11/115. epidural abscess: case report and literature review.OBJECTIVE: To report a case of spinal epidural abscess complicating epidural analgesia, and to heighten awareness of the condition and the importance of early recognition and treatment. CASE REPORT: A 72-year-old woman underwent adrenalectomy and groin dissection for recurrent malignant melanoma under combined general and epidural anesthesia. On the fourth postoperative day, she developed signs of localized infection at the epidural site and a band of reduced sensation. Further neurological signs developed before the diagnosis was made by magnetic resonance imaging scan. She subsequently underwent emergency laminectomy and drainage of epidural abscess. CONCLUSION: delayed diagnosis allowed the development of significant morbidity before neurosurgical intervention and antibiotics were instituted.- - - - - - - - - - ranking = 1keywords = adrenal (Clic here for more details about this article) |
12/115. Submasseteric abscess: report of two cases.Submasseteric abscess is a rare infection with the symptoms of cheek tenderness and marked trismus. Submasseteric abscess is located between the masseter muscle and mandibular ramus with different appearances as sepsis, infection, or tumor. Two cases of submasseteric abscess are reported along with symptoms, causes, and management techniques. Adequate drainage and antibiotic infusion are the treatment of choice. The differential diagnosis of cheek swelling and tenderness that should be considered are parotitis, parotid gland tumor, temporomasseter joint arthritis, and submasseteric abscess.- - - - - - - - - - ranking = 1.1844182385797keywords = gland (Clic here for more details about this article) |
13/115. Tubercular involvement of the thyroid gland: a report of two cases.Thyroid tuberculosis is rare. In the last decade, however, the incidence of extrapulmonary forms of tuberculosis has increased. We report on 2 cases of thyroid tuberculosis. In case 1, a tubercular abscess mimicking acute thyroiditis was found which was correctly diagnosed by fine-needle aspiration biopsy (FNAb). No evidence of active disease was noticed. Pleural thickening on chest X-ray was the only sign compatible with a previous infection. In case 2, tubercular thyroiditis with lymph node enlargement was also diagnosed by FNAb in a reevaluation setting. In both cases treatment with antitubercular drugs resulted in complete recovery. Thyroid tuberculosis should be kept in mind in the differential diagnosis of thyroid nodules, notably in patients with a history of tuberculous disease. FNAb represents the main approach to making the diagnosis.- - - - - - - - - - ranking = 4.7376729543189keywords = gland (Clic here for more details about this article) |
14/115. Extensive sterile abscess in an invasive fibrous thyroiditis (Riedel's thyroiditis) caused by an occlusive vasculitis.Riedel's thyroiditis is a rare disease determined by an invasive fibrosclerotic transformation of the thyroid gland. It may be one manifestation of multifocal fibrosis with still unknown etiology. Because it mimics carcinoma, a biopsy must be performed to get the correct diagnosis. The condition is self-limiting when confined to the neck. prognosis depends on the extent of extracervical fibrosclerosis. We present a patient with a huge cervical and mediastinal, unilateral thyroid mass expanding to the aortic curve, which led to tracheal deviation and compression with symptoms of stridor and dyspnea. These symptoms continued under a course of high-dose steroids; thus an operation was necessary to relieve the airway obstruction and limit inflammation. Intraoperative and pathological findings showed an inflammatory infiltration of the adjacent neck muscles and a sterile abscess caused by an occlusive vasculitis. Therefore, hemithyroidectomy had to be performed instead of a local limited resection.- - - - - - - - - - ranking = 1.1844182385797keywords = gland (Clic here for more details about this article) |
15/115. Lacrimal gland ductal cyst abscess.PURPOSE: To describe a case of lacrimal gland ductal cyst complicated by secondary infection. methods: Case report. RESULTS: A 51-year-old woman presented acutely with an enlarging, painful mass in the superotemporal fornix. Clinical examination, echography, and surgical evaluation revealed a lacrimal gland ductal cyst with abscess formation. The lacrimal gland cyst was treated with oral antibiotics in combination with incision, drainage, and marsupialization. CONCLUSIONS: Lacrimal gland ductal cysts are rare but must be considered in the differential diagnosis of lacrimal gland and upper eyelid mass lesions. Typically, lacrimal gland ductal cysts develop after chronic inflammation, infection, or trauma. We describe a patient who presented acutely with a lacrimal gland ductal cyst associated with a rare complication of abscess formation.- - - - - - - - - - ranking = 13.028600624377keywords = gland (Clic here for more details about this article) |
16/115. Group F streptococcal bacteremia complicating a Bartholin's abscess.BACKGROUND: Group F streptococci are gram-positive cocci typically isolated from wound infections and abscesses. bacteremia with group F streptococcus is uncommon, and the lower gynecologic tract has not been reported as a source. We report a case of a Bartholin's abscess leading to group F streptococcal bacteremia. CASE: A 31-year-old female noted fever and rigors 30 min after manipulation of a 3-day-old vulvar abscess. An empty Bartholin's gland abscess was found on examination, and blood cultures grew beta-hemolytic group F streptococci. The patient was treated with ampicillin/sulbactam, symptoms improved, and follow-up blood cultures revealed no growth. CONCLUSION: Group F streptococci are known to inhabit various body sites and have a predilection for forming abscesses; however, bacteremia is infrequent. They have occasionally been identified in true infections of the genitourinary tract but only very rarely in Bartholin's abscesses. This case of group F streptococcal bacteremia following self-drainage of a Bartholin's abscess constitutes the first such description in the medical literature.- - - - - - - - - - ranking = 1.1844182385797keywords = gland (Clic here for more details about this article) |
17/115. Lacrimal gland abscess: an unusual complication of rhinosinusitis.We report the case of a 72-year-old female suffering from mild myelodysplasia who initially presented with a peri-orbital cellulitis secondary to rhinosinusitis. The pre-septal infection failed to completely resolve despite intensive antibiotic therapy and endoscopic drainage of the sinuses. Computerised tomography revealed a complicating suppuration of the lacrimal gland. Incision and drainage of the lacrimal gland abscess led to a complete resolution of the pre-septal cellulitis. suppuration of the lacrimal gland is, as far as we are aware, a previously unreported complication of rhinosinusitis. Its presence could be borne in mind when evaluating computerised tomography scans of patients presenting with orbital complications of sinusitis, particularly in the immunocompromised.- - - - - - - - - - ranking = 8.2909276700581keywords = gland (Clic here for more details about this article) |
18/115. sepsis after Bartholin's duct abscess marsupialization in a gravida.BACKGROUND: Little information exists regarding sepsis following marsupialization of a Bartholin's duct abscess. We report a gravida who became septic after marsupialization. CASE: A 30-year-old primigravida at 32 weeks' gestation underwent marsupialization of a Bartholin's gland abscess. Postoperatively, she developed fever with maternal and fetal tachycardia. She was admitted to the hospital and started on broad-spectrum antibiotics. Her temperature increased to 39 degrees C, and she became hypotensive. blood work demonstrated evidence of disseminated intravascular coagulopathy. The patient was stabilized with aggressive fluid resuscitation, antibiotics, transfusion of blood products and oxygen therapy. Within 24 hours, the fever and coagulopathy resolved. She was discharged on postoperative day 5 and gave birth without complications at 38 weeks' gestation. CONCLUSION: pregnant women undergoing marsupialization of a Bartholin's gland abscess should be considered at high risk and managed accordingly.- - - - - - - - - - ranking = 2.3688364771595keywords = gland (Clic here for more details about this article) |
19/115. Parotid abscess caused by mycobacterium tuberculosis.Tuberculosis of the parotid gland is rare. A 16-month-old US-born male infant with immigrant parents from sudan presented to his primary care physician with periorbital cellulitis and preauricular lymphadenitis. He underwent incision and drainage of an abscess in the right intraparotid lymph node. The aspirate was positive for acid-fast bacilli by auramine-rhodamine stain and subsequently grew mycobacterium tuberculosis. Antitubercular medications were started postoperatively.- - - - - - - - - - ranking = 1.1844182385797keywords = gland (Clic here for more details about this article) |
20/115. Anaerobic thyroid abscess from a thyroid cyst after fine-needle aspiration.BACKGROUND: Anaerobic abscess formation within a thyroid cyst is rare but still possible, although aerobic thyroid abscess formation in the thyroid gland after fine-needle aspiration (FNA) has been observed in immunocompromised patients. methods: This study describes the clinical manifestations, thyroid echography, cytologic finding, culture outcome, and treatment course of an anaerobic abscess formation within a thyroid cyst after FNA in a healthy subject. RESULTS: A 53-year-old male subject had rapid enlargement of a left thyroid cyst develop after second FNA. Frank pus was obtained through third FNA. The culture outcome was propionibacterium acnes, which was rich in saliva and one of the pathogens causing periodontitis and gingivitis. After adequate antimicrobial therapy, the abscess gradually diminished. CONCLUSIONS: This article reported, for the first time, on the formation of an anaerobic thyroid abscess after FNA in a healthy subject. We recommended careful aseptic procedure and adequate isolation processes, such as wearing a mask to avoid an unfavorable outcome as a result of a bacterial infection.- - - - - - - - - - ranking = 1.1844182385797keywords = gland (Clic here for more details about this article) |
| <- Previous || Next -> |