scholarly journals Orbital and Intracranial Complication Resulting from Acute Rhinosinusitis: Case Report

2011 ◽  
Vol 15 (02) ◽  
pp. 241-244
Author(s):  
Raquel Crisostomo Lima Verde ◽  
Bruno Farias Lessa ◽  
Clara Mônica Figueiredo de Lima ◽  
Marcus Miranda Lessa ◽  
Helio Andrade Lessa ◽  
...  
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Endoscopic Surgery ◽  
Epidural Abscess ◽  
High Rate ◽  
Intracranial Abscess ◽  
Intracranial Complication ◽  
Acute Rhinosinusitis ◽  
In The Beginning

Summary Introduction: Among the rhinosinusitis complications, the orbital are the most frequent ones, occurring mostly in the youngsters and children. Simultaneous complications involving the intracranial orbit and space are extremely rare, but they must be severely treated for they have a high rate of morbidity and mortality. Case report: In this work, the authors report a case of a patient who appeared to have preseptal cellulites and epidural abscess, in the form of simultaneous complications of an acute rhinosinusitis. In the patient of this case, choice was made for a clinic treatment associated with a nasosinusal endoscopic surgery and neurosurgical drainage of the intracranial abscess. CT was enough to achieve the diagnosis of this case. Final commentaries: However, it is recommended that, in cases where patients have rhinosinusitis complications, an extensive intracranial investigation needs to be deepened even when this is not so evident in the beginning. Given the polymicrobial nature of these infections, an aggressive culture-guided antibiotic therapy and a multidisciplinary follow-up significantly increase the likelihood of success.

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.

GIANT CELL TUMOUR OF TENDON SHEATH OF TENDOACHILLES-A CASE REPORT

2021 ◽  
pp. 10-11
Author(s):  
K Srinivasa Reddy ◽  
K Anusha ◽  
K B Vijaya Mohan Reddy
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
Tendon Sheath ◽  
Cell Tumour ◽  
High Rate ◽  
Uncommon Tumour

Giant cell tumour arises from the synovium of tendon sheath, joints, or bursae,mostly affects adults between 30 and 50 years of age, and is slightly more common in females.Giant cell tumour of tendon sheath of tendoachilles is uncommon tumour. Usually it has a high rate of recurrence. In this article we report the case of a 32 year old female with Giant cell tumour of tendoachilles treated by excision with no reccurence after 7 months of follow up

scholarly journals Technetium-99m Ciprofloxacin Imaging in the Diagnosis of Postsurgical Bony Infection and Evaluation of the Response to Antibiotic Therapy: A Case Report

2005 ◽  
Vol 13 (2) ◽  
pp. 190-194 ◽  
Author(s):  
B Singh ◽  
BR Mittal ◽  
A Bhattacharya ◽  
A Aggarwal ◽  
ON Nagi ◽  
...  
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Bacterial Infection ◽  
Bone Scan ◽  
Specific Binding ◽  
Broad Spectrum Antibiotic ◽  
Methylene Diphosphonate ◽  
Orthopaedic Patients ◽  
Microbial Infections

The use of radiolabelled antibiotics is fast emerging as a promising diagnostic test for the detection of infective lesions, because of their specific binding to the bacterial component. Ciprofloxacin is a broad-spectrum antibiotic that has been used as a radiolabelled antibiotic in both the diagnosis of infections in rabbits and in clinical trials on humans. The diagnosis of skeletal microbial infections remains a challenge, especially in orthopaedic patients with implants. We present a case report of a patient with undiagnosed and unrelenting pain in the lower third of the left leg, which had persisted for 6 months. A novel scintigraphy, which was developed in-house using a 99mTc ciprofloxacin single vial kit, was used for diagnosing the active bacterial infection. A 99mTc methylene diphosphonate bone scan was also performed to locate precisely the site of the lesion. Gradually increasing concentrations of both the radiotracers confirmed the presence of active bacterial infection in the distal third of the left tibia. Follow-up scanning after antibiotic therapy showed the disappearance of the pooling of 99mTc ciprofloxacin, indicating a good response. Therefore, 99mTc ciprofloxacin has good diagnostic and prognostic applications in deep-seated covert skeletal microbial infections. However, the persistence of a focal concentration detected by the 99mTc methylene diphosphonate scan was attributed to the inflammatory and not the infective pathology.

scholarly journals Four-rod Technique Stabilization after Pedicle Subtraction Osteotomy (PSO) for the Treatment of Thoracolumbar Hyperkyphosis Secondary to Pott Disease: A Two-Year Follow-Up Case Report

2019 ◽  
Vol 38 (03) ◽  
pp. 219-226
Author(s):  
Alecio Cristino Evangelista Santos Barcelos ◽  
Sterphany Ohana Soares Azevedo Pinto ◽  
Thaise Ellen de Moura Agra Teixeira ◽  
Rayana Ellen Fernandes Nicolau
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Short Form ◽  
Spinal Tuberculosis ◽  
Pedicle Subtraction Osteotomy ◽  
High Rate ◽  
Hardware Failure ◽  
Sf 36

AbstractPedicle subtraction osteotomy (PSO) is a powerful tool for the management of sagittal misalignment. However, this procedure has a high rate of implant failure, particularly rod breakages. The four-rod technique diminishes this complication in the lumbar spine. The aim of the present study is to provide a case report regarding PSO and four-rod technique stabilization in the treatment of short-angle hyperkyphosis in the thoracolumbar (TL) junction. The authors describe the case of a patient with TL hyperkyphosis secondary to spinal tuberculosis treated with L1 PSO and fixation with a four-rod technique. There were no major surgical complications. The self-reported quality of life questionnaires (the Short-Form Health Survey 36 [SF-36] and the Oswestry disability index) and radiological parameters were assessed preoperatively, as well as 6, 12 and 24 months after surgery, and they showed considerable and sustained improvements in pain control and quality of life. No hardware failure was observed at the two-year follow-up.

Ameloblastic fibroma in the midline of mandible: a case report

2000 ◽  
Vol 24 (4) ◽  
pp. 321-327 ◽  
Author(s):  
P. Mohapatra ◽  
A. Choudhury ◽  
H. Parkash
Keyword(s):  
Case Report ◽  
Dental Arch ◽  
Radical Excision ◽  
Posterior Portion ◽  
Present Case Report ◽  
Ameloblastic Fibroma ◽  
Therapeutic Procedures ◽  
In The Beginning ◽  
Made In

The ameloblastic fibroma (AF) is a rare benign mixed odontogenic tumor. It is composed of both epithelial and mesenchymal elements, but lacks of any calcified dental structures. Most of these tumors occur in the mandible and appears preferentially in the posterior portion of the dental arch with molar area predominates over premolar area. It is important to differentiate the lesion from ameloblastoma, since unlike the latter, it does not exhibit a locally invasive growth pattern. It is a well-circumscribed lesion and does not require the radical excision that may be necessary to effect cure with ameloblastoma. The present case report describes a 15-year-old patient with an ameloblastic fibroma in the symphysis of the mandible, a rare reported site. In the beginning of the article an extensive review of the previously published literature on ameloblastic fibroma has been made. In the later part, the diagnosis, differential diagnosis, histology and therapeutic procedures and postoperative follow up of the present case have been described.

Iatrogenic Lateral Plantar Nerve Injury After Endoscopic Plantar Fascia Release: A Case Report

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Yen-Chun Chiu ◽  
Shih-Chieh Yang ◽  
Yu-Hwan Hsieh ◽  
Yuan-Kun Tu ◽  
Shyh-Ming Kuo ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Injury ◽  
Endoscopic Surgery ◽  
Plantar Fasciitis ◽  
Surgical Intervention ◽  
Plantar Fascia ◽  
Slight Improvement ◽  
Lateral Plantar Nerve ◽  
Plantar Fascia Release

We present a 57-year-old female patient with iatrogenic lateral plantar nerve injury caused by endoscopic surgery for plantar fasciitis. Nerve grafting surgery was recommended, but the patient refused further surgical intervention because of personal reasons. After 1-year follow-up in outpatient clinics, she achieved only slight improvement in the lateral foot symptoms and still required oral analgesics for pain control. The purpose of this case report is to remind physicians of such a rare and serious complication that can occur after endoscopic surgery for plantar fasciitis. Good knowledge of anatomy and skilled surgical technique could decrease this type of complication.

scholarly journals Absceso gingival después de aumento de reborde alveolar con técnica en rollo modificada. Reporte de caso / Gingival Abscess after Alveolar Ridge Increase with Modified Roll Technique: A Case Report

2018 ◽  
Vol 36 (77) ◽  
Author(s):  
Pablo Emilio Molano Valencia ◽  
Bibiana Inés Yepes Ramírez ◽  
Alix María Varela Peñaranda
Keyword(s):  
Case Report ◽  
Postoperative Pain ◽  
Antibiotic Therapy ◽  
Complete Resolution ◽  
Alveolar Ridge ◽  
Microbiological Diagnosis ◽  
Oral Rehabilitation ◽  
Aesthetic Appearance ◽  
The Aesthetic

RESUMEN. Antecedentes: La técnica en rollo modificado se ha utilizado ampliamente para mejorar el aspecto estético de las deficiencias de rebordes alveolares durante el tratamiento de rehabilitación y disminuir dolor posoperatorio. Objetivo: Describir un caso clínico en el que se realizó un aumento del reborde alveolar por medio de técnica en rollo modificada y se presentó un absceso durante las primeras semanas posoperatorias. Se describe también manejo clínico del caso. Resultados: Después del diagnóstico clínico y microbiológico, se realizó tratamiento antibiótico. En el control a los cuatro meses se observó resolución completa del absceso.ABSTRACT. Background: The modified roll technique has been widely used to improve the aesthetic appearance of alveolar ridge deficiencies during the oral rehabilitation treatments and to reduce postoperative pain. Purpose: To describe a case of alveolar ridge increase through modified roll technique and an abscess that occurred during the initial postoperative weeks. The clinical treatment of the case is also described. Results: After clinical and microbiological diagnosis, the patient underwent antibiotic therapy. Four-month follow-up showed complete resolution of the abscess. 

scholarly journals Significance of Correct Diagnosis of Odontogenic Extraoral Sinus: A Report Of Two Cases

2018 ◽  
Vol 1 (11) ◽  
pp. 334-338
Author(s):  
Shweta Bansal ◽  
Ruchi Juneja ◽  
Gyanendra Mishra ◽  
Akshay Nambiar
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Sinus Tract ◽  
Short Term ◽  
Diagnostic Challenge ◽  
Odontogenic Origin

Cutaneous draining sinus tracts of odontogenic origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in unnecessary antibiotic therapy and surgical treatment. This case report presents the clinical course of two cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. These facial lesions were initially misdiagnosed as lesions of non-odontogenic origin. Later on an odontogenic cause was identified and endodontic intervention resulted in resolution of the problem, confirming the initial misdiagnosis.

scholarly journals MANAGEMENT OF RECURRENT PILONIDAL SINUS WITH KSHARALEPA: A CASE REPORT

2020 ◽  
Vol 11 (6) ◽  
pp. 4-6
Author(s):  
Poornima Jalawadi ◽  
Aiyanna PP
Keyword(s):  
Case Report ◽  
Antibiotic Therapy ◽  
Male Patient ◽  
Pilonidal Sinus ◽  
Prevalence Rate ◽  
Surgical Practice ◽  
High Prevalence Rate ◽  
High Prevalence

Pilonidal Sinus (PNS) is a commonest presentation in surgical practice with a high prevalence rate at more than 1 million cases per year in India, where as incidence is about 26 per 1,00,000 population. A 30-year-old male patient presented with PNS after an unsuccessful excision followed by antibiotic therapy. The challenge in this case was not only to excise the tract but also preventing its recurrence. Adopting the principles of Vranopakramas using Ksharakarma, Utsadana karma described in Ayurveda helped to manage the PNS effectively without any recurrence after 32 months of follow-up.

Tuberculous spinal epidural abscess (case report and literature review)

MedAlliance ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 57-63
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Thoracic Spinal ◽  
Treat Ment ◽  
Tuberculous Abscess ◽  
Progressive Neurological Deficit ◽  
Spinal Epidural

Tuberculous spinal epidural abscess (SEA) is an uncom-mon pathology, which presents is only 2% of all SEA ca-ses. We report a rare cases of cervical-lumbar and thoracic spinal epidural tuberculous abscess occupying the spinal canal from C2–L3 and Th8–Th9 vertebrae with progressive neurological deficit. Clinical features, diagnostic and treat-ment challenges and follow-up results were presented

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