‘Bastard bush’: acacia thorn injuries and management

2018 ◽  
Vol 165 (3) ◽  
pp. 204-205
Author(s):  
Simon Johnstone Smail ◽  
C Arthur ◽  
K Hylands ◽  
C J Stewart
Keyword(s):  
Case Report ◽  
Broad Spectrum ◽  
Lower Limb ◽  
Imaging Modality ◽  
Surgical Removal ◽  
Ultrasound Scan ◽  
Broad Spectrum Antibiotics ◽  
The World

This case report outlines the presentation and management of a young soldier who sustained a lower limb acacia thorn injury while on exercise in Kenya. The injury failed to heal with a subsequent ultrasound scan revealing a large retained thorn requiring surgical removal and wash out. From this case, lessons can be learnt regarding the management of thorn injuries, which are common in exercising troops in Kenya and indeed around the world. The key take-home messages are always consider a retained thorn if wounds fail to settle, use ultrasound as the imaging modality of choice, always remove identified retained thorns and if antibiotics are required use broad-spectrum antibiotics pending culture results.

scholarly journals Acquired Umbilico-Inguinal Fistula with Persistent Discharge due to Suture Reaction: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Muazez Cevik
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Broad Spectrum ◽  
Initial Diagnosis ◽  
Silk Suture ◽  
Review Of The Literature ◽  
Broad Spectrum Antibiotics

The aim of this paper is to stay a very rare umbilico-inguinal fistula (UIF) resulting from a delayed suture reaction after the use of silk suture to repair an inguinal hernia. A 3-year-old boy presented with persistent umbilical discharge. The initial diagnosis was omphalitis and he was treated with broad-spectrum antibiotics but a UIF was subsequently diagnosed. Surgery was performed to ascertain the cause of the UIF. This case demonstrates that silk suture used in inguinal hernia repair can lead to a UIF, which should be considered in the differential diagnosis of a patient presenting with persistent umbilical discharge.

scholarly journals Pneumococcal Endometritis with Peritonitis: Case Report and Review of the Literature

1991 ◽  
Vol 2 (4) ◽  
pp. 161-164
Author(s):  
KI Ostrowska ◽  
C Rotstein ◽  
JH Thornley ◽  
LA Mandell
Keyword(s):  
Case Report ◽  
Broad Spectrum ◽  
Review Of The Literature ◽  
Potential Significance ◽  
Broad Spectrum Antibiotics ◽  
First Case

The first case of pneumococcal endometritis with peritonitis in a woman using tampons is described. The patient responded to removal of the tampon and administration of broad spectrum antibiotics. The pathogenesis of pneumococcal endometritis and peritonitis and the potential significance of a tampon in situ are discussed.

scholarly journals Delivery of Antibiotics from Cementless Titanium-Alloy Cubes May Be a Novel Way to Control Postoperative Infections

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Martin B. Bezuidenhout ◽  
Anton D. van Staden ◽  
Gert A. Oosthuizen ◽  
Dimitar M. Dimitrov ◽  
Leon M. T. Dicks
Keyword(s):  
Titanium Alloy ◽  
Broad Spectrum ◽  
Biofilm Formation ◽  
Surgical Removal ◽  
Sustained Delivery ◽  
Postoperative Infections ◽  
Bacterial Colonisation ◽  
Broad Spectrum Antibiotics ◽  
Infected Area

Bacterial colonisation and biofilm formation onto orthopaedic devices are difficult to eradicate. In most cases infection is treated by surgical removal of the implant and cleaning of the infected area, followed by extensive treatment with broad-spectrum antibiotics. Such treatment causes great discomfort, is expensive, and is not always successful. In this study we report on the release of vancomycin through polyethersulfone membranes from channels in cementless titanium-alloy cubes. The cubes were constructed with LaserCUSING from Ti6Al4V ELI powder. Vancomycin was released by non-Fickian anomalous (constraint) diffusion. Approximately 50% of the vancomycin was released within the first 17 h. However, sustained delivery of vancomycin for 100 h was possible by reinjecting the channels. Refillable implants may be a novel way to control postoperative infections.

scholarly journals Fourniers gangrene-A case report and literature review

2012 ◽  
Vol 7 (3) ◽  
pp. 62-67
Author(s):  
A Agarwal ◽  
A Karmacharaya ◽  
S Hirachan ◽  
WK Belokar
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Broad Spectrum ◽  
Skin Grafting ◽  
Multiple Organ ◽  
Medical Sciences ◽  
Anaerobic Microorganisms ◽  
Broad Spectrum Antibiotics ◽  
Appropriate Therapy ◽  
Aerobic And Anaerobic

Fournier’s gangrene(FG) is a rare, necrotising fasciitis of the genitals and perineum with occasional cranial extension to the abdominal wall caused by a mixture of aerobic and anaerobic microorganisms. The complications of this synergistic infection are multiple organ failure and death. Due to the aggressive nature of this condition, early diagnosis is crucial. Treatment involves extensive soft tissue debridement and broad-spectrum antibiotics. Despite appropriate therapy, mortality is high. We report a case of a gentleman who presented with gangrenous and necrotic penile, scrotal and perineal areas. Patient was successfully managed by extensive soft tissue debridement, broad spectrum antibiotics and skin grafting. DOI: http://dx.doi.org/10.3126/jcmsn.v7i3.6713 Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-3, 62-67 

scholarly journals Fatal necrotizing fasciitis caused by Haemophilus influenzae serotype f

2008 ◽  
Vol 57 (2) ◽  
pp. 249-251 ◽  
Author(s):  
Elizabeth McLellan ◽  
Kim Suvarna ◽  
Rob Townsend
Keyword(s):  
Haemophilus Influenzae ◽  
Necrotizing Fasciitis ◽  
Broad Spectrum ◽  
Lower Limb ◽  
Limb Amputation ◽  
Causative Organism ◽  
Broad Spectrum Antibiotics

We describe a case of fatal lower limb necrotizing fasciitis in a 65-year-old man who was treated with broad-spectrum antibiotics, limb amputation and tissue debridement. The causative organism was identified by PCR as Haemophilus influenzae serotype f, which is a highly unusual cause of necrotizing fasciitis.

Acute limb ischemia in a patient with pre-fibrotic myelofibrosis complicated by heparin-induced thrombocytopenia and thrombosis – case report and systematic review of dabigatran use

VASA ◽  
2020 ◽  
pp. 1-6 ◽  
Author(s):  
Marina Di Pilla ◽  
Stefano Barco ◽  
Clara Sacco ◽  
Giovanni Barosi ◽  
Corrado Lodigiani
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Review Of The Literature ◽  
Heparin Induced Thrombocytopenia ◽  
Lower Limb Ischemia ◽  
Vein Thrombosis ◽  
Left Lower Limb

Summary: A 49-year-old man was diagnosed with pre-fibrotic myelofibrosis after acute left lower-limb ischemia requiring amputation and portal vein thrombosis. After surgery he developed heparin-induced thrombocytopenia (HIT) with venous thromboembolism, successfully treated with argatroban followed by dabigatran. Our systematic review of the literature supports the use of dabigatran for suspected HIT.

Hemangiomatosis of the greater omentum – a case report

2019 ◽  
Vol 98 (4) ◽  
pp. 178-180
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Histological Examination ◽  
Case Reports ◽  
Greater Omentum ◽  
Surgical Removal ◽  
Consumption Coagulopathy ◽  
Cavernous Hemangiomas ◽  
Mesodermal Origin ◽  
Benign Tumours

Cavernous hemangiomas are benign tumours of mesodermal origin. Even though various localizations of hemangioma have been described in the literature, its occurrence in the greater omentum is very rare. Only symptomatic hemangiomas are indicated for surgical treatment. There are case reports presenting resection or surgical removal of the greater omentum with hemangioma because of mechanical syndrome, consumption coagulopathy, bleeding, infection or suspicion of a malignancy. This article presents a case report of a patient operated on for a suspicion of carcinomatosis of the greater omentum. Histological examination found hemangiomatosis in the resected greater omentum.

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