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سكري أصيب بألم مترقي في الوجه


سكري أصيب بألم مترقي في الوجه


حالة سريرية

الوصف الكامل Background
A 61 year-old diabetic male presents with facial pain on the right side, progressively worsening over the past 5 days. The maxillary sinus is biopsied and reveals the image above.
This organism is associated with which of the following?

A. Diabetic ketoacidosis
B. Misuse of common antibiotics
C. HLA B27 haplotype
D. Exposure to bird or bat droppings
E. Live vegetation with budding yeasts

الطبيبة العجيبة's picture
by
السنة الخامسة


بتوقع E , خمائر و فطور !

qusei


لاااااااااااااااء
شكرا للمحاولة
الجواب هو a

A is the correct answer.

The correct answer is A. The patient may have diabetic ketoacidosis, which is a risk factor associated with mucormycosis. Mucor is identified in the image by broad, nonseptate hyphae with 90 degree branching. This mold may invade sinus cavities and cause sinusitis as in this patient.
Choice B is incorrect; overuse or misuse of antibiotics is not a risk factor for mucormycosis
Choice C is incorrect; HLA B27 haplotype is associated with seronegative spondyloarthropathies such as ankylosing spondylitis, Reiter's syndrome, sacroiliitis, and psoriatic arthritis.
Choice D is incorrect; exposure to bird or bat droppings is classically associated with histoplasmosis.
Choice E is incorrect; exposure to live vegetation (with budding yeasts) is the cause of cases of sporotrichosis, which is a dimorphic fungus that causes nodules along draining lymphatics, most commonly along the wrist and forearm. This is also known as "rosegardener's disease

الطبيبة العجيبة's picture
الطبيبة العجيبة
السنة الخامسة

Quote:
mucormycosis

شو معناها بالعربي Rolling Eyes

Dr.TH's picture
Dr.TH


أحياناً بحس انو ما عميدرسونا شي بالكلية! Laughing out loud

Buzz_LightYear

Quote:
أحياناً بحس انو ما عميدرسونا شي بالكلية!

إذا بدك الصراحة .. مافي توجه مظبوط بالتدريس ... يعني المعلومات اللي بتهمك سريرياً ما بقلولك عليها .. وما بتعرف بالضبط على شو بدك تركز إذا ما حليت هالحالات Rolling Eyes
---
بس بجد شو معنى mucormycosis يلاا عم استنى

Dr.TH's picture
Dr.TH


mucormycosis بالعربي يعني فطار عفني

A fungous infection associated with species in various genera of the class Zygomycetes, e.g., Absidia, Mortierella, Mucor, Rhizopus. The genera Conidiobolus and Basidiobolus have species that are also causative agents.

له أسماء أخرى :zygomycosisو phycomycetosis, phycomycosis.

مشي الحالQuestion

lifespring
السنة الخامسة


شكراً جزيلاً Eye-wink

Dr.TH's picture
Dr.TH
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