Publications by authors named "Carmen Ecaterina Leferman"

Article Synopsis
  • - A 72-year-old woman had a large tumor on her lower eyelid, which was surgically removed, but complications arose due to her anticoagulant medication, rivaroxaban, causing increased bleeding.
  • - The tumor was diagnosed as a well-differentiated squamous cell carcinoma, specifically keratoacanthoma type, leading to the need for a larger excision of the tumor area.
  • - To ensure complete removal and preserve eyelid function and appearance, the surgery involved extensive excision and reconstruction techniques, often requiring multiple procedures for thorough histological clearance.
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Epidermal inclusion cysts in the periocular region are distinctive pathologies exhibiting varied clinical and radiological features, and they should be taken into consideration in the differential diagnosis of cystic lesions near the orbit. This article discusses the clinical and radiological details, along with the surgical results, of two individual cases of epidermal inclusion cysts, with different localization and without any preceding trauma, surgical history, or eyelid inflammation. In the first case, a substantial spherical structure closely connected to the tarsal plate was identified via excisional biopsy, whereas the second case involved a soft, oval tumor located at the outer right orbital corner, as determined clinically and validated through computed tomography.

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The limited antifungal drugs available and the rise of multidrug-resistant species have made the efforts to improve antifungal therapies paramount. To this end, our research focused on the effect of a combined treatment between chemical and photodynamic therapy (PDT) towards a fluconazole-resistant clinical strain. The co-treatment of PDT and curcumin in various doses with fluconazole (FLC) had an inhibitory effect on the growth of the FLC-resistant hospital strain of in both difusimetric and broth microdilution methods.

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Mitocurcumin (a triphenylphosphonium curcumin derivative) was previously reported as a selective antitumoral compound on different cellular lines, as well as a potent bactericidal candidate. In this study, the same compound showed strong antimicrobial efficacy against different strains of methicillin-resistant (MRSA). The minimum inhibitory concentration was identical for all tested strains (four strains of MRSA and one strain of methicillin-sensitive ), suggesting a new mechanism of action compared with usual antibacterial agents.

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Orbital apex syndrome (OAS) can be a rare, but severe complication of an odontogenic infection and has high morbidity and mortality. Antibacterial drugs are typically an appropriate treatment choice, but the most severe cases are fungal in nature and pose a tough challenge to the clinician. The aim of this study was to determine the predisposing factors, specific aspects in its management and the appropriate treatment strategy in order to improve patient outcome.

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