scholarly journals Treatment and Management of Scabies Patient with Secondary Infection in a 3-Year-Old Girl: A Case Report

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Indramaya Diah Mira ◽  
Yuindartanto Andre ◽  
Widia Yuri ◽  
Citrashanty Irmaditra ◽  
Sawitri ◽  
...  
Keyword(s):  
Case Report ◽  
Secondary Infection

scholarly journals ORAL SECONDARY INFECTION IN STEVENS-JOHNSON SYNDROME PATIENT WITH ORAL INVOLVEMENT: A CASE REPORT

2021 ◽  
Vol 6 (1) ◽  
pp. 79
Author(s):  
Etis Duhita Rahayuningtyas ◽  
Indah Suasani Wahyuni ◽  
Irna Sufiawati
Keyword(s):  
Case Report ◽  
Secondary Infection ◽  
Severity Of Illness ◽  
The Body ◽  
Stevens Johnson Syndrome ◽  
High Dose ◽  
Oral Manifestation ◽  
Secondary Infections ◽  
Johnson Syndrome ◽  
Oral Involvement

ABSTRACTBackground: Stevens-Johnson syndrome (SSJ) is a hypersensitivity reaction that is often triggered by drugs but this case is rare. These reactions result in uncontrolled keratinocyte damage to the skin and mucosa throughout the body, including the oral mucosa, and are often life-threatening. The use of high doses of corticosteroids is a treatment that is often given but it can trigger secondary infections of fungal and viral in the oral cavity. Purpose: This case report discusses the management of oral manifestations and secondary infections in SSJ patients, and becomes guidance for health professionals. Case: A-42-years-old male patient was consulted from the Department of Dermatology and Venereology (DV) due to oral pain and eating difficulties. The severity-of-illness-score for toxic-epidermal-necrolysis (SCORTEN) was 1. Erosive serosanguinous crusts, tend to bleed were found on the lips. Intraoral clinically presented wide erosive lesions and multiple ulcers, accompanied by a pseudomembranous plaque, and teeth decay. Hematologic examination showed an increase in leukocytes, neutrophil segments, monocytes, SGOT, urea, and creatinine as well as decreased hemoglobin, hematocrit, erythrocytes, MCHC, protein, and albumin. Anti-HSV1 IgG increased almost 6 times than normal values. The patient was diagnosed with SJS with oral involvement, secondary infections of pseudomembranous candidiasis, and herpetic stomatitis. Case Management: Systemic therapy given were intravenous dexamethasone, ranitidine, calcium, and cetirizine, from the DV Department, while hydrocortisone lip ointment, Chlorhexidine digluconate 0.12%, and Nystatin oral suspension for oral problems. The lesions progressed in 24 days. Conclusion: Oral secondary infections may occur in SJS patients due to high-dose corticosteroid therapy.Keywords: Herpetic Stomatitis, Oral Manifestation, Oral Secondary Infection, Pseudomembranous Candidiasis, Stevens-Johnson Syndrome.

scholarly journals Multiple Bony Deformities and Short Stature in a Child with Lamellar Ichthyosis, What more can we do? A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Siddhartha Sinha ◽  
Amit Sharma ◽  
Sumit Gupta ◽  
Ankur Agarwal ◽  
Rajesh K Kanojia
Keyword(s):  
Vitamin D ◽  
Case Report ◽  
Short Stature ◽  
Vitamin D Deficiency ◽  
Secondary Infection ◽  
Vitamin D Supplementation ◽  
Osteotomy Site ◽  
Lamellar Ichthyosis ◽  
Vitamin D3 Supplementation ◽  
Gait Mechanics

Introduction: Ichthyosis is a group of disorders typically characterized by the accumulation of large scales over the skin. Mild bony deformities due to Vitamin D deficiency are commonly associated with this group of disorders which can be successfully treated with conventional Vitamin D supplementation. Severe multiple bony deformities requiring surgical correction are rarely reported and may be associated with various other disorders. Case Report: We report a case of a 15-year-old male with ichthyosis, short stature, and progressive multiple bony deformities since birth. The child was started on Vitamin D3 supplementation. Once biochemical parameters improved he underwent multiple corrective osteotomies in the bilateral tibia and right femur to improve gait mechanics. Our main concerns while managing the patient were regarding wound healing, secondary infection due to extensive scaling and healing at the osteotomy site. On follow-up we noted good healing at the osteotomy site without any surgical site infection or skin complications as well as improvement in gait mechanics and cosmesis. Conclusion: Severe bony deformities due to Vitamin D deficient are rare in ichthyosis and other syndromic causes should be ruled out. Surgical management can be beneficial in improving quality of life and gait biomechanics. Keywords: Lamellar ichthyosis, osteotomy, genetic testing, Vitamin D deficiency.

Phlyctenular Conjunctivitis Treated with Homoeopathy: A Case Report

2021 ◽  
Vol 34 (03) ◽  
pp. 235-240
Author(s):  
Sandeep Sudhakar Sathye
Keyword(s):  
Case Report ◽  
Conventional Treatment ◽  
Secondary Infection ◽  
Signs And Symptoms ◽  
Bulbar Conjunctiva ◽  
Topical Steroids ◽  
Documentary Evidence ◽  
Bacterial Protein ◽  
Body Sensation

AbstractPhlyctenular conjunctivitis (PC) is characterised by formation of a whitish nodule on bulbar conjunctiva near or at the limbus with a localised conjunctival congestion. It is considered as an allergic reaction to endogenous bacterial protein. Conventional treatment includes use of topical steroids in simple PC, but if there is some degree of secondary infection or corneal involvement then combined steroid-antibiotics are used though there are high chances of recurrence. Homoeopathic literature has medicines listed for PC. The case reported was a female aged 60 years suffering from PC in right eye since 5 days and had no relief from local conventional treatment. She had complaints of redness, foreign body sensation and whitish discharge from the eye. Phlycten was at 6 o'clock position below the limbus with much conjunctival congestion around it and in the lower fornix. Homoeopathic Hepar sulphuris 30C resolved nodule within a week but the patient had itching of eye at the inner canthus, especially in the morning. Homoeopathic Natrum muriaticum 30C helped to resolve conjunctival congestion in the fornix and itching of eye within a week. Both medicines were prescribed on the basis of local signs and symptoms. There was no recurrence in the last 5 months. This case report with ocular photographs during follow-up provides documentary evidence about effectiveness of homoeopathy in PC.

RHINO-ORBITAL-CEREBRAL MUCORMYCOSIS(ROCM) – AS A POST COVID COMPLICATION: CASE REPORT, SYSTEMIC REVIEW AND ANALYSIS.

2021 ◽  
pp. 20-20
Author(s):  
Rajdeep Samaddar
Keyword(s):  
Case Report ◽  
Secondary Infection ◽  
Systemic Review ◽  
Modern Times ◽  
Underlying Pathology

The most alarming health complication of modern times include Coronavirus Disease 2019 (COVID - 19) Assosciated Mucormycosis [CAM]. Mucormycosis is a deep fungal (mostly opportunistic and secondary) infection that occurs due to extremely poor hygiene and markedly reduced immunity(due to pharmacotherapy or underlying pathology)

scholarly journals Adenocarcinoma of the Colon Disguised as Abdominal Wall Abscess: Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
L. Attar ◽  
N. Trabulsi ◽  
A. A. Maghrabi ◽  
M. Nassif
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Secondary Infection ◽  
Case Presentation ◽  
Abdominal Wall Abscess ◽  
Adenocarcinoma Of The Colon ◽  
High Index Of Suspicion ◽  
Cancerous Cells ◽  
Wall Invasion ◽  
Invasive Intervention

Introduction. Abdominal wall invasion by cancerous cells arising from the colon with an overlying secondary infection that presents as an abdominal wall abscess has been encountered previously, but such a symptom is rarely the first presentation of colon cancer. There are very few cases reported in the literature. Case Presentation. In this case report, we present a case of a 66-year-old male presenting with abdominal wall abscess that was refractory to treatment. The patient later was found to have an abdominal wall invasion by an underlying colonic carcinoma. Conclusion. The purpose of this review is to set forth the proper approach when encountering such cases and emphasize on the significance of keeping a high index of suspicion. We also highlight the need for utilizing proper diagnostic imaging modalities prior to invasive intervention.

scholarly journals Maxillectomy for Cementifying Osseous Dysplasia of the Maxilla: A Case Report

2015 ◽  
Vol 58 (1) ◽  
pp. 32-34 ◽  
Author(s):  
Sevtap Akbulut ◽  
Mehmet Gökhan Demir ◽  
Kayhan Basak ◽  
Mustafa Paksoy
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Tooth Extraction ◽  
Secondary Infection ◽  
Radiographic Examination ◽  
Surgical Trauma ◽  
Oroantral Fistula ◽  
Osseous Dysplasia ◽  
Teeth Extraction

Objectives: Osseous dysplasias are the most common subtype of fibro-osseous lesions of the maxillofacial bones. They are benign and often present as incidental asymptomatic lesions. Diagnosis can be made with clinical and radiographic examination. Case report: This article reports the case of a 47-year-old man with a huge cementifying osseous dysplasia of the maxilla that presented with secondary infection after teeth extraction and repair of oroantral fistula. A subtotal maxillectomy had to be done after conservative treatment failed to resolve the infection. Discussion/Conclusion: Biopsy, tooth extraction or surgical trauma to the affected bones of osseous dysplasia could easily lead to severe secondary infection, the treatment of which may be very difficult, and thus should be avoided if possible.

scholarly journals A date pit induced aorto-oesophageal fistula: a case report and concise literature review

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Kevin M Lichtenstein ◽  
Thomas B Russell ◽  
Julia B Lichtenstein ◽  
Harinderpal S Brar
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Literature Review ◽  
Thoracic Aorta ◽  
Endovascular Repair ◽  
Open Repair ◽  
Secondary Infection ◽  
Operating Table ◽  
Aortic Stent Graft ◽  
Infection Recurrence

ABSTRACT Aorto-oesophageal fistula (AEF) is rare and fatal without intervention. Having consumed a date pit 2 weeks prior, the patient in this case presented with the ‘Chiari’ triad of chest pain, sentinel arterial upper gastro-intestinal haemorrhage and exsanguination after an asymptomatic interval. Following resuscitation, the patient was managed with a Blakemore tube with both oesophageal and gastric balloons inflated to systemic pressures. An aortic stent graft was planned but the patient died on the operating table. AEFs can be treated surgically with either open or endovascular repair. Open repair is highly risky and involves combined replacement/bypass of the thoracic aorta along with resection/repair of the involved oesophagus. Endovascular repair can prevent fatal exsanguination and increase the likelihood of survival but is associated with a significant rate of secondary infection, recurrence of fistula, mediastinitis and sepsis. Further studies are required to inform on management.

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