A Rare Case of Iliopsoas Abscess in a Term Neonate – Case Report and Brief Review of Literature

Abstract Iliopsoas abscesses are rare in neonates. Clinical presentation of neonates with iliopsoas abscess often mimic other common neonatal illness. Typical clinical features as described in adults may not be observed in neonates. Such abscesses cause a diagnostic dilemma for the clinician, often resulting in a delay in clinical diagnosis and institution of specific treatment. We report a case of a 10-day old term male neonate from community who presented with high grade fever, abdominal distension, left lower limb swelling with limitation of movement and diagnosed to have left sided iliopsoas abscess on ultrasonography. The neonate undergone and extraperitoneal surgical drainage of the abscess along with a course systemic antimicrobial agent. The case is of clinical importance because it describes the presence of a localized abscess in an uncommon location and Methicillin resistant staphylococcus being the causative organism, which represents a rare and potentially life-threatening infection in neonates.

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Diagnostic dilemma of primary neonatal iliopsoas abscess

Annals of Pediatric Surgery ◽

10.1186/s43159-021-00096-6 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Sampurna Ray ◽

Pranab Kumar Dey ◽

Pankaj Halder ◽

Arindam Ghosh

Keyword(s):

Surgical Drainage ◽

High Grade Fever ◽

Diagnostic Dilemma ◽

Case Presentation ◽

Iliopsoas Abscess ◽

Diagnostic Difficulties ◽

Laboratory Investigations ◽

High Index Of Suspicion ◽

Bluish Discoloration

Abstract Background Primary iliopsoas abscess is extremely rare in neonates and overlooked easily. It is potentially curable with surgical drainage and broad-spectrum antibiotics if diagnosed early. Case presentation A 13-day-old neonate was presented with a swelling and bluish discoloration on the left thigh and groin. There was a restriction of movement of the left lower limb, and he developed high grade fever later on, during hospital stay. In spite of a great dilemma, we could finally reach the diagnosis of primary iliopsoas abscess, performed surgical drainage, and controlled ongoing sepsis. At 3 months follow-up, the patient was doing well and there was no asymmetry in appearance of movements. Conclusion High index of suspicion, vigilant clinical examinations, and targeted laboratory investigations with imaging studies are of paramount importance in establishing its diagnosis. This case highlights the diagnostic difficulties and re-evaluates the representative features of neonatal iliopsoas abscess and its management.

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Fat Embolism Syndrome, a Diagnostic Dilemma: Case Report and Review of the Literature

Case Reports in Orthopedic Research ◽

10.1159/000511969 ◽

2021 ◽

pp. 73-78

Author(s):

Rhita Salah ◽

Réda El Alami ◽

Badr Chalouah ◽

Mohammed Benchakroun ◽

Abdeloihab Jaafar ◽

...

Keyword(s):

Specific Treatment ◽

Femoral Shaft ◽

Shaft Fracture ◽

Fat Embolism ◽

Variable Degree ◽

Diagnostic Dilemma ◽

Fat Embolism Syndrome ◽

Embolism Syndrome ◽

Threatening Condition ◽

Life Threatening

Fat embolism syndrome (FES) remains a diagnostic dilemma on a world scale. It has a variable degree of presentation, which makes the diagnostic confirmation hard to obtain. FES is a life-threatening condition which is usually associated with orthopedic trauma, particularly long bones fractures whose early fixation helps in preventing it. It requires supportive care, and no specific treatment is needed. Here, we report the case of a FES in a 20 year-old male patient with right femoral shaft fracture following a motorbike accident, which is diagnosed by Gurd’s criteria and confirmed after exclusion of other diagnosis with similar clinical presentation.

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Bilateral Fallopian Tube Hydatid Disease Masquerading as Pelvic Malignancy: A Case Report with Review of Literature

Journal of Gynecology Research Reviews & Reports ◽

10.47363/jgrrr/2021(3)130 ◽

2021 ◽

pp. 1-3

Author(s):

Rakesh Kumar Gupta ◽

◽

Nidhi Rai ◽

Keyword(s):

Fallopian Tube ◽

Hydatid Disease ◽

Case Reports ◽

Lower Abdominal Pain ◽

Abdominal Distension ◽

Fallopian Tubes ◽

Review Of Literature ◽

Pelvic Malignancy ◽

Diagnostic Dilemma ◽

History Of

Echinococcosis is a zoonotic disease commonly known, as hydatid disease is endemic in India and mostly caused by Echinococcus granulosus. Hydatid cyst most commonly involves liver followed by lungs with a frequency of 60% and 20–30% respectively. Rarely, it can primarily involve pelvic organs in females such as uterus, ovaries, fallopian tubes etc. either separately or sometimes together, which may mimic malignancy and create diagnostic dilemma. Till date, around 30 case reports of primary fallopian tube hydatid disease are reported, however none of them mentioned bilateral involvement. Herein, we report a case of bilateral fallopian tubal hydatid disease in a 45-years-old female presented with a 4 months history of lower abdominal pain and abdominal distension with review of literature

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Clinical importance of recipient site characteristics for vertical ridge augmentation: A systematic review of literature and proposal of a classification

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-11-00210.1 ◽

2012 ◽

pp. 121126073929003 ◽

Cited By ~ 1

Author(s):

Arash Khojasteh ◽

Golnaz Morad ◽

Hossein Behnia

Keyword(s):

Systematic Review ◽

Clinical Importance ◽

Review Of Literature ◽

Recipient Site ◽

Ridge Augmentation ◽

Site Characteristics

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Unilateral mydriasis in a child with a ventriculoperitoneal shunt for obstructive hydrocephalus: a diagnostic dilemma

BMJ Case Reports ◽

10.1136/bcr-2020-237257 ◽

2020 ◽

Vol 13 (12) ◽

pp. e237257

Author(s):

Monidipa Banerjee ◽

Eiman Haj Ahmed ◽

Kathryn Foster ◽

Arundoss Gangadharan

Keyword(s):

Ipratropium Bromide ◽

Obstructive Hydrocephalus ◽

Sudden Onset ◽

Unique Case ◽

Diagnostic Dilemma ◽

Vp Shunt ◽

Life Threatening ◽

Unilateral Mydriasis ◽

The Brain ◽

Rule Out

There are several causes for sudden onset unilateral mydriasis, however impending transtentorial uncal herniation needs to be ruled out. This unique case highlights an uncommon adverse response to a common mode of treatment that leads to a diagnostic dilemma. A 3-year-old boy with a ventriculoperitoneal (VP) shunt for an obstructive hydrocephalus presented with an acute respiratory distress. He developed unilateral mydriasis with absent light reflex during treatment with nebulisers. An urgent CT scan of the brain did not show any new intracranial abnormality. A case of pharmacological anisocoria was diagnosed that resolved completely within 24 hours of discontinuation of ipratropium bromide. Although ipratropium-induced anisocoria has been reported in children, but to our knowledge none in a child with VP shunt for hydrocephalus. This emphasises the urgency in evaluating unilateral mydriasis to rule out life-threatening conditions. Clinicians should remember that ipratropium administered through ill-fitting face masks could cause this completely reversible adverse effect.

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Aspergillus flavus costochondritis following coronary artery bypass grafting: a case report and a brief review of literature

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492320988458 ◽

2021 ◽

pp. 021849232098845

Author(s):

Aamir Mohammad ◽

Santhosh Regini Benjamin ◽

Sameer Mallampati ◽

Birla Roy Gnanamuthu ◽

Anne Jennifer Prabhu ◽

...

Keyword(s):

Cardiac Surgery ◽

Wound Infection ◽

Artery Bypass ◽

Correct Diagnosis ◽

Relevant Literature ◽

Specific Treatment ◽

Wound Infections ◽

Sternal Wound Infection ◽

Review Of Literature ◽

Sternal Wound Infections

Bacterial sternal wound infections following cardiac surgery are not uncommon. However, sternal wound infection by a fungus is a rarity, and it warrants a correct diagnosis followed by specific treatment. We report a case of Aspergillus sternal wound infection with costochondritis following cardiac surgery, and briefly review the relevant literature.

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Acute Onset Peripartum Cardiomyopathy in a Woman with Severe Pre-eclamptia: A Diagnostic Dilemma

Obstetric Medicine ◽

10.1258/om.2012.120032 ◽

2013 ◽

Vol 6 (1) ◽

pp. 33-34 ◽

Cited By ~ 1

Author(s):

Sonela Basak ◽

Pallab Rudra

Keyword(s):

Late Pregnancy ◽

Acute Onset ◽

Peripartum Cardiomyopathy ◽

Lifestyle Modifications ◽

Diagnostic Dilemma ◽

Life Threatening ◽

Physiological Reserve ◽

Proper Diagnosis ◽

Future Pregnancy ◽

Lateral Thinking

Peripartum cardiomyopathy (PPCM) is a form of dilated cardiomyopathy that can present as acute life-threatening pulmonary oedema in late pregnancy or early puerperium, its diagnosis is mainly by exclusion of other causes. Morbidity is high due to the reduced physiological reserve in pregnancy. PPCM and severe pre-eclampsia can co-exist and their clinical presentation may overlap, making the diagnosis more difficult and often delayed, with potentially devastating consequences. Here, we would like to share our experience of such a case and present to the readers how we dealt with the challenge. As obstetricians we often do not resort to transthoracic echocardiography, which in our case prompted the diagnosis timely. Lateral thinking and a heightened suspicion does help. Proper diagnosis is extremely important not only for the immediate appropriate management but also for advising long-term lifestyle modifications to minimize risk and counselling for future pregnancy.

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A RARE CASE OF COMPLICATED LIVER ABSCESS WITH MIDDLE HEPATIC VEIN THROMBOSIS: A CASE REPORT AND REVIEW OF LITERATURE

10.36106/gjra/4800158 ◽

2021 ◽

pp. 1-2

Author(s):

V.P.S. Punia ◽

Praveen Raman Mishra ◽

Shaavi Mittal ◽

Akash Bharti ◽

Prem Kumar ◽

...

Keyword(s):

Liver Abscess ◽

Hepatic Vein ◽

Middle Hepatic Vein ◽

Amoebic Liver Abscess ◽

Hepatic Veins ◽

Review Of Literature ◽

Extraintestinal Manifestation ◽

Vein Thrombosis ◽

Histolytica Infection ◽

Life Threatening

In developing countries Amoebic liver abscess is commonly encountered disease and it’s also the commonest extraintestinal manifestation of Entamoeba histolytica infection. Usual complication of Amoebic liver abscess arises due to collection of pus in various cavities, like in peritoneal cavity following perforation, in the pleural cavity which is known as empyema thoracis, and rarely it is complicated by life threatening conditions such as venous extension of the disease involving the hepatic veins and IVC, with only few cases reported. Here we describe a case of amoebic liver abscess extending across middle hepatic vein.

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Primary Peritonitis Due to Group G Streptococcus: A Case Report

PEDIATRICS ◽

10.1542/peds.56.6.1078 ◽

1975 ◽

Vol 56 (6) ◽

pp. 1078-1079

Author(s):

Abdul J. Khan ◽

Hugh E. Evans ◽

Marylu R. Macabuhay ◽

Yu-En Lee ◽

Robert Werner

Keyword(s):

Case Report ◽

Burn Injury ◽

Past History ◽

Abdominal Distension ◽

Streptococcus Group ◽

Primary Peritonitis ◽

The Face ◽

Life Threatening ◽

Average Size ◽

Streptococcus A

Beta-hemolytic Streptococcus group G, a rare human pathogen, has long been implicated in human disease as causing pharyngitis, puerperal sepsis, empyema, and even septicemia. We are reporting a rare, life-threatening, acute illness, primary peritonitis, due to this organism, whose etiological source probably was a family dog. Case Report R.K., a 2-year-old girl, was admitted with the complaints of anorexia, vomiting of three days' duration, and severe abdominal distension of one day's duration. The symptoms started following a burn injury over the face and lips three days prior to admission. Past history was noncontributory. Physical examination revealed an ill child of average size, fully conscious.

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