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Search Results: 1 - 10 of 837 matches for " abscess "
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Therapeutic Process of Gynecological Pelvic Abscess— Retrospective Review of 20 Cases  [PDF]
Aki Oride, Haruhiko Kanasaki, Kohji Miyazaki
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.43038

Background: Conservative therapies of pelvic abscess are not highly effective and surgical treatment is usually required. This study reviewed cases of pelvic abscess treated at our hospital over a 3-year period to evaluate treatment efficacy. The medical records of 20 patients diagnosed with pelvic abscess and admitted to our hospital for treatment between November 2006 and December 2009 were retrospectively examined. Results: Mean age of the patients was 50 ± 16.6 years. Pelvic abscess occurred spontaneously in 13 patients and secondary to surgical manipulation in 7 patients. In the 13 patients with spontaneous abscess, 7 had undergone pelvic surgery and 2 had undergone insertion of an intrauterine contraceptive device. Concomitant endometriosis was present in 5 of the 13 (38.5%) patients. A positive bacterial culture from the abscess was obtained in 16 of 19 (84.2%) patients tested. Causative bacteria included 4 aerobic bacterial species detected in 7 patients and 11 anaerobic bacterial species detected in 10 patients. Although multiple antibiotics were administered in all cases, 19 of the 20 (95%) patients eventually required surgical intervention, which included total hysterectomy plus adnexectomy, drainage under laparotomy or drainage alone. Anaerobic bacteria were frequently detected as the causative bacteria. Conclusion: As treatment with antibiotics alone was ineffective in almost all cases, surgical treatment was required. Drainage might be the first-choice treatment for pelvic abscess to avoid invasive surgery.

Pott puffy tumor in an unusual location  [PDF]
Richard H. Schwartz, Carla Zingariello, Rebecca Levorson, John S. Myseros, Riva Kamat, Theodore W. Fetter
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.32026

Pott puffy tumor is almost always associated with an outward extension of suppurative acute frontal sinusitis. Pathogenesis includes osteomyelitis of the frontal bone with local spread of the infection to the outer cortex and termination of the suppurative process in a frontal subgaleal abscess. An unusual ectopic location of Pott puffy tumor is the tempo-parietal subgaleal space, located exterior to the squamous portion of the temporal bone. In this location, Pott puffy tumor is considered a suppurative complication of otomastoiditis. Reported here is a 4-year-old boy who developed amoxicillin-resistant acute otitis media, silent mastoiditis, temporal bone subperiosteal abscess, subgaleal abscess, and an epidural abscess. He had several fenestra of the tegmen mastoideum as a result of osteiitis of the temporal bone, which we believe permitted spread of the oto-mastoiditis to temporal bone, subgaleal space, and epidural space. Surgical specimens obtained from the middle ear and subgaleal abscess after 24-hours of intravenously-administered combination antibiotic therapy did not reveal any aerobic or anaerobic bacterial pathogens. This is only the second such pediatric case that we found during a careful search of the literature.

Characteristics of Liver Abscess in Department of Infectious Diseases at Fann Teaching University Hospital in Dakar, Senegal  [PDF]
Viviane Marie Pierre Cisse Diallo, Louise Fortes Déguénonvo, No?l Magloire Manga, Daye Ka, Sylvie Audrey Diop, Abdoulaye Seck, Ndèye Aissatou Lakhe, Khardiata Diallo Mbaye, Assane Diouf, Ndèye Méry Dia Badiane, Ndèye Fatou Ngom Guèye, Cheikh Tacko Diop, Masserigne Soumaré, Cheikh Tidiane Ndour, Moussa Seydi
Advances in Infectious Diseases (AID) , 2018, DOI: 10.4236/aid.2018.81004
Abstract: Introduction: Abscesses of the liver are due to an infection of bacterial, parasitic or fungal origin. Through amoebiological imaging and serology, their diagnosis was facilitated. The aim of this study was to determine the epidemiological, clinical, diagnostic and evolutionary aspects of these liver abscesses at the Department of Infectious and Tropical Diseases in Fann Teaching University Hospital. Patients and Methods: This was a retrospective and descriptive study, based on records of patients hospitalized for abscess of the liver over a period of 8 years, from January 1, 2008 to December 31, 2015. Results: We collected 20 cases of abscesses including 12 cases of confirmed amoebic abscesses and 5 cases of pyogenic abscesses. The mean age of the patients was 43.15 ± 15.12 years. There were 18 men and 2 women. The average hospital stay was 32 days. The most common clinical signs were abdominal pain (100%), fever (75%), hepatomegaly (80%). A leukocytosis greater than 12,000 Gb/mm3 was found in 13 patients. The amoebic serology was positive in 71% of cases and negative in 29% of cases. No germ was isolated from the blood culture. On hepatic ultrasound the abscess was unique in 90%. Treatment was exclusively medical in 11 patients (55%). The trend was favorable in 85% of cases. Conclusion: The incidence of liver abscesses has significantly decreased. It is important to develop diagnostic tools better in the case of pyogenic abscesses.
Intra-abdominal abscesses secondary to Streptococcus anginosus infection in a postpartum patient: A case report and review of the literature  [PDF]
Rehab Shabana, Lindsay Berbiglia, John Barnwell, Ronald Cheek, Mark Wolf, Bernard Gonik
Open Journal of Obstetrics and Gynecology (OJOG) , 2012, DOI: 10.4236/ojog.2012.23048
Abstract: Although rare, infection with Streptococcus anginosus has a known predilection for abscess formation. We report here a case of a 20 year-old, otherwise healthy female patient noted to have developed abdominal and pelvic abscesses secondary to Streptococcus anginosus infection. Although the inciting focus of the pathogen remains unclear in our patient, this case report emphasizes the importance of rapid identification of the organism and highlights the approach to therapeutic options in the management of such cases.
Spontaneous Nasal Septal Abscess Presenting as Complete Nasal Obstruction  [PDF]
Joseph Chun-Kit Chung, Athena Ting-Ka Wong, Wai-Kuen Ho
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2013, DOI: 10.4236/ijohns.2013.23019

Nasal septal abscess is an uncommon condition, yet presents as a rhinological emergency. Its symptoms resemble upper respiratory tract infection and the diagnosis may be missed leading to intracranial complication and cosmetic deformity. We present a healthy patient with idiopathic nasal septal abscess who complained of acute complete nasal obstruction, fever and nasal pain. Common aetiologies, causative agents, complications and management of nasal septal abscess are discussed.

Spontaneous Cholecystocutaneous Fistula of Anterior Abdominal Wall with Subcutaneous Gallstones: About a Rare Case and Review of the Literature  [PDF]
Khalid El Haoudi, Pierlesky Elion Ossibi, Salima Rezzouk, Mourad Oussaid, Karim Ibn Majdoub Hassani, Said Ait Laalim, Imane Toughrai, Khalid Mazaz
Surgical Science (SS) , 2014, DOI: 10.4236/ss.2014.52010

Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis, because currently gallstones are diagnosed and treated at an early stage. This occurrence is possible even if it seems actually to be rare. We report a case of spontaneous cholecystocutaneous fistula of Anterior Abdominal Wall with subcutaneous gallstones admitted in the medical oncology unit of HASSAN II University Hospital. An 64-year-old woman, presented with a large subcutaneous abscess in the right subcostal area with swelling. An abdominal computed tomography scan showed a subcutaneous gallstone and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration.

A Randomized Prospective Assessment of Safety and Effectiveness of Instillation of Tissue Plasminogen Activator in the Management of Intra-Abdominal Abscesses  [PDF]
Suhas A. Kotecha, Murray R. Asch, Andrew J. Myers, Dheeraj K. Rajan
Open Journal of Radiology (OJRad) , 2016, DOI: 10.4236/ojrad.2016.63027
Abstract: Purpose: Catheter drainage of intra-abdominal abscesses has shown to be effective in reducing sepsis and mortality. We sought to determine whether or not tissue plasminogen activator (tPA), a fibrinolytic, is safe and facilitates resolution when used as an adjunct during drainage of intra-abdo-minal abscesses. Methods: A single-blinded, prospective, multi-center, randomized control trial was performed on patients presenting with image confirmed abscesses; the first group (n = 24) received catheter-directed tPA of their abscess and the second group (n = 23) had their abscess drained without tPA instillation. Variables examined included patient age, gender, location of the abscess, pre-drainage volumes and size of catheters inserted. Baseline variables were compared between tPA and non-tPA groups using a chi-square test for discrete variables and a Wilcoxon rank sum test for continuous variables and for the outcome of drainage volume. Results: Technical success of the drainage procedures was 100% for both groups. The tPA group had higher volume of drainage over the first three days (median for total after 3 days: without tPA: 300 mL vs. with tPA: 322 mL, p = 0.42). At days 4 to 7 the tPA group had significant greater drainage volume than did the non-tPA patient group, 150 mL vs. 110 mL (p = 0.046). The number of days to resume diet was also assessed in the 20 patients where this datum was available, 11 tPA and 9 non-tPA with no difference between groups. No adverse events, such as localized or systemic bleeding were encountered. Conclusion: Instillation of tPA into catheter directed intra-abdominal abscesses was safe, easy to perform and was associated with significantly improved drainage of abscesses from days 4 -7.
Liver Abscesses: What Diagnostics and Therapeutics in the Kati Reference Health Center (Mali)?  [PDF]
Abdoulaye Diarra, Koniba Keita, Amadou Traore, Assitan Koné, Madiassa Konate, Idrissa Tounkara, Mamadou A. Keita, Issa Traore, Modibo Togola, Fadima K. Tall, Daouda Diallo, Moustaph Issa Magane, Deborah Sanra Sanogo, Aboubacar Koné, Ibrahim Diakite, Alhassane Traore, Adégné Togo
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.99041
Abstract: The objectives were to determine the frequency of hepatic abscess, and to describe the clinical and para-clinical aspects and the therapeutic modalities. Method and material: This is a prospective study covering 24 months (January 2016-December 2017). Results: This was a prospective study of 30 cases of liver abscess, ranging from January 2016 to December 2017, a period of 12 months. Inclusion criteria: What were included in this study were all patients hospitalized and treated for liver abscess. Criteria for non-inclusion: Abscess cases have not been treated in the service. The sex ratio was 2.3 and the average age was 35 years old. The main clinical signs were: fever (56.7%), hepatitis (73.3%) and hepatomegaly (26.7%). Hepatic collections objected to abdominal ultrasonography were localized in the right lobe in 70%. Surgical treatment was performed in 10% of cases. Medical treatment alone was performed in the majority of cases (56.7%); eclocated puncture was required in 10 cases (33.3%). The follow-up was simple in all our patients and we did not register deaths; the average duration of treatment was 5 days. Conclusion: Topical pathology in surgical practice in our country, liver abscess is common in our department; medical treatment is curative in the absence of complications.
Absceso de Psoas
Lucas Pérez-Romero,Javier; Salazar García,Pilar; Lucas Pérez-Romero,Marta; Belmonte,María ángeles;
Revista Clínica de Medicina de Familia , 2011, DOI: 10.4321/S1699-695X2011000100011
Abstract: psoas abscess is a rare clinical entity often associated with gastrointestinal disease. clinical manifestations are usually non-specific and therefore diagnosis is delayed leading to poor prognosis. it is important to emphasis that when a patient presents with an abscess or cutaneous emphysema in the muscle the possibility of abdominal origin should always be considered, because immediate, aggressive surgical drainage is the only effective treatment.
Perinephric and renal abscesses in children: a study of three cases
FERNANDES, Regina Célia de Souza Campos;DUARTE, Príscila Diane Assed Caires;
Revista do Instituto de Medicina Tropical de S?o Paulo , 2002, DOI: 10.1590/S0036-46652002000600009
Abstract: perinephric and renal abscesses are rare in childhood, but they must be remembered in the differential diagnosis of fever and abdominal or flank pain. this paper reports three cases whose solution was found after clinical and surgical treatment. the importance of ultrasound and computerized tomography (ct) in prompt diagnosis is highlighted in this work. the use of these methods along the improved antimicrobial therapy may result in decrease in mortality due to this pathology.
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