scholarly journals Post COVID-19 invasive mucormycosis and actinomycosis co-infection: a case report

2021 ◽  
Author(s):  
Neha Mishra ◽  
Venkata Sai Shashank Mutya ◽  
Irfan Ibrahim K. ◽  
Girish Rai
Keyword(s):  
Case Report ◽  
Bone Tissue ◽  
Histological Examination ◽  
Surgical Management ◽  
Gold Standard ◽  
Bacterial Culture ◽  
Beta Lactams ◽  
Necrotic Bone ◽  
Sulfur Granules ◽  
Aggressive Debridement

<p>Actinomyces are commensals of human oropharynx and actinomycosis is considered mainly as an endogenous infection that is triggered by a mucosal lesion. Typically, the disease presents as a slowly progressive painless indurated mass evolving into multiple abscesses with draining sinus tracts sometimes expressing a typical yellow exudate with characteristic sulfur granules. The gold standard of diagnosis is histological examination and bacterial culture of the tissue. Most isolates are susceptible to beta lactams and they are the treatment of choice along with surgical management with drainage of abscesses and excision of recalcitrant fibrotic lesions and debridement of necrotic bone tissue. Here we present a case of 37-year-old male patient who has developed severe COVID-19 infection following which he developed invasive mucormycosis followed by actinomycosis. We postulate that the lymphopenia and the use of immunosuppressants used in treatment of COVID-19 lead to mucormycosis and aggressive debridement used as a strategy in treatment of mucormycosis led to colonization of actinomyces leading to cervicofacial actinomycosis.</p>

scholarly journals Appendicular and Caecal Fecalith causing Perforation: A Case Report

2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Rojan Adhikari ◽  
Prashant Simkhada ◽  
Deependra Mandal ◽  
Ashok Kunwar ◽  
Saroj Prasad Dhital
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Histological Examination ◽  
Surgical Management ◽  
Conservative Management ◽  
Intestinal Tract ◽  
Inflammatory Lesion ◽  
Caecal Perforation

Fecalith is a concretion of dry compact feces or hard stony mass of faeces in the intestinal tract. Thoughappendicular fecoliths are commonly encountered, caecal fecoliths are rare entities. Fecoliths areamenable to conservative management with laxatives and enemas but surgical management preventsrecurrence. We present a case of 27 years old male who was diagnosed with acute appendicitis withperitonitis. He was intraoperatively diagnosed as gangrenous and perforated retrocaecal appendixwith multiple small fecaliths and a large fecalith on cecum with perforation. Appendectomy andprimary repair of caecal perforation done. Histological examination of perforated margin confirmedas an inflammatory lesion.

Surgical Management of Aortopulmonary Window- a Case Report

2008 ◽  
Vol 4 (1) ◽  
Author(s):  
MR Hoque ◽  
MA Hossain ◽  
Z Rahman ◽  
SMG Saklayen
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Aortopulmonary Window

Hemangiomatosis of the greater omentum – a case report

2019 ◽  
Vol 98 (4) ◽  
pp. 178-180
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Histological Examination ◽  
Case Reports ◽  
Greater Omentum ◽  
Surgical Removal ◽  
Consumption Coagulopathy ◽  
Cavernous Hemangiomas ◽  
Mesodermal Origin ◽  
Benign Tumours

Cavernous hemangiomas are benign tumours of mesodermal origin. Even though various localizations of hemangioma have been described in the literature, its occurrence in the greater omentum is very rare. Only symptomatic hemangiomas are indicated for surgical treatment. There are case reports presenting resection or surgical removal of the greater omentum with hemangioma because of mechanical syndrome, consumption coagulopathy, bleeding, infection or suspicion of a malignancy. This article presents a case report of a patient operated on for a suspicion of carcinomatosis of the greater omentum. Histological examination found hemangiomatosis in the resected greater omentum.

SURGICAL MANAGEMENT OF OBSTRUCTIVE UROLITHIASIS IN A BITCH: A CASE REPORT

2018 ◽  
Vol 10 (1) ◽  
pp. 082
Author(s):  
Mandakini Sahoo ◽  
Indramani Nath ◽  
Biswadeep Jena ◽  
Siddharth Shankar Behera
Keyword(s):  
Case Report ◽  
Surgical Management

Comprehensive Surgical Management of Chronic Suppurative Osteomyelitis Extending to The Lower Border of Mandible – A Case Report

2018 ◽  
Vol 5 (3) ◽  
Author(s):  
Deepak Kaul ◽  
Farahnaz Muddebihal ◽  
Mohammed Anwar Ul Haque Chand
Keyword(s):  
Developing Countries ◽  
Case Report ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Surgical Debridement ◽  
Reconstruction Plate ◽  
Left Posterior ◽  
High Nutrient ◽  
Inferior Border ◽  
Precipitating Factor

Osteomyelitis of maxillofacial skeleton is common in developing countries such as India. This case report describes successful surgical treatment of chronic suppurative osteomyelitis {CSO} of the mandible of a 35yr old female. The precipitating factor was thought to be eventful extraction in the {left } posterior body at the inferior border of mandible. Methods: Presurgical course of antibiotics ( Amoxycillin and metronidazole for 7 days and later followed by doxycycline for 1 month).Surgical debridement of the affected bone and reinforcing it with reconstruction plate using AO principles was done . Patient was kept on a high nutrient diet consisting of proteins. Conclusion: The case report demonstrates the typical features of CSO . The combination of the antibiotics therapy and surgical debridement was successful in the treatment of chronic suppurative osteomylitis.

Bi-microbial Healthcare-Associate Endocarditis caused by Enterococcus faecalis and Burkholderia cepacia: A Case Report and literature review

2020 ◽  
Vol 02 ◽  
Author(s):  
Masood Ghori ◽  
Nadya O. Al Matrooshi ◽  
Samir Al Jabbari ◽  
Ahmed Bafadel ◽  
Gopal Bhatnagar
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Literature Review ◽  
Enterococcus Faecalis ◽  
Surgical Management ◽  
Burkholderia Cepacia ◽  
Clinical Presentation ◽  
Complicated Course ◽  
Healthcare Associated ◽  
Echocardiographic Findings

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

Surgical management of choke through oesophagotomy in a buffalo: A case report

2017 ◽  
Vol 12 (3) ◽  
Author(s):  
Devasee Borakhatariya ◽  
A. B. Gadara
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Clinical Presentation ◽  
Clinical Signs ◽  
Thoracic Inlet ◽  
Cervical Oesophagus ◽  
Foreign Objects ◽  
History Of ◽  
Oesophageal Obstruction ◽  
Large Animals

Oesophageal disorders are relatively uncommon in large animals. Oesophageal obstruction is the most frequently encountered clinical presentation in bovine and it may be intraluminal or extra luminal (Haven, 1990). Intraluminal obstruction or “choke” is the most common abnormality that usually occurs when foreign objects, large feedstuff, medicated boluses, trichobezoars, or oesophageal granuloma lodge in the lumen of the oesophagus. Oesophageal obstructions in bovine commonly occur at the pharynx, the cranial aspect of the cervical oesophagus, the thoracic inlet, or the base of the heart (Choudhary et al., 2010). Diagnosis of such problem depends on the history of eating particular foodstuff and clinical signs as bloat, tenesmus, retching, and salivation

Surgical Management of Aural Haematoma in a Rabbit - A Case Report

2017 ◽  
Vol 12 (3) ◽  
Author(s):  
J. S. Shruthi ◽  
N. G. Amith ◽  
P. Priya ◽  
J. K. Pramodh ◽  
T. Chandrashekar
Keyword(s):  
Case Report ◽  
Blood Vessel ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Concave Surface ◽  
Allergic Dermatitis ◽  
Chronic Irritation ◽  
Haematoma Formation

Aural haematoma is the collection of blood or serum within the cartilage plate of the ear pinna which presents as fluctuant, fluid-filled swelling on the concave surface of one or both the pinna (Fossum, 2007). It occurs as a result of constant shaking and rubbing of ear due to otitis, ectoparasitism, ottorrhoea, foreign bodies, hypersensitivity and allergic dermatitis. This chronic irritation, constant shaking and rubbing of the ear leads to rupture of the pinnal blood vessel resulting in haematoma formation (Ahiwar et al., 2007).

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