Acute suppurative thyroiditis is a rare life-threatening endocrine emergency. The thyroid gland has rich vascularity and lymphatic drainage, has large amounts of iodine in the tissue, generates hydrogen peroxide, and is encapsulated. Owing to these factors, infection of the thyroid gland is rare. The clinical presentation of acute suppurative thyroiditis closely resembles that of subacute thyroiditis, with a differentiation possible only on fine needle aspiration cytology (FNAC). However, differentiating these two conditions is important because the management of these two conditions differs drastically. Management includes intravenous antibiotics, drainage of abscesses, and sometimes surgery may be required. Here, we present a case of thyroid abscess caused by methicillin-resistant Staphylococcus aureus (MRSA), diagnosed using FNAC of the thyroid gland and blood culture.
Now a days it is very common to use various routing protocol within a network. Routing protocol work as communication mechanism between the routers, so that routes can be chosen between any two nodes through the information distribute between them. Multiprotocol routing is widely used .Exchanging route information among router with different routing protocol is called Redistribution. But there are certain factor that affects the redistribution process .The ultimate concentration of this research is to understand redistribution, how we perform redistribution among three dynamic routing protocol and factor that affect redistribution.
Distant metastases from carcinomas of the oral cavity are rare. Detection of these metastasis are essential for staging and management of the patient. These tumours may metastasize to lung, liver, brain and bone; but pleural involvement by squamouscell carcinoma is distinctly rare. We present a case of bilateral pleural effusion arising from distant metastasis of squamous-cell carcinoma detected on cytology.
Background
Despite the high prevalence of locally advanced head and neck cancer, treatment failure in the form of a cutaneous deposit in the treatment field during radiation is not common. There has never been a cytology-proven published case of marginal treatment failure in the cutaneous region during radiotherapy.
Case presentation
A 51-year-old male patient was diagnosed with squamous cell carcinoma of the left tonsillar fossa. After a partial response to induction chemotherapy, the patient was treated with definitive chemo-radiotherapy. After the 23rd fractionation of radiotherapy, there was a clinical progression in the form of a solitary skin nodule within the treatment field, which was further treated with an electron boost to a total dose of 70 Gy followed by palliative chemotherapy.
Conclusion
During definitive chemoradiotherapy, failure outside the high-dose radiation field is not common, and a skin nodule during treatment had never been described. Our case demonstrates the importance of performing thorough clinical examinations on a weekly basis, not only for toxicity assessment but also for treatment response.
The Covid-19 pandemic has led to a dramatic loss of human life worldwide and presented an unexpected challenge to public health. As of now, vaccination is the only means to slow down the spread of the virus in the community. The main focus is on, the datasets concerning vaccination available on the internet will be collected. These datasets will be cleaned and normalized for data analysis. The motive such as the with the elderly of the model is to provide necessary information regarding vaccination across the globe.
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