neutrophil levels from normal to neutropenic, during which patients experience ulcerative stomatitis, fever, malaise and occasional cutaneous and subcutaneous infections. We present our experience with a fatal case of Human Cyclical neutropenia together with a brief review of the literature and diagnostic criteria. The paper aims to heighten the clinical awareness of the otolaryngologist to the condition. Close co-operation with the haematologist is essential both for diagnosis and management.
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ranking = 1
keywords = fever
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15/27. infectious mononucleosis complicated by lingual tonsillitis.

    Although upper airway obstruction and superimposed infection are well-known complications of infectious mononucleosis, lingual tonsillitis in this context has not been mentioned in the literature. We describe a case of acute bacterial lingual tonsillitis with airway obstruction complicating infectious mononucleosis. The role of the base of tongue region in the pathophysiology of infectious mononucleosis is discussed.
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ranking = 1212.6484842667
keywords = infectious mononucleosis, mononucleosis
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16/27. Streptococcal tonsillitis and acute nonrheumatic myopericarditis.

    Two young men with streptococcal tonsillitis had acute myopericarditis mimicking myocardial infarction. Subsequently, 264 consecutive army conscripts hospitalized with a fever and sore throat underwent throat cultures. Group A streptococci were found in 84 patients. When these patients were systematically screened by serial electrocardiography for myocarditis, one case of probable asymptomatic myocarditis was diagnosed. None had signs of acute rheumatic fever. All three patients received penicillin therapy when the signs of myocarditis appeared. Their recovery was good.
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ranking = 2
keywords = fever
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17/27. Lemierre's disease: postanginal bacteremia and pulmonary involvement caused by fusobacterium necrophorum.

    The combination of acute pharyngotonsillitis, neck pain, fever, and pulmonary septic emboli caused by fusobacterium necrophorum in a healthy young person is extremely rare. The entity was described by Lemierre in 1936 as a typical syndrome easy to recognize and diagnose exclusively on clinical grounds. A case of Lemierre's disease is reported, and 10 other cases found in the medical literature are reviewed.
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ranking = 1
keywords = fever
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18/27. atrioventricular block complicating acute streptococcal tonsillitis.

    A 38 year old woman presented with severe weakness, high fever, and sore throat. physical examination showed follicular tonsillitis and bradycardia caused by a atrioventricular block. Within 24 hours a normal sinus rhythm was regained but slight transient ST-T changes compatible with myocarditis were evident. Throat culture grew streptococcus haemolyticus group A.
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ranking = 1
keywords = fever
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19/27. An unusual otolaryngological problem--mucocutaneous lymph node syndrome (Kawasaki's syndrome) case report.

    A case of Kawasaki's syndrome is reported, involving a 12 year old Caucasian male who presented with a sore throat, tonsillar hypertrophy, bilateral cervical swelling, and fever. A maculopapular rash present was attributed to a reaction to methicillin. An initial diagnosis of peritonsillar cellulitis with deep lateral neck space cellulitis and abscess was made. Negative surgical exploratory findings and subsequent development of specific signs and symptoms prompted the diagnosis of Kawasaki's disease. Treatment with salicylates proved effective and the patient was discharged home. Kawasaki's disease, a disorder of unknown origin with potentially fatal results, is not an uncommon condition. An awareness of this entity with its protein manifestations is warranted by the otolaryngologist who may well be the first doctor on the scene. Prompt and early treatment with salicylates may well decrease morbidity and potential mortality of this enigmatic disease.
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ranking = 1
keywords = fever
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20/27. Acute rheumatic fever with extracapillary glomerulonephritis and the nephrotic syndrome.

    A 34 year old woman is described in whom carditis, arthritis, fever, leukocytosis and a high sedimentation rate developed two weeks after a streptococcal infection. The patient also had the nephrotic syndrome and rapidly progressive renal insufficiency. The renal biopsy specimen showed acute extracapillary (crescentic) glomerulonephritis. The initial response to corticosteroid therapy was good, but later a slowly progressive renal function impairment was seen.
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ranking = 5
keywords = fever
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