Intracranial epidural abscess of odontogenic origin

2011 ◽  
Vol 7 (3) ◽  
pp. 311-315 ◽  
Author(s):  
Okezie Obasi Kanu ◽  
Efosa Ukponmwan ◽  
Olufemi Bankole ◽  
John Olutola Olatosi ◽  
Sarajudeen Oladele Arigbabu
Keyword(s):  
Complete Resolution ◽  
Epidural Abscess ◽  
Review Of The Literature ◽  
Dental Infection ◽  
Middle Class Family ◽  
Brain Scan ◽  
Odontogenic Origin ◽  
History Of ◽  
Ct Brain ◽  
Intracranial Infections

Dental infection as a cause of epidural abscess is rare compared with other forms of intracranial suppurations. A 10-year-old boy was seen because of headaches and fever. There was no history of otitis media or sinusitis, but he had sought care for dental complaints. The patient was from an upper-middle-class family, was not immunocompromised, and had no other risk factor for a major infection. A CT brain scan confirmed a frontal epidural abscess. The patient underwent emergency surgery for evacuation of the epidural abscess, followed by antimicrobial therapy. His condition improved remarkably following surgery, with complete resolution of symptoms. He subsequently underwent extraction of 2 teeth following dental review. Dental infection as a cause of intracranial epidural abscess is rare, but should be considered when evaluating patients for intracranial infections. A review of the literature sheds light on the causal relationship and possible pathogenesis of this condition.

scholarly journals Syphilitic glomerulonephritis: case report and review of the literature

2015 ◽  
Vol 156 (1) ◽  
pp. 32-35
Author(s):  
Norbert Wikonkál ◽  
Patrícia Nagy ◽  
Béla Tóth ◽  
Márta Marschalkó ◽  
András Tislér ◽  
...  
Keyword(s):  
Nephrotic Syndrome ◽  
Complete Resolution ◽  
Urine Analysis ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Protein Loss ◽  
Penicillin Therapy ◽  
History Of ◽  
Penicillin Treatment

The authors report the history of a patient with syphilitic glomerulonephritis, a rare complication of syphilis. The patient was admitted to the hospital with clinical symptoms of neurosyphilis. During his hospital stay urine analysis revealed an extremely high proteinuria, that had not been known before. Intravenous penicillin treatment improved the renal protein loss, but it took a total of six months until complete resolution was achieved. The serology that confirmed the syphilis, the concomitant nephrotic syndrome and the improvement after penicillin therapy met the criteria of syphilitic glomerulonephritis. This case prompted the authors to review the literature about this rare complication of syphilis that has a great clinical significance. Orv. Hetil., 2015, 156(1), 32–35.

scholarly journals Listeria monocytogenes multifocal cerebritis in an immunocompetent adult

2020 ◽  
Vol 77 (7) ◽  
pp. 758-761
Author(s):  
Branko Milosevic ◽  
Aleksandar Urosevic ◽  
Natasa Nikolic ◽  
Ivana Milosevic ◽  
Jasmina Poluga ◽  
...  
Keyword(s):  
Listeria Monocytogenes ◽  
Severe Disease ◽  
Initial Therapy ◽  
Immunocompetent Adult ◽  
Laboratory Findings ◽  
Drug Of Choice ◽  
Brain Scan ◽  
History Of ◽  
Ct Brain ◽  
The Right

Introduction. Multifocal cerebritis is a rare and severe disease and just a several cases caused by Listeria monocytogenes were described in the literature. Case report. A 64 year old man was admitted to the hospital with disturbed consciounsness (Glasgow Coma Scale score: 9) after being febrile for 16 days with history of fever, headache and middle ear pain. He did not have any other comorbidities neither he was immunocompromised. Penicillin allergy was noted for him. On neurologic exam, meningeal or focal neurologic signs were not evident, but computed tomography (CT) brain scan with contrast injection showed 3 hypodense zones in the occipital and 1 in the right temporal lobe. Laboratory findings in blood and cerebrospinal fluid (CSF) were indicative for the infectious nature of changes in the endocranium (multifocal cerebritis). Initial therapy was the combination of cefotaxime, amikacin and metronidazole, but after the isolation of L. monocytogenes from CSF and blood culture, therapy was switched to co-trimoxazole. Recovery of consciouscness with establisment of alert state occurred after 6 days of co-trimoxazole administration. Total therapy took 36 days. During that period all clinical and laboratory parameters normalized. The patient was discharged as recovered, with sequelas of amnesia and slurring of speech. Conclusion. In the treatment of multifocal cerebritis caused by L. monocytogenes, adequate choice and longterm therapy with antibiotics are necessary. The drug of choice is ampicillin but in the case of allergy to it, cotrimoxazole is a good replacement.

scholarly journals Infratentorial Epidural Abscess Secondary to Furunculosis: Case Report and a Review of the Literature

2019 ◽  
Vol 10 (01) ◽  
pp. 148-150
Author(s):  
Ricardo Horacio Menéndez ◽  
Santiago German Erice ◽  
Emmanuel Alejandro Vázquez ◽  
Karina Breitburd
Keyword(s):  
Methicillin Resistant Staphylococcus Aureus ◽  
Epidural Abscess ◽  
Immunocompetent Patient ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Neck Stiffness ◽  
Surgical Specimen ◽  
Source Of Infection ◽  
History Of ◽  
Occipital Headache

ABSTRACTThe authors describe a case of infratentorial epidural abscess caused by community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in a patient with a recent history of cutaneous furunculosis. This 29-year-old male presented with an occipital headache associated with fever, vomiting, and neck stiffness. Admission magnetic resonance imaging showed a retrocerebellar epidural abscess. Antimicrobial therapy was started, and the patient underwent craniectomy for evacuation of the abscess. Cultures of the surgical specimen were consistent with CA-MRSA. Postoperatively, the patient's condition improved with the resolution of symptoms, and he was discharged home with indication of 6 weeks of antibiotic therapy. Furunculosis is a very rare cause of intracranial epidural abscess but should be considered as a source of infection in an immunocompetent patient.

Sacral epidural noncommunicating arachnoid cyst

2007 ◽  
Vol 6 (5) ◽  
pp. 473-478 ◽  
Author(s):  
Nikolaos Sakellaridis ◽  
Demetrius Panagopoulos ◽  
Helen Mahera
Keyword(s):  
Arachnoid Cyst ◽  
Complete Resolution ◽  
Clinical Presentation ◽  
Cauda Equina ◽  
Type I ◽  
Review Of The Literature ◽  
Postoperative Course ◽  
Lesion Type ◽  
History Of ◽  
Spinal Epidural

✓ The authors examine the natural history of a spinal epidural arachnoid cyst and present their experience with its treatment in a 25-year-old man who presented with progressive cauda equina syndrome. Neuroimaging revealed two neighboring sacral epidural cysts. The cysts were completely removed via a sacral S1–4 laminectomy; no communication with the subarachnoid space could be found. The patient's postoperative course was uneventful. He experienced progressive improvement and, finally, complete resolution of symptoms and no recurrence of the cyst. Nabors Type I sacral epidural arachnoid cysts are rare; in some cases their origins and the mechanism by which they cause deterioration in the patients' clinical condition are debatable. Findings in the present case support the idea that some of these cysts are noncommunicating but progressive in their clinical presentation. This lesion type is also known to occur intracranially. A brief review of the literature is provided.

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

Clinical and etiological evaluation of secondary seizures by computed tomography and electroencephalogram

2016 ◽  
Vol 5 (10) ◽  
pp. 4982
Author(s):  
Archana Aher* ◽  
Satish Gore
Keyword(s):  
Meta Analysis ◽  
Temporal Region ◽  
Government Medical College ◽  
Occipital Region ◽  
Parietal Region ◽  
Medical College ◽  
Mri Brain ◽  
Brain Scan ◽  
Ct Brain ◽  
Clonic Convulsions

This study was conducted to determine the clinical evaluation and various etiological factors of secondary seizures in patients admitted to Government Medical College, Nagpur. We evaluated 58 patients of secondary seizures from Dec 2011 to Oct 2013. Secondary seizures were defined as case of seizure with CT (brain) or MRI (brain) abnormality1. Out of 58 cases 35 were males and 23 were females. Mean age of study subjects was 34.85. The commonest presenting feature was generalized tonic clonic convulsions (42 patients) followed by focal seizures (16 patients).  Todd’s palsy was observed in 4 cases. Aura was present in 24 cases. According to CT brain scan the aetiology was – neurocysticercosis (34.48%), post stroke (27.59%), tuberculoma (24.14%). Space occupying lesions(SOLs) were present in 8 patients, out of whom 4 had brain tumour, 2 patients had brain abscess, 1 had hydatid cyst and 1 had metastasis. Majority of lesions were located in frontal region (58.62%), followed by in parietal region (44.83%), in temporal region (25.86%) and in occipital region (13.79 % patients). In our study neurocysticercosis was found to be the commonest cause of secondary seizures. As in a meta-analysis it was found that cysticidal drugs result in better outcome in patients of neurocysticecosis, we recommend that the patients of secondary seizures should be identified for the aetiology and treated at the earliest2.

scholarly journals History of Extensive Disease Small Cell Lung Cancer Treatment: Time to Raise the Bar? A Review of the Literature

Cancers ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 998
Author(s):  
Chiara Lazzari ◽  
Aurora Mirabile ◽  
Alessandra Bulotta ◽  
Maria Grazia Viganó ◽  
Francesca Rita Ogliari ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Treatment Time ◽  
Small Cell ◽  
Review Of The Literature ◽  
Small Cell Lung ◽  
Extensive Disease ◽  
History Of ◽  
Line Standard

Several trials have tried for decades to improve the outcome of extensive disease small cell lung cancer (ED-SCLC) through attempts to modify the standard treatments. Nevertheless, platinum/etoposide combination and topotecan have remained respectively the first and the second line standard treatments for the last 40 years. With the advent of immunotherapy, this scenario has finally changed. Our review aims to provide an overview of the primary studies on the actual therapeutic strategies available for ED-SCLC patients, and to highlight emerging evidence supporting the use of immunotherapy in SCLC patients.

scholarly journals Paraspinal gossybipoma: A case report and review of the literature

2010 ◽  
Vol 01 (02) ◽  
pp. 102-104 ◽  
Author(s):  
Baris Kucukyuruk ◽  
Huseyin Biceroglu ◽  
Bashar Abuzayed ◽  
Mustafa O Ulu ◽  
Ali M Kafadar
Keyword(s):  
Clinical Presentation ◽  
Review Of The Literature ◽  
Disk Herniation ◽  
Serous Fluid ◽  
Lumbar Disk Herniation ◽  
Radiologic Findings ◽  
Initial Surgery ◽  
History Of ◽  
Retained Surgical Sponges ◽  
Operation Wound

ABSTRACTSpinal or paraspinal retained surgical sponges (gossybipoma or textiloma) are rare incidents and mostly asymptomatic in chronic cases, but can be confused with other masses such as a hematoma, an abscess or a tumor. In chronic cases, the presentation can be as late as decades after the initial surgery; however, some gossybipomas cause infection or abscess formation in the early stages. The authors report a 40-year-old woman with a history of operation for lumbar disk herniation before 8 months, and got admitted with a complaint of serous fluid leakage from the operation wound. In this report, the authors discuss the clinical presentation, the radiologic findings and the differential diagnosis of gossybipoma.

Response: The Use of Economic Anthropology in Economic Development

1995 ◽  
Vol 9 (4) ◽  
pp. 321-323
Author(s):  
Rhoda H. Halperin
Keyword(s):  
United States ◽  
Economic Development ◽  
Informal Economy ◽  
Analytical Methods ◽  
The United States ◽  
Development Research ◽  
Review Of The Literature ◽  
Street Vending ◽  
Research And Practice ◽  
History Of

The author comments on the use of anthropological methodologies in economic development research and practice in a developed economy such as the United States. The focus is the article by Morales, Balkin, and Persky on the closing of Chicago's Maxwell Street Market in August 1994. The article focuses on monetary losses for both buyers (consumers of market goods) and sellers (vendors of those goods) resulting from the closing of the market. Also included are a brief history of the market and a review of the literature on the informal economy. The authors measure “the value of street vending” by combining ethnographic and economic analytical methods.

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