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A 72-year-old male with a history of excessive alcohol intake (35+ units of alcohol daily) presented to the emergency department with bilateral vision loss, periorbital swelling, headache, and sinus congestion with bloody nasal discharge. He was newly diagnosed with diabetes mellitus and presented with severe diabetic ketoacidosis and a hypertensive emergency (blood pressure of 240/90 mmHg). Despite initial normal brain and orbital imaging, the clinical presentation was complicated by multiple life-threatening conditions and a prior immunocompetent status, thereby delaying the early suspicion of mucormycosis.
View Article and Find Full Text PDFUnusual Presentation of a Pediatric Burkitt's Lymphoma With Infiltration of the Interatrial Septum.
J Pediatr Hematol Oncol
December 2024
Division of Paediatric Cardiology.
Background: Burkitt's lymphoma (BL) is the most common subtype of non-Hodgkin lymphoma in children, typically presenting with extranodal masses in areas such as the abdomen, face, and neck. Cardiac involvement in BL is extremely rare, especially in pediatric patients, and has significant implications for diagnosis, management, and prognosis.
Case Presentation: A 6-year-old male patient with Burkitt's lymphoma, presenting with an uncommon infiltration of the interatrial septum, is described.
Bilateral periorbital leukemia cutis.
Br J Dermatol
December 2024
Dermatology Department, La Paz University Hospital, Madrid, Spain.
necrotising fasciitis of the face after minor trauma presenting as periorbital cellulitis.
BMJ Case Rep
December 2024
Surgery, Shri BM Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India.
Article Synopsis
- Necrotising fasciitis (NF) is a serious, fast-spreading infection known as "flesh-eating disease," primarily affecting soft tissues and leading to skin necrosis.
- An elderly male developed periorbital NF after a minor head injury, showing symptoms like swelling and discharge, with a rare pathogen identified as the cause.
- The treatment involved antibiotics, surgery, and skin grafting, resulting in significant recovery, highlighting the need for quick diagnosis and intervention to avoid severe outcomes.
Ethmoid Sinus Mucocele Penetrating the Anterior Skull Base: A Case Report.
J Rhinol
July 2024
Division of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.
Sinus mucoceles are nonmalignant cystic tumors lined by non-neoplastic epithelium, typically involving the frontal and ethmoid sinuses. Although it is common for these mucoceles to cause destruction of surrounding bone tissue due to their growth, cerebrospinal fluid leaks resulting from skull base penetration by an ethmoid sinus mucocele have rarely been reported. A 24-year-old male patient presented with right proptosis and right periorbital pain, who underwent bilateral endoscopic sinus surgery 12 years ago.
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