scholarly journals Neck swelling from a retropharyngeal abscess caused by penicillin-resistant Streptococcus pneumoniae: a case report

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Yukiyoshi Hyo ◽  
Hisaki Fukushima ◽  
Tamotsu Harada
Keyword(s):  
Case Report ◽  
Streptococcus Pneumoniae ◽  
Retropharyngeal Abscess ◽  
Neck Swelling

scholarly journals Chronic retropharyngeal abscess

2012 ◽  
Vol 18 (2) ◽  
pp. 242-244
Author(s):  
M Alamgir Chowdhury ◽  
Naseem Yasmeen ◽  
Phub Tshering
Keyword(s):  
Case Report ◽  
Posterior Pharyngeal Wall ◽  
Retropharyngeal Abscess ◽  
Retropharyngeal Space ◽  
Tuberculous Infection ◽  
Anterior Longitudinal Ligament ◽  
Neck Swelling ◽  
External Drainage ◽  
Pharyngeal Wall ◽  
Space Case

Introduction: Chronic retropharyngeal abscess can occur in the adults as well as in children. It is usually due to tuberculous infection of the cervical spine as the pus directly spreads through the anterior longitudinal ligament into the retropharyngeal space. Case report: We report a case of chronic retropharyngeal abscess in a 60-year-old woman who presented with throat pain and dysphagia. On examination there was bulging of the posterior pharyngeal wall and also right sided neck swelling. She was treated by external drainage of abscess under local anaesthesia and she recovered well with anti-tubercular drugs DOI: http://dx.doi.org/10.3329/bjo.v18i2.12032 Bangladesh J Otorhinolaryngol 2012; 18(2): 242-244

Spontaneous cervical surgical emphysema following childbirth

2007 ◽  
Vol 121 (12) ◽  
Author(s):  
S Mylvaganam ◽  
C G L Hobbs
Keyword(s):  
Case Report ◽  
Complete Resolution ◽  
Post Partum ◽  
Neck Swelling ◽  
First Case ◽  
Increased Risk ◽  
Surgical Emphysema

AbstractObjective:We report a case of post-partum surgical cervical emphysema, which is a rare but well recognised complication of labour. By reporting the first case in the ENT literature, we aim to raise awareness of this complication, particularly amongst trainees, to ensure that patients are managed most appropriately.Case report:A 36-year-old, primigravida woman developed neck swelling and odynophagia post-partum. Surgical cervical emphysema was palpated, with further examination excluding pneumomediastinum and pneumothorax. The patient was managed conservatively, with complete resolution of symptoms within a week.Conclusions:Surgical cervical emphysema, pneumothorax and pneumomediastinum are all well recognised post-partum complications. The vast majority of cases do not present with respiratory or cardiac compromise and can be appropriately managed conservatively, with expectation of resolution in a fortnight. There is no evidence that such patients are at increased risk during subsequent pregnancies.

Retropharyngeal abscess: An unusual presentation of Kawasaki disease. Case report and review of the literature

2012 ◽  
Vol 7 (4) ◽  
pp. 179-182 ◽  
Author(s):  
Maria Elena Cavicchiolo ◽  
Paola Berlese ◽  
Silvia Bressan ◽  
Elena Trincia ◽  
Ingrid Inches ◽  
...  
Keyword(s):  
Case Report ◽  
Kawasaki Disease ◽  
Unusual Presentation ◽  
Retropharyngeal Abscess ◽  
Review Of The Literature ◽  
Disease Case

Prolonged Pneumococcal Meningitis Due to an Organism With Increased Resistance to Penicillin

PEDIATRICS ◽  
1976 ◽  
Vol 58 (3) ◽  
pp. 378-381 ◽  
Author(s):  
Abel Paredes ◽  
Larry H. Taber ◽  
Martha D. Yow ◽  
Dorothy Clark ◽  
William Nathan
Keyword(s):  
Case Report ◽  
Streptococcus Pneumoniae ◽  
Pneumococcal Meningitis ◽  
Pneumococcal Infections ◽  
In Vitro Susceptibility ◽  
Focus Of Infection ◽  
Resistance To Penicillin ◽  
Penicillin Treatment ◽  
Susceptibility Tests

For more than 30 years, penicillin has been the agent of choice for pneumococcal infections. During this time the majority of strains of Streptococcus pneumoniae have been highly susceptible to penicillin. However, during the last ten years there have been sporadic reports of pneumococci with increased resistance to penicillin. The case report of an 18-month-old white boy with meningitis due to a strain of S. pneumoniae with increased resistance to penicillin is presented. The MIC of the organism to penicillin was 0.2µg/ml and the MBC 0.39µg/ml. The patient had normal immunity and no demonstrable sequestered focus of infection but failed to respond to appropriate doses of intravenous penicillin. Treatment with chloramphenicol caused a dramatic bacteriologic and clinical response. This experience reemphasizes the existence of pneumococcal strains of intermediate penicillin sensitivity and the importance of in vitro susceptibility tests.

scholarly journals Severe Austrian Syndrome in an Immunocompromised Adult Patient – A Case Report

2018 ◽  
Vol 4 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Ioana Raluca Chirteș ◽  
Dragos Florea ◽  
Carmen Chiriac ◽  
Oana Maria Mărginean ◽  
Cristina Mănășturean ◽  
...  
Keyword(s):  
Case Report ◽  
Streptococcus Pneumoniae ◽  
Histopathological Examination ◽  
Fatal Outcome ◽  
Multiple Organ ◽  
Etiologic Agent ◽  
Acute Meningitis ◽  
History Of ◽  
Valvular Lesions ◽  
Formalin Fixed

AbstractBackground: Known also as Osler’s triad, Austrian syndrome is a complex pathology which consists of pneumonia, meningitis and endocarditis, all caused by the haematogenous dissemination of Streptococcus pneumoniae. The multivalvular lesions are responsible for a severe and potential lethal outcome.Case report: The case of a 51-year-old female patient, with a past medical history of splenectomy, is presented. She developed bronchopneumonia, acute meningitis and infective endocarditis as a result of Streptococcus pneumoniae infection and subsequently developed multiple organ dysfunction syndromes which led to a fatal outcome. Bacteriological tests did not reveal the etiological agent. The histopathological examination showed a severe multivalvular endocarditis, while a PCR based molecular analysis from formalin fixed valvular tissue identified Streptococcus pneumoniae as the etiologic agent.Conclusions: The presented case shows a rare syndrome with a high risk of morbidity and mortality. Following the broad-spectrum treatment and intensive therapeutic support, the patient made unfavourable progress which raised differential diagnosis problems. In this case, the post-mortem diagnosis demonstrated multiple valvular lesions occurred as a result of endocarditis.

scholarly journals Thyroid abscess in a 5 year old child caused by Enterococcus species: a rare case report

2018 ◽  
Vol 4 (2) ◽  
pp. 36
Author(s):  
Pradeep Rajbhandari ◽  
Bikash Lal Shrestha ◽  
Ashish Dhakal
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Lymphatic Drainage ◽  
Rare Clinical Entity ◽  
Surgical Drainage ◽  
Enterococcus Species ◽  
Neck Swelling ◽  
Anterior Midline ◽  
Thyroid Abscess ◽  
Rare Case Report

<p class="abstract"><span lang="EN-IN">Thyroid abscess is a rare clinical entity which is attributable to its unique anatomical and physical characteristics which makes it resistant to infection. Thyroid gland is resistant to infection because of its rich blood supply and lymphatic drainage, an iodine rich environment and separation of the gland from other structures of neck by facial planes. In our case report, 5 years old male patient presented with a painful anterior midline neck swelling which was diagnosed as thyroid abscess caused by <em>Enterococcus</em> species. The patient was successfully treated with surgical drainage and appropriate antibiotics</span><span lang="EN-IN">. </span></p>

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