A 68 year old, previously well woman presented with dysphagia, weight loss and a neck swelling. Investigations revealed a right-sided thyroid abscess with fistulous connection to the upper of two oesophageal carcinomas, a previously unreported association. The resistance of the thyroid to infection and the mechanisms of thyroid abscess formation in this patient are discussed.

In gout the first attack of arthritis is often acute and most painful. If the affected site is the first metatarso-phalangeal joint the diagnosis presents little difficulty. When larger joints are involved there is a risk that the condition may be mistaken for acute septic arthritis. A more positive approach to the diagnosis has recently been made possible by Seegmiller, Howell and Malawista (1...

Introduction The true prevalence of chronic suppurative lung disease (CSLD) and other respiratory illness in Indigenous children is unknown. There is however little doubt that the burden of CSLD is disproportionately high in remote and rural Indigenous communities. In Central Australia the prevalence of high resolution computed tomography (HRCT) proven bronchiectasis in children (<15 years) is ...

this study evaluated the histopathologic changes in the round window niche. , and membrane in cases of chronic suppurative otitis media. the pathologic process was found in all subjects. fibrocystic or fibrous tissue was most commonly seen, while active granulation was less developed. the round window membrane was thicker and inflamed throughout its layers. inflammatory invasion of the inner ea...

introduction: chronic suppurative otitis media (csom) is considered one of the most common causes of acquired hearing impairment in developing countries. csom is a multifactorial persistent inflammatory disease of the middle ear. a distinct pathophysiologic mechanism linking allergic rhinitis (ar) and csom remains to evolve. the purpose of this study was to investigate the association between a...