Necrotizing Streptococcus pyogenes Infiltrating Conjunctiva and Tenon’s Capsule: A Case Report

We report a case of a patient with necrotizing infection of the conjunctiva and Tenon’s capsule caused by <i>Streptococcus pyogenes</i>, a rare and atypical ophthalmologic condition. A 50-years-old male patient with acute red-eye, purulent discharge, and pain diagnosed with post-septal cellulitis presented with a yellowish and dense membrane covering the ocular surface with necrotic Tenon’s capsule. Patient was hospitalized, and intravenous antibiotics were initiated (ceftriaxone and clindamycin). Topical antibiotics and corticosteroids were also administered, and the infection was eradicated in 2 weeks. Ancillary exams excluded rheumatologic involvement. Conjunctival culture confirmed <i>Streptococcus pyogenes</i> growth. Tenon’s biopsy revealed unspecific acute inflammatory necrosis. This is an uncommon condition in daily ophthalmological clinic. Literature review reported 3 cases associated with previous ocular surgery.

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Anti-fibrotic effects of rosmarinic acid on Tenon’s capsule fibroblasts stimulated with TGF-β: therapeutic potential in ocular surgery

Arquivos Brasileiros de Oftalmologia ◽

10.5935/0004-2749.20200042 ◽

2020 ◽

Vol 83 (4) ◽

Author(s):

Carolina Maria Módulo ◽

Larissa Domenegueti Ferreira ◽

Lilian Eslaine Costa Mendes da Silva ◽

Marco Andrey Cipriani Frade ◽

Peter Sol Reinach ◽

...

Keyword(s):

Rosmarinic Acid ◽

Therapeutic Potential ◽

Ocular Surgery ◽

Tenon’S Capsule ◽

Tenon's Capsule

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Acute Generalized Exanthematous Pustulosis (AGEP), an Uncommon Condition in Children: Case Report and Review of the Literature

Pediatric Dermatology ◽

10.1046/j.1525-1470.2000.017005399.x ◽

2000 ◽

Vol 17 (5) ◽

pp. 399-402 ◽

Cited By ~ 32

Author(s):

Kappa P. Meadows ◽

Conleth A. Egan ◽

Sheryll Vanderhooft

Keyword(s):

Case Report ◽

Review Of The Literature ◽

Acute Generalized Exanthematous Pustulosis ◽

Uncommon Condition ◽

Exanthematous Pustulosis

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Impact of age, sex and refractive error on conjunctival and Tenon’s capsule thickness dimensions by swept-source optical coherence tomography in a large population

International Ophthalmology ◽

10.1007/s10792-021-01928-5 ◽

2021 ◽

Author(s):

José Ignacio Fernández-Vigo ◽

Hang Shi ◽

Bárbara Burgos-Blasco ◽

Lucía De-Pablo-Gómez-de-Liaño ◽

Ignacio Almorín-Fernández-Vigo ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Refractive Error ◽

Large Population ◽

Optical Coherence ◽

Swept Source ◽

Tenon’S Capsule ◽

Tenon's Capsule ◽

Capsule Thickness

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Infected abdominal aorta aneurysm secondary to streptococcal toxic shock syndrome due to Streptococcus pyogenes : a case report from Japan

Acute Medicine & Surgery ◽

10.1002/ams2.617 ◽

2020 ◽

Vol 7 (1) ◽

Author(s):

Shiho Taniguchi ◽

Yukio Sato ◽

Naotaka Shimatani ◽

Yosaku Torii ◽

Mariko Sekimizu ◽

...

Keyword(s):

Case Report ◽

Streptococcus Pyogenes ◽

Abdominal Aorta ◽

Toxic Shock Syndrome ◽

Streptococcal Toxic Shock Syndrome ◽

Toxic Shock ◽

Abdominal Aorta Aneurysm ◽

Aorta Aneurysm

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The giant resectable carcinoma of gall bladder—a case report

BMC Surgery ◽

10.1186/s12893-021-01117-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Lovenish Bains ◽

Haraesh Maranna ◽

Pawan Lal ◽

Ronal Kori ◽

Daljit Kaur ◽

...

Keyword(s):

Case Report ◽

Gall Bladder ◽

Lymph Node Involvement ◽

Chronic Cholecystitis ◽

Large Size ◽

Node Involvement ◽

Uncommon Condition ◽

Well Differentiated ◽

Vague Abdominal Pain ◽

Common Malignancy

Abstract Background Gall bladder cancer (GBC) is the fifth most common malignancy in the gastrointestinal system and the most common malignancy of the biliary system. GBC is a very aggressive malignancy having a 5 year survival rate of 19%. Giant Gall Bladder (GGB) is an uncommon condition that can result from cholelithiasis or chronic cholecystitis and rarely with malignancy. Case report A 65 year old lady presented with vague abdominal pain for 12 years and right abdominal lump of size 20 × 8 cms was found on examination. CT scan showed a circumferentially irregularly thickened wall (2.5 cm) of gall bladder indicative of malignancy. Per-operatively a GB of size 24 × 9 cm was noted and patient underwent radical cholecystectomy. It was surprise to find such a giant malignant GB with preserved planes. Histopathology, it was well differentiated adenocarcinoma of gall bladder of Stage II (T2a N0 M0). Discussion It is known that mucocoele of GB can attain large size, however chronic cholecystitis will lead to a shrunken gall bladder rather than an enlarged one. A malignant GB of such size and resectable is rare without any lymph node involvement or liver infiltration. Few cases of giant benign gall bladder have been reported in literature, however this appears to be the largest resectable gall bladder carcinoma reported till date as per indexed literature. Conclusion Giant GB is an uncommon finding. They are mostly benign, however malignant cases can occur. Radiological findings may suggest features of malignancy and define extent of disease. Prognosis depends on stage of disease and resectability, irrespective of size.

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Bilateral Congenital Humeroradial Synostostis Presenting with Bilateral Proximal Radius Fractures: A Case Report

Case Reports in Orthopedic Research ◽

10.1159/000512183 ◽

2021 ◽

pp. 29-32

Author(s):

Elsiddig E. Mahmoud

Keyword(s):

Case Report ◽

Elbow Joint ◽

Parental Education ◽

Functional Disability ◽

Congenital Abnormalities ◽

Rare Condition ◽

Radius Fractures ◽

Proximal Radius ◽

History Of ◽

Uncommon Condition

Congenital bilateral humeroradial synostosis (HRS) is a rare condition. It is generally divided into 2 categories. In the first group, which is mainly sporadic, additional upper limb hypoplasia typically coexists. In the second group, which is classically familial, HRS is commonly an isolated upper extremity anomaly. HRS can lead to variable degrees of functional disability. The clinical case reported here illustrates a possibly avoidable presentation of this uncommon condition. In this case report, we present a 6-week-old male who presented with bilateral radius fractures. Radiography revealed congenital HRS at both elbows. No other associated congenital abnormalities were detected, and there was no family history of similar conditions in any first-degree relatives. In cases of congenital HRS, movement at the elbow joint is not possible. Parents who are unaware of this information might try to straighten their infant’s elbows, which in turn may result in fractures of the proximal radius. Hence, early diagnosis and proper parental education could prevent fractures as a sequela of HRS.

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