Pyrexia of unknown origin (PUO) is not infrequently a diagnostic dilemma for clinicians. Endocrine causes of PUO are rare. The endocrine disorder likely to present as PUO is subacute thyroiditis. Subacute thyroiditis usually occurs in middle-aged women as viral prodrome, classic symptoms of thyrotoxicosis, and an elevated erythrocyte sedimentation rate. The patient may have abrupt onset of fever and chills with complaints of thyroid pain, or only low-grade fever with poorly characterized anterior neck pain. We present a case of PUO in a 40-year-old male who had fever for more than two month. Despite an extensive evaluation, the patient had persistent fever and no cause was found, with the exception of subacute thyroiditis. The fever resolved from the fifth day of treatment with low-dose steroid (Prednisolone, 10mg per day). This case illustrates that subacute thyroiditis should be considered in cases of FUO. HOW TO CITE THIS ARTICLE:
<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Chronic otitis media (COM), is a common ailment with which patients present to the ENT OPD. In patients with COM, the active infection needs to be controlled following which the definitive line of management is surgery. Tympanoplasty is the surgery performed with the goals of establishing an intact tympanic membrane, eradicating middle ear disease, creating an air-containing middle ear space and restoring the hearing by building a secure connection between the ear drum and the cochlea. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">50 patients presenting with CSOM in ENT OPD at Medical College. Preoperative audiometry was done before tympanoplasty, followed by post-operative audiometry after 3 months. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The mean air-bone gap closure was 12.06 dB; with type I tympanoplasty with cortical mastoidectomy giving a maximum mean improvement of 16db. Minimum mean improvement of 1db was seen in type IV with modified radical mastoidectomy. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Type I tympanoplasty with cortical mastoidectomy is a far superior method of surgical treatment of CSOM than all other methods.</span></p>
Pleomorphic adenoma (PA) is the most common benign mixed salivary gland neoplasm that accounts for 60% of all benign salivary gland tumors. It has diverse histological presentation and occurs in both major and minor salivary glands. PA of minor salivary gland in the palate is a common entity. We report the case of a 60-year-old female who presented with a painless slow growing swelling of palate over the last 2 years. The mass was crossing the midline of the soft palate. Fine needle aspiration cytology (FNAC) was suggestive of PA. The entire tumor mass was excised along with overlying mucosa. Histopathological examination confirmed diagnosis of PA of minor salivary gland. There has been no recurrence of the lesion since 6 months.
Epidermoid cysts are benign lesions, characterized by cystic spaces lined by simple squamous epithelium (epidermal cyst), containing skin adnexa ("true" dermoid cyst) or tissues of all three germ layers (teratoid cyst). 7% of all cases of epidermoid and dermoid cysts are seen in the head and neck. There is often a diagnostic dilemma with the more common cystic lesions of this region. The most common are the epidermal cysts which present as nodular and fluctuant subcutaneous lesions and they are seen mainly in the acne-prone areas like the head, neck and the back. The presence of benign cystic lesions in the salivary glands is extremely rare. We are reporting a rare case of a 12-year old female child who presented with a soft swelling on the left side of the face. A diagnosis of an epidermoid cyst was given on cytology. An enucleation of the cyst was performed and the histopathology confirmed the above diagnosis.
To report an unusual case of right lacrimal pyocele. Lacrimal sac pyocele or a mucocele presents with symptoms like epiphora, associated recurrent conjunctivitis and swelling at the inner canthus with mild erythema of the overlying skin. On regurgitation a frank purulent discharge flows from the lower punctum. If openings of canaliculi are blocked at this stage the so called encysted pyocele results. 3 our case differs from the usual in that in spite of a presence of a pyocele there is no external or internal swelling and no associated symptoms other than excessive watering of eye.
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