ABSTRACT

We present a patient with actinomycosis of the parotid, as confirmed by histology and discuss the challenges involved when clinical and radiological findings are highly indicative of metastatic malignancy. Early treatment with antibiotics is indicated in fungating or infected masses and exclusion of malignancy by histology is often needed.

ABSTRACT

Large post intubation tracheal tears are usually detected intra-operatively due to unstable signs namely impaired ventilation and mediastinal emphysema and often require surgical management. Smaller tracheal tears are often missed during anaesthesia and recognized during the postoperative period. Conservative management should be considered in these latter cases.