TAILIEUCHUNG - Báo cáo y học: " Wegener's Granulomatosis presenting with an abscess in the parotid gland: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Wegener's Granulomatosis presenting with an abscess in the parotid gland: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Wegener s Granulomatosis presenting with an abscess in the parotid gland a case report Marcel Geyer Gautham Kulamarva and Anne Davis Address Department of Otorhinolaryngology Head and Neck Surgery Queen Alexandra Hospital Southwick Hill Road Cosham Portsmouth Hampshire UK Email Marcel Geyer - marcel_geyer@ Gautham Kulamarva - gauthambhat@ Anne Davis - Corresponding author Published 23 January 2009 Received 16 March 2008 Journal of Medical Case Reports 2009 3 19 doi 1752-1947-3-19 Accepted 23 January 2009 This article is available from http content 3 l l9 2009 Geyer et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Wegener s Granulomatosis is a vasculitis of uncertain aetiology. Affected patients usually present with disease of the respiratory and renal tracts. Classic symptoms and clinical findings together with serology titres positive for anti-neutrophil cytolplasmic antibody against proteinase 3 confirm the diagnosis. Wegener s Granulomatosis can occasionally involve other organs but solitary parotid gland disease is uncommon patients generally also have systemic disease. Case Presentation We report a case of Wegener s Granulomatosis in a 69-year-old Caucasian female presenting initially with an isolated parotid abscess and only subsequently developing nasal paranasal sinus and respiratory symptoms. We describe the clinical course diagnostic difficulties imaging and histopathology of this case. Conclusion Major salivary gland infection is not an uncommon ENT disorder but the clinician should be wary of the patient who fails to respond .

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