scholarly journals Malakoplakia of the bladder near the ureteral orifice: a case report

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110507
Author(s):  
Pan Gao ◽  
Zhonggui Hu ◽  
Dan Du
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Antibiotic Treatment ◽  
Surgical Excision ◽  
Urogenital Tract ◽  
Urinary Obstruction ◽  
Ureteral Orifice ◽  
Granulomatous Disease ◽  
Aggressive Treatment ◽  
Multiple Treatments

Malakoplakia, a rare acquired granulomatous disease, affects many systems, including the urogenital tract. The literature describes malakoplakia of different viscera, and satisfactory results have been obtained after treatment. We reported a 48-year-old patient with diabetes who received multiple treatments in our hospital for bladder malakoplakia near the ureteral orifice. Despite aggressive treatment, the patient had recurrent bladder malakoplakia and even developed right ureteral orifice stenosis, which resulted in urinary obstruction and hydronephrosis. We believe that malakoplakia in the bladder near ureteral orifice should receive more attention. Satisfactory results may not be obtained through antibiotic treatment alone, and early antibiotic therapy combined with full surgical excision may be a better choice.

scholarly journals Pyogenic Granuloma: A Case Report

2021 ◽  
Vol 8 (4) ◽  
pp. 61-64
Author(s):  
Maria Jabbar ◽  
Hira Butt ◽  
Nauman Rauf Khan
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Maxillofacial Surgery ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Oral And Maxillofacial Surgery ◽  
Granulomatous Disease ◽  
Second Trimester ◽  
Solitary Nodule ◽  
Abnormal Growth

Pyogenic granuloma is a type of inflammatory hyperplasia of the oral mucosa and skin that occurs commonly. Histopathologically, it mimics an angiomatous lesion instead of granulomatous disease. These lesions generally appear as a sessile papule or solitary nodule and may have a smooth or lobulated surface clinically. These granulomas present in a variety of sizes, ranging from a few millimeters to several centimeters. About 75% of the pyogenic granulomas of the oral cavity are associated with the gingiva. In this case report a 31 years old female presented in the department of oral and maxillofacial surgery with the complaint of abnormal growth of gingiva in maxillary anterior region. The patient was diagnosed with the pyogenic granuloma (pregnancy tumor), which had developed in the second trimester of her pregnancy. Surgical excision was done to remove the lesion.

scholarly journals Efficacy of the Combination Rifampin-Streptomycin in Preventing Growth of Mycobacterium ulcerans in Early Lesions of Buruli Ulcer in Humans

2005 ◽  
Vol 49 (8) ◽  
pp. 3182-3186 ◽  
Author(s):  
S. Etuaful ◽  
B. Carbonnelle ◽  
J. Grosset ◽  
S. Lucas ◽  
C. Horsfield ◽  
...  
Keyword(s):  
Body Weight ◽  
Antibiotic Therapy ◽  
Antibiotic Treatment ◽  
Buruli Ulcer ◽  
Surgical Excision ◽  
Skin Lesions ◽  
Mycobacterium Ulcerans ◽  
Early Lesions ◽  
Culture Positive ◽  
Culture Negative

ABSTRACT Mycobacterium ulcerans disease is common in some humid tropical areas, particularly in parts of West Africa, and current management is by surgical excision of skin lesions ranging from early nodules to extensive ulcers (Buruli ulcer). Antibiotic therapy would be more accessible to patients in areas of Buruli ulcer endemicity. We report a study of the efficacy of antibiotics in converting early lesions (nodules and plaques) from culture positive to culture negative. Lesions were excised either immediately or after treatment with rifampin orally at 10 mg/kg of body weight and streptomycin intramuscularly at 15 mg/kg of body weight daily for 2, 4, 8, or 12 weeks and examined by quantitative bacterial culture, PCR, and histopathology for M. ulcerans. Lesions were measured during treatment. Five lesions excised without antibiotic treatment and five lesions treated with antibiotics for 2 weeks were culture positive, whereas three lesions treated for 4 weeks, five treated for 8 weeks, and three treated for 12 weeks were culture negative. No lesions became enlarged during antibiotic treatment, and most became smaller. Treatment with rifampin and streptomycin for 4 weeks or more inhibited growth of M. ulcerans in human tissue, and it provides a basis for proceeding to a trial of antibiotic therapy as an alternative to surgery for early M. ulcerans disease.

scholarly journals A Para-Canalicular Abscess Resembling an Inflamed Chalazion

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Diamantis Almaliotis ◽  
Elias Nakos ◽  
Thomas Siempis ◽  
Triantafyllia Koletsa ◽  
Ioannis Kostopoulos ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Antibiotic Therapy ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Recurrent Infections ◽  
Medial Canthus ◽  
Palpebral Conjunctiva ◽  
Local Antibiotic ◽  
Local Antibiotic Therapy

Background.Lacrimal infections byActinomycesare rare and commonly misdiagnosed for long periods of time. They account for 2% of all lacrimal diseases.Case Report.We report a case of a 70-year-old female patient suffering from a para-canalicular abscess in the medial canthus of the left eye, beside the lower punctum lacrimale, resembling a chalazion. Purulence exited from the punctum lacrimale due to inflammation of the inferior canaliculus (canaliculitis). When pressure was applied to the mass, a second exit of purulence was also observed under the palpebral conjunctiva below the lacrimal caruncle. A surgical excision was performed followed by administration of local antibiotic therapy. The histopathological examination of the extracted mass revealed the existence of actinomycosis.Conclusion.Persistent or recurrent infections and lumps of the eyelids should be thoroughly investigated.Actinomycesas a causative agent should be considered. Differential diagnosis is broad and should include canaliculitis, chalazion, and multiple types of neoplasias. For this reason, in nonconclusive cases, a histopathological examination should be performed.

Successful Treatment of Severe Complicated Cholangitis Using Regional Antibiotic Therapy (Case Report)

2016 ◽  
Vol 0 (1-2.30-31) ◽  
pp. 78
Author(s):  
V.I. Desiateryk ◽  
O.V. Kotov ◽  
O.V. Brovko ◽  
K.P. Alimov ◽  
O.A. Hul
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Successful Treatment

Autosomal chronic granulomatous disease: case report and mutation analysis of two Brazilian siblings

2004 ◽  
Vol 80 (5) ◽  
pp. 425-8 ◽  
Author(s):  
Carolina Prando-Andrade ◽  
Piedad Agudelo-Florez ◽  
Juan A. Lopez ◽  
Maria Aparecida de Souza Paiva ◽  
Beatriz T. Costa-Carvalho ◽  
...  
Keyword(s):  
Case Report ◽  
Chronic Granulomatous Disease ◽  
Mutation Analysis ◽  
Granulomatous Disease ◽  
Disease Case

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

scholarly journals Laparoscopic appendectomy versus antibiotic treatment for acute appendicitis—a systematic review

2021 ◽  
Author(s):  
Franziska Köhler ◽  
Anne Hendricks ◽  
Carolin Kastner ◽  
Sophie Müller ◽  
Kevin Boerner ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antibiotic Therapy ◽  
Antibiotic Treatment ◽  
Laparoscopic Appendectomy ◽  
Data Extraction ◽  
Open Appendectomy ◽  
Cochrane Library ◽  
Pubmed Database ◽  
Uncomplicated Appendicitis ◽  
Absence From Work

Abstract Background Over the last years, laparoscopic appendectomy has progressively replaced open appendectomy and become the current gold standard treatment for suspected, uncomplicated appendicitis. At the same time, though, it is an ongoing discussion that antibiotic therapy can be an equivalent treatment for patients with uncomplicated appendicitis. The aim of this systematic review was to determine the safety and efficacy of antibiotic therapy and compare it to the laparoscopic appendectomy for acute, uncomplicated appendicitis. Methods The PubMed database, Embase database, and Cochrane library were scanned for studies comparing laparoscopic appendectomy with antibiotic treatment. Two independent reviewers performed the study selection and data extraction. The primary endpoint was defined as successful treatment of appendicitis. Secondary endpoints were pain intensity, duration of hospitalization, absence from work, and incidence of complications. Results No studies were found that exclusively compared laparoscopic appendectomy with antibiotic treatment for acute, uncomplicated appendicitis. Conclusions To date, there are no studies comparing antibiotic treatment to laparoscopic appendectomy for patients with acute uncomplicated appendicitis, thus emphasizing the lack of evidence and need for further investigation.

scholarly journals Brain Abscess Caused by Nocardia: Case Report and Literature Review

2020 ◽  
Author(s):  
Guilherme Finger ◽  
Maria Eduarda Conte Gripa ◽  
Tiago Paczko Bozko Cecchini ◽  
Tobias Ludwig do Nascimento
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Clinical Signs ◽  
Occipital Lobe ◽  
High Morbidity ◽  
Rare Clinical Entity ◽  
Brain Abscesses

AbstractNocardia brain abscess is a rare clinical entity, accounting for 2% of all brain abscesses, associated with high morbidity and a mortality rate 3 times higher than brain abscesses caused by other bacteria. Proper investigation and treatment, characterized by a long-term antibiotic therapy, play an important role on the outcome of the patient. The authors describe a case of a patient without neurological comorbidities who developed clinical signs of right occipital lobe impairment and seizures, whose investigation demonstrated brain abscess caused by Nocardia spp. The patient was treated surgically followed by antibiotic therapy with a great outcome after 1 year of follow-up.

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