0000000000314670
AUTHOR
Immordino Angelo
Sudden vestibular and hearing loss in mediterranean spotted fever: The first case report
Mediterranean spotted fever is an infection disease caused by Rickettsiae and transmitted by tick puncture; the diffusion of such disease is wide in countryside of the Mediterranean regions. The disease may be complicated by several organ failure due to a vasculitis, and also the inner ear can be involved although rarely. We report the first documented case of total involvement of inner ear with sensorineural hearing loss and acute vestibular impairment. The patient was treated with medical therapy and resolution of the infection, but the inner ear damage was not reversible with persistent loss of all functions, documented by instrumental vestibular analysis.
Sjogren syndrome and parotid marginal zone lymphoma: Report of a case and review of literature
Five percent of the cancers in the parotid region are non-hodgkin lymphomas. This lymphoma, involving the mucosa-associated lymphoid tissue (MALT), is called MALToma. A chronic autoimmune inflammatory process of the parotid gland, such as Sjogren's syndrome, results in an increased incidence of parotid MALToma. Biopsy of the parotid is essential for appropriate diagnosis; this can then be completed by radiotherapy, chemotherapy or therapy with monoclonal antibodies according to the stage of the disease. This study shows a clinical case of a 50-year-old patient with Sjogren's syndrome who developed a parotid MALToma.