Radiologic Findings of a Recurrent Thyroidal and Perithyroidal Soft Tissue Infections Associated with a Pyriform Sinus Fistula: A Case Report

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

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Arcanobacterium haemolyticum bacteraemia and soft-tissue infections: Case report and review of the literature

Journal of Infection ◽

10.1016/j.jinf.2005.10.008 ◽

2006 ◽

Vol 53 (2) ◽

pp. e69-e74 ◽

Cited By ~ 27

Author(s):

T TAN ◽

S NG ◽

H THOMAS ◽

B CHAN

Keyword(s):

Case Report ◽

Soft Tissue ◽

Soft Tissue Infections ◽

Review Of The Literature ◽

Arcanobacterium Haemolyticum

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Surgical approach and treatment for the orifice of a pyriform sinus fistula: a case report and literature review

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa170 ◽

2020 ◽

Vol 2020 (6) ◽

Author(s):

Yukihiro Tatekawa

Keyword(s):

Case Report ◽

Surgical Approach ◽

Surgical Procedure ◽

Guide Wire ◽

Postoperative Recurrence ◽

Pyriform Sinus ◽

Fluoroscopic Guidance ◽

Pyriform Sinus Fistula ◽

Oral Side ◽

Nylon Thread

Abstract A 4-year-old girl underwent an open-neck surgical procedure for a recurrent pyriform sinus fistula (PSF). A catheter could not be inserted through the endoscope into the opening of the fistula. An open-neck surgical procedure with coring out of the fistula stained with a dye revealed that the fistula was missed near the upper lobe of the left thyroid. A guide wire was successfully inserted via the endoscope into the fistula, and the wire was gripped with forceps under fluoroscopic guidance and removed. As a modification of the surgical approach and treatment for the orifice of the PSF, a catheter was exchanged through the guide wire, and a nylon thread was passed into the catheter. The tip of the nylon thread from the oral side was fastened and fixed to a gauze ball. After removing the nylon thread, the orifice of the sinus fistula was recognized and sutured. She was discharged uneventfully and has done well without a postoperative recurrence for 12 months.

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Panton–Valentine leukocidin Staphylococcus aureus osteomyelitis of the adult tibia – a case report

Annals of The Royal College of Surgeons of England ◽

10.1308/147870810x476719 ◽

2010 ◽

Vol 92 (2) ◽

pp. e17-e19 ◽

Cited By ~ 3

Author(s):

MJ Hall ◽

JA Steer ◽

J Keenan

Keyword(s):

Staphylococcus Aureus ◽

Case Report ◽

Soft Tissue ◽

Surgical Management ◽

Adult Male ◽

Soft Tissue Infections ◽

Musculoskeletal Infection ◽

Invasive Infections ◽

Panton Valentine Leukocidin ◽

Valentine Leukocidin

Panton–Valentine leukocidin toxin producing Staphylococcus aureus (PVLSA) is known to be responsible for recurrent soft tissue infections and more serious invasive infections including necrotising pneumonia, pyomyositis, and osteomyelitis. Most reported cases involving musculoskeletal infection in adults are associated with methicillin-resistant S. aureus (MRSA) PVL-producing strains. We present the case of an adult male with PVL toxin–producing methicillin-sensitive S. aureus (MSSA) osteomyelitis of the tibia which has not previously been described in adults and highlight issues of recognition, treatment, and surgical management of PVLSA osteomyelitis.

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