Misdiagnosis of Streptococcus gallolyticus endocarditis

Death certificate inaccuracy is of major concern both in the public health domain and in individual health care, since it may yield untruthful data on the incidence, prevalence, and lethality of medical entities, and may hamper prophylactic measures among those who share, with the deceased, the common genetic, environmental, or behavioral risk factors. An effective way to settle this haziness relies on the increase of autopsy performance, increasing manifold the exactitude as well as facing surprising diagnoses. In this report, the authors present the case of a middle-aged woman who sought medical care because of back pain accompanied by weight loss. She died suddenly and unexpectedly in the Emergency Room. In this case, due to the unusual clinical presentation and the patient’s unexpected death, the causa mortis would not have been elucidated if the autopsy had not been undertake

Facial nerve hemangioma of the lateral portion of the internal acoustic canal : a case report and a review of literature

Introduction facial nerve hemangiomas (FNH) are rare tumors. Although it can occur in any portion of the nerve, it predominantly appears near the geniculate ganglion. We present a case of facial nerve hemangioma of an unusual location. Case Report A 30-year-old woman presented with right-sided severe hearing loss and progressive facial palsy. Magnetic resonance showed a 5 mm lesion in the lateral portion of the right internal auditory canal. Due to facial palsy, the patient was submitted to a translabyrinthine approach and a total tumor resection, followed by hypoglossal-facial nerve anastomosis. Discussion The facial nerve is susceptible in its path to expansive lesions, which have high morbidity. FNH is a rare and difficult-to-diagnose lesion. Computerized tomography and nuclear magnetic resonance can be used in its diagnosis. The differential diagnosis of FNH includes, in addition to schwannomas, meningiomas, cholesteatomas, paragangliomas, and other temporal bone tumors. There is no well-established consensus on the best approach. Because of its slow growth and benign behavior, some studies suggest conservative treatment and serial imaging. However, surgery is the cornerstone of treatment, as it is the only curative option. Conclusion FNHs are often small but very symptomatic. Its high morbidity demands early diagnosis and, sometimes, surgical treatment

Case report: Aplastic anaemia and gray matter heterotopias in an autopsy of a 17-year-old puerperal woman

In this report, we present an autopsy case of a 17-year-old girl with aplastic anaemia in the puerperal context, along with the presence of four independent nodular gray matter heterotopias in brain slices. The case is remarkable both by the rareness of the cause of death – septicaemia resulting from immunodepression due to aplastic anaemia in the obstetric context – and the brain morphologic findings unrelated to any known clinical manifestation. Immunohistochemistry was performed in order to ensure the precision of the diagnoses.

Misdiagnosis of Streptococcus gallolyticus endocarditis

Death certificate inaccuracy is of major concern both in the public health domain and in individual health care, since it may yield untruthful data on the incidence, prevalence, and lethality of medical entities, and may hamper prophylactic measures among those who share, with the deceased, the common genetic, environmental, or behavioral risk factors. An effective way to settle this haziness relies on the increase of autopsy performance, increasing manifold the exactitude as well as facing surprising diagnoses. In this report, the authors present the case of a middle-aged woman who sought medical care because of back pain accompanied by weight loss. She died suddenly and unexpectedly in the Emergency Room. In this case, due to the unusual clinical presentation and the patient’s unexpected death, the causa mortis would not have been elucidated if the autopsy had not been undertake

Case report : aplastic anaemia and gray matter heterotopias in an autopsy of a 17-year-old puerperal woman

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Case report: Aplastic anaemia and gray matter heterotopias in an autopsy of a 17-year-old puerperal woman

In this report, we present an autopsy case of a 17-year-old girl with aplastic anaemia in the puerperal context, along with the presence of four independent nodular gray matter heterotopias in brain slices. The case is remarkable both by the rareness of the cause of death – septicaemia resulting from immunodepression due to aplastic anaemia in the obstetric context – and the brain morphologic findings unrelated to any known clinical manifestation. Immunohistochemistry was performed in order to ensure the precision of the diagnoses