scholarly journals COVID-19 Infection and Cervical Abscess in a Three-Month-Old Infant

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Burlo F ◽  
◽  
Staffa P ◽  
Barbi E ◽  
Boscarelli A ◽  
...  

A three-month-old infant was referred to the emergency department with fever and a right cervical abscess. Nasopharyngeal swab was positive for SARSCoV- 2 infection. Main causes of infectious abscess and immunodeficiency disorders were ruled out. After a surgical drainage and an antibiotic therapy, clinical conditions of the infant improved, and Staphylococcus Aureus was found in the wound drainage culture. This is a possible, not yet described in infant patients, concurrent clinical manifestation of SARS-CoV-2 infection.

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Emily M. Eichenberger ◽  
Christopher J. Shoff ◽  
Robert Rolfe ◽  
Steven Pappas ◽  
Mary Townsend ◽  
...  

Staphylococcus aureus rarely causes prostatic abscess. We report five cases of S. aureus prostatic abscess in the setting of bacteremia at our institution that occurred between 12/2018 and 05/2019. Three of the cases were caused by MRSA, and four of the patients underwent drainage of the prostatic abscess. All five patients received a minimum of six weeks of antibiotic therapy. One of the five patients died during the course of their infection. S. aureus prostatic abscess with bacteremia is an uncommon but serious disease. Treatment should consist of a combination of prolonged antibiotic therapy and surgical drainage when feasible.


2003 ◽  
Vol 07 (01) ◽  
pp. 79-86
Author(s):  
E. K. Chao ◽  
L. H. Chen ◽  
S. W. N. Ueng ◽  
W. L. Yeh ◽  
W. J. Chen ◽  
...  

The general principle of treatment of pyogenic sacroiliitis is antibiotic therapy over a six-week duration with or without surgery. Surgery is believed to be reserved for drainage of local abscess, obtaining specimens for pathologic diagnosis, and for cases with poor medical responses. From 1987 to 1999, there were 11 cases (6 women and 5 men) with confirmed diagnosis of pyogenic sacroiliitis treated at the authors' institute. The average age was 42 years. The onset of disease was acute in 8, subacute in 2, and chronic in 1 case. The most common causative pathogen was staphylococcus aureus. Among the 11 cases, only 2 cases were treated by surgery and the remaining 9 cases were treated medically. All the 11 patients recovered well without major complication. To re-examine whether an abscess formation warrants surgical drainage, 193 cases collected from the literature were analyzed with specific attention to the reported surgical indication. The results indicated that an abscess need not be drained surgically and the surgically treated patients were neither more toxic nor with more favorable outcomes than the medically treated patients. In conclusion, the authors suggest that pyogenic sacroiliitis can primarily be treated conservatively with antibiotics and image-guided drainage. It is thought that surgery should be reserved for cases with poor medical response or for advanced sacroiliac destruction.


2002 ◽  
Vol 06 (03n04) ◽  
pp. 171-180 ◽  
Author(s):  
Remzi A. Özerdemoglu ◽  
Ufuk Aydinli ◽  
Hüseyin Yorgancigil ◽  
Ömer Yerci

The objective of this study is to analyze the effects and benefits of subtotal synovectomy in the early stage of septic arthritis. seventy rabbits with septic arthritis of the left knee joint were treated at 24 or 72 hours after inoculation of Staphylococcus aureus, with different treatment modalities, including antibiotic therapy, arthrotomy, irrigation, and synovectomy. At the end of the 6th week, the knee joints were removed and examined both macroscopically and histologically. It was discovered that there was more significant degeneration at the articular surface of the femur than that of the tibia. antibiotic therapy alone was found to be insufficient to prevent the degeneration of articular cartilage. performing subtotal synovectomy had no statistically significant effect 24 hours after the inoculation of bacteria. However, adding subtotal synovectomy to the surgical drainage 72 hours after inoculation resulted in significantly lesser degeneration of the articular cartilage. Sufficient drainage and irrigation of the joint associated with antibiotic treatment seems to be an adequate choice of treatment at the very early stage of septic arthritis. However, in established septic arthritis, adding subtotal synovectomy to the surgical drainage resulted in significantly lesser degeneration of the articular cartilage.


2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Tilemachos Fountoukis ◽  
Nikolaos Tsatsanidis ◽  
Maria Tilkeridou ◽  
Ioannis Konstantinou ◽  
Pantelis Fytas ◽  
...  

Pyomyositis is an uncommon primary bacterial infection of skeletal muscles, usually caused by Staphylococcus aureus. Predisposing factors for pyomyositisinclude immunodeficiency, trauma, injection drug use, concurrent infection and malnutrition. The diagnosis, staging of the disease and differential diagnosis are established by ultrasound, CT and MRI. Treatment involves surgical drainage and antibiotic therapy. We report a case of abdominal rectus muscle pyomyositis, which constitutes, as far as we know, thesecond reported in bibliography, while Prevotella disiens is firstly reported as causative agent.


2018 ◽  
Vol 2018 ◽  
pp. 1-2
Author(s):  
Kuldeep Stohr ◽  
Guang Xia Xu

Pseudoparalysis presenting in infants is a rare manifestation, where infection and trauma are the principle differentials. We present a case of a two-week-old baby boy with pseudoparalysis who was initially diagnosed as Erb’s palsy when presented in the emergency department and later re-presented with signs of sepsis. A later diagnosis of osteomyelitis of the humerus and septic arthritis of the shoulder was made. Despite antibiotic therapy and surgical drainage, the proximal epiphysis of his humerus remains abnormal; however, he has no apparent functional deficit of his right arm at four-year follow-up.


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