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Abscess - DOAJ

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Last Updated: 11 November 2022

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Outcomes of Percutaneous Drainage vs. Antibiotic Therapy Alone or Emergency Surgery in Periappendiceal Abscess

The aim: To determine the clinical results in patients with periappendiceal absces who underwent percutaneous drainage, antibiotic therapy alone, or emergency surgery in a single hospital. Methods: A retrospective cohort study was conducted in 124 patients who were diagnosed with periappendiceal absces or phlegmon by CT scan in Siriraj Hospital, Bangkok, from January, 2013. Patients with positive outcomes were 81% in percutaneous drainage, 98. 2% in antibiotics therapy alone, and 97% in surgical. The length of stay in the percutaneous drainage group was significantly longer than that of the antibiotics group, with a P value of 0. 008. Conclusion: As compared to percutaneous drainage in patients with a periappendiceal absces or a phlegmon, the antibiotics therapy alone was highly associated with improved outcomes and shorter hospital stays. For patients who show no improvement after antibiotic therapy, percutaneous drainage should be used.

Source link: https://doaj.org/article/db1b22416fa94f0da0a6ff3bc1a88034


Mediastinal Abscess Formation after EUS-Guided Sampling in a Young Patient with Sarcoidosis: Be Aware of the Increased Risk!

According to international standards, EU-guided sampling is safe and accurate for the diagnosis of mediastinal solid lesions, such as lymphadenopathies of unknown origin, and warn of a higher risk of acute infectious complications posed by needle puncture in mediastinal cystic lesions. After an increased risk of mediastinal absces formation in patients with sarcoidosis, a retrospective case series and a systematic analysis showed an elevated risk of mediastinal absces formation.

Source link: https://doi.org/10.1159/000526508


Antibiotic Treatment foLlowing surgical drAinage of perianal abScess (ATLAS): protocol for a multicentre, double-blind, placebo-controlled, randomised trial

It is not common practice to routinely administer prophylactic antibiotics to discourage anal fistula formation, up to now. Methods and review has been published in this multicentre, double-blind, placebo-controlled trial examines whether adding antibiotic therapy to surgical drainage of a perianal abscess may result in a decrease in perianal fistulas. This study, according to a single author, finds that adding antibiotic therapy to surgical drainage of a perianal fistulas is more effective than surgical drainage alone. With a two-sided alpha of 0. 05, a power of 80% and taking a 10% loss to follow-up percentage into account, the total sample size will be 298 participants. The intention-to-treat committee at the Amsterdam University Medical Centers has approved the research protocol.

Source link: https://doi.org/10.1136/bmjopen-2022-067970


Iliopsoas abscess secondary to ingested metallic foreign body in a child

Background: In the majority of cases, ingested foreign bodies migrate in the alimentary tract merrily. We describe a case of iliopsoas absces secondary to the ingested metallic foreign body penetrating appendix. Case study: After a week of mistakenly ingestion of a rusty veil pin, a 2-year-old girl came to our unit, suffering that her child developed fever, repeated vomiting, and abdominal distension. The right iliac tenderness and rebound tenderness had been discovered after an abdominal examination. With intravenous contrast and gastrograffin enema, the right iliopsoas absces and a metallic foreign body piercing appendicular wall with its tip seen in the iliopsoas absces was revealed, as well as gastrograffin enema. In children, the ingestion of inedible and indigestible objects is common. In most cases, ingested foreign bodies pass in the alimentary tracts by passively. In rare cases, ingested foreign bodies reach a vermiform appendix, and if it was the case, it may lead to severe problems as iliopsoas abscess.

Source link: https://doi.org/10.1016/j.epsc.2022.102499


Tailor-made Pulmonary Rehabilitation Program Aiding Return to Preinfection Fitness in Massive Cavitatory Lung Abscess: A Case Report

Lung absces is a process of liquefactive necrosis of the lung tissue that results in the formation of cavities that are brimming with necrotic waste and fluid as a result of microbial infection. Streptococcus pneumoniae stereotype 6B is extremely uncommon to find out lung absces with a complex illness of Streptococcus pneumoniae stereotype 6B. The authors present a case study of a 42-year-old male patient who was admitted to a tertiary care hospital with chief complaints of breathlessness on the Modified Borg Scale, cough with anticipation, and right-sided chest pains. Chest x-ray and High Resolution Computed Tomography, High Resolution Computed Tomography, and High Resolution Computed Tomography of the thorax were performed, and the patient was found with right lower lobe lung absces caused by Streptococcus pneumoniae. The patients' quality of life was improved outcomes as a result of a multidisciplinary approach, which culminated in improved outcomes related to their quality of life.

Source link: https://doi.org/10.7860/JCDR/2022/57717.16817


First reported case of neck abscess caused by non–typhoidal Salmonella in Sri Lanka

Salmonella species were identified by a rapid identification system and confirmed as Salmonella enterica serovar Enteritidis at the National reference laboratory, with the isolate from the drained pus being Salmonella serovar Enteritidis. This case study emphasizes the importance of establishing the aetiology more than a Gram positive bacterial flora of the mouth than a Gram negative bacterial aetiology. To the best of our knowledge, this is the first documented case of neck absces due to NTS in Sri Lanka.

Source link: https://doi.org/10.4038/sljid.v11i2.8357


The iron and testosterone levels in amoebic liver abscess patients - a preliminary study from northern Sri Lanka

Adult males who drink locally brewed alcohol in the tropics often have amoebic liver absces. This descriptive preliminary study was designed to show a potential connection between toddy drinkers and testosterone levels among toddy drinkers who presented with ALA to the Teaching Hospital Jaffna. In these patients with ALA, serum ferritin levels were found to be extremely elevated. However, the serum iron levels and the transferrin saturation levels were found to be normal or below average, and the Total Iron Binding Capacity level was unexpectedly low for the corresponding low serum iron levels.

Source link: https://doi.org/10.4038/sljid.v9i2.8245


Melioidosis presenting as parotid abscess in children: two consecutive cases

Melioidosis is an emerging disease in Sri Lanka, with increasing case reports, mostly in adults but also in children. Two children in Southeast Asia have parotid absces, one of the most common medical signs in the paediatric population, but not in Northern Australia. The main role of the microbiology laboratory in the diagnosis of melioidosis is highlighted.

Source link: https://doi.org/10.4038/sljid.v7i2.8149


Salmonella paratyphi: A rare cause for infective spondylitis and psoas abscess.

Only 1% of all Salmonella infections were found in patients with sickle cell disease, and the majority of the isolates were Salmonella typhi and classically recognized in patients with sickle cell disease.

Source link: https://doi.org/10.4038/sljid.v3i1.4530


Melioidosis as a cause of femoral osteomyelitis and multifocal intramuscular abscess around the hip joint in a farmer: a case report

Melioidosis is a potentially lethal infectious disease caused by soil-borne saprophyte Burkholderia pseudomallei. Burkholderia psuedomallei infection is rare, and only a few cases have been reported in the literature. We present a case of proximal femoral osteomyelitis and multifocal intramuscular absces around the hip joint created by Burkholderia psuedomallei in a Sri Lankan farmer. For three weeks, a 57-year-old Sinhalese male farmer was diagnosed with intermittent high grade fever and left hip pains. A joint effusion of 1 cm was discovered on a Ultrasound scan of the left hip joint. The hip joint and proximal femur osteomyelitis on a Tc-99 million MDP bone scan revealed intense tracer uptake in the left proximal femur and the CT pelvis, as well as a left-side multi focal intramuscular absces center-right. He responded to intravenous meropenem 1 g twice a day, for four weeks, and was released from an oral cotrimoxazole 1920 mg twice a day and oral doxycycline 100 mg twice a day for 20 weeks. After 6 months of follow-up, our patient became symptomatic, and a subsequent ultrasound and CT scan revealed complete relief of the osteomyelitis but failed to show any absces tissue growth. This case gives clinicians a headsuedomallei-associated osteomyelitis, especially in patients with diabetes and those with prolonged exposure to soil.

Source link: https://doi.org/10.4038/sljid.v3i1.4655

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions