scholarly journals Influence of the microbial factor in acute pericoronitis occurrence

2021 ◽  
Vol 70 (2) ◽  
Author(s):  
Daniela Sirbu ◽  
◽  
Mihai Racovita ◽  
Nicolae Chele ◽  
Gabriela Motelica ◽  
...  
Keyword(s):  
Inflammatory Disease ◽  
Clinical Symptoms ◽  
Antibiotics Resistance ◽  
Wisdom Tooth ◽  
Antiinflammatory Drugs ◽  
Resistance Analysis ◽  
Etiological Spectrum ◽  
Wisdom Teeth

Pericoronitis is an inflammatory disease that occurs after the eruption of the lower wisdom teeth and affects the surrounding tissues, with a complex microbial and traumatic etiology, manifested by an erythematous swelling and gum hyperemia in the retromolar area. The main goal was to determine the etiological spectrum of the microorganisms involved in acute pericoronitis and to evaluate the antibiotics, antiinflammatory drugs effect on pericoronitis treatment. The study included 30 patients (18 male, 12 female), aged between 18-45 years (27,8±8,2 years) with acute pericoronitis of the lower wisdom tooth. The study determined the severity of infection related to subjective and objective clinical symptoms (pain, swelling, congestion), the incidence of various streptococci; antibiotics resistance analysis was performed for in order to determine the sensibility and the rate between monomicrobial and polymicrobial cultures. 14 references, 4 figures.

scholarly journals Pelvic inflammatory disease and the risk factors

2018 ◽  
Vol 7 (9) ◽  
pp. 3572
Author(s):  
V. G. Vanamala ◽  
Sushil Pakyanadhan ◽  
Aruna Rachel ◽  
Sudeep Abraham P.
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Symptoms ◽  
Economic Status ◽  
Uterine Cavity ◽  
Lower Class ◽  
Gynecological Disorders ◽  
Multiple Partners ◽  
Ascending Infection ◽  
Education Levels

Background: Pelvic inflammatory disease is one of the most common gynecological disorders of women. It is a clinical condition where in the endometrial, fallopian tubes and the adjacent pelvic structures are infected due to the ascending infection from the lower genital tract such as vagina and cervix through the uterine cavity leading to severe morbidity.Methods: 150 non-pregnant women who came in with clinical symptoms suggestive of Pelvic inflammatory disease and diagnosed as acute pelvic infection or PID were included in the study. Demographic details such as age, weight, height, parity, socio-economic status, education levels etc were noted.Results: 54% of them belonged to 26-30 years age group, followed by 19.3% of women between 20-25 years. 35.3% of the patients were illiterate followed by primary school education in 29.3%. 74% of the patients belonged to the lower class while 24.7% were from the middle class. Condoms were the most common contraceptive method used in 32% of the cases, while 27.3% of the patients used intrauterine devices.Conclusions: Proper education must be given regarding the hazards of early marriages lack of hygiene, and to abstain from multiple partners, to the women especially those from the lower socioeconomic strata.

scholarly journals General Anesthesia for a Patient With Pelizaeus-Merzbacher Disease

2016 ◽  
Vol 63 (2) ◽  
pp. 91-94 ◽  
Author(s):  
Nobuhito Kamekura ◽  
Yukie Nitta ◽  
Shigeru Takuma ◽  
Toshiaki Fujisawa
Keyword(s):  
General Anesthesia ◽  
Clinical Symptoms ◽  
Muscle Tone ◽  
Clinical Manifestations ◽  
Psychomotor Retardation ◽  
Cerebral White Matter ◽  
Airway Complications ◽  
Wisdom Teeth ◽  
History Of Epilepsy ◽  
Pelizaeus Merzbacher Disease

We report the successful management of general anesthesia for a patient with Pelizaeus-Merzbacher disease (PMD). PMD is one of a group of progressive, degenerative disorders of the cerebral white matter. The typical clinical manifestations of PMD include psychomotor retardation, nystagmus, abnormal muscle tone, seizures, and cognitive impairment. General anesthesia for a patient with PMD may be difficult mainly because of seizures and airway complications related to poor pharyngeal muscle control. In addition, the possibility of exacerbation of spasticity should be considered. A 20-year-old man with PMD required removal of impacted wisdom teeth under general anesthesia. General anesthesia was induced with thiamylal, fentanyl, and desflurane. Anesthesia was maintained with desflurane and continuous intravenous remifentanil under bispectral index and train-of-4 monitoring. Anesthesia lasted 1 hour 20 minutes and was completed uneventfully. Airway complications, seizures, and exacerbation of spasticity did not occur postoperatively. Preoperatively, our patient had no history of epilepsy attacks or aspiration pneumonia, and no clinical symptoms of gastroesophageal reflux disease. Therefore, exacerbation of spasticity was one of the most likely potential complications. Identification of these associated conditions and evaluation of risk factors during preoperative examination is important for performing safe anesthesia in these patients.

STUDY OF CORRELATION BETWEEN HEALING AFTER IMPACTED THIRD MOLAR SURGERY AND THE DEGREE OF IMPACTION

2011 ◽  
pp. 116-123
Author(s):  
Tan Tai Tran
Keyword(s):  
Significant Proportion ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Relative Depth ◽  
Type I ◽  
Wisdom Tooth ◽  
Mandibular Third Molar ◽  
Vertical Impaction ◽  
Wisdom Teeth ◽  
The Relationship

Background: The mandibular third molar is the most common tooth to become impacted than other teeth, often causing more complications in the process of growing, influence to the lives of patients. Removal of wisdom teeth is one of the most common dental surgical procedures, is an invasive intervention caused significant injury to the bone and soft tissue, so hard to avoid possible complications after surgery. Understand the relationship between degree of impaction and healing after mandibular wisdom tooth surgery will bring many benefits to surgeons and patients. The purpose of this study is to evaluate the degree of impaction of mandibular third molar and explore the relationship between healing after mandibular wisdom tooth surgery with the degree of impaction. Materials and method: The study consisted of 40 patients, average age 29.38 ± 9.8 a impacted mandibular third molar and cause complications, tooth extraction is indicated. All are to be attended to, determine the degree of impaction, wisdom tooth surgery. Evaluate the healing through pain, swelling, limited mouth open after 2 days, 1 week and 2 weeks. Result: Correlation of wisdom teeth to ramus and adjacent teeth mainly type I (45%) and type II (35%), type III accounted for the lowest rates (20%). Relative depth of wisdom teeth in the bone mainly position A (45%), B position also accounts for a significant proportion (35%), positions C (20%). Correlation of wisdom teeth axis to adjacent teeth: mesioangular impactions (50%) and horizontal (30%), distoangular impaction (2.5% and 5%), vertical impaction (12, 5%). Pain, swelling, limited mouth open only happen the first two days in groups I and II, group III of symptoms until a week after surgery. Conclusion: There is correlation between the degree of impaction and healing after mandibular wisdom tooth surgery. Degree of as much impaction, the level of pain, swelling, limited mouth open higher. Key words: mandibular third molar; impaction

Nonsteroidal Antiinflammatory Drug-Induced Pseudoporphyria: A Case Series

2002 ◽  
Vol 6 (4) ◽  
pp. 320-326 ◽  
Author(s):  
Jeffrey R. LaDuca ◽  
Peter H. Bouman ◽  
Anthony A. Gaspari
Keyword(s):  
Clinical Symptoms ◽  
Porphyria Cutanea Tarda ◽  
Case Series ◽  
Antiinflammatory Drug ◽  
Nonsteroidal Antiinflammatory Drugs ◽  
Nonsteroidal Antiinflammatory Drug ◽  
Sustained Remission ◽  
Antiinflammatory Drugs ◽  
Drug Induced ◽  
Antibiotic Drugs

Background: Pseudoporphyria is a diagnosis that is used when porphyria-like clinical lesions arise in the setting of normal porphyrin levels. This condition was first described in the 1960s and was initially related to the use of certain antibiotic drugs. In 1985, pseudoporphyria was first attributed to the use of nonsteroidal antiinflammatory drugs (NSAIDs). Subsequently, a host of NSAIDs and other drugs have been found to elicit the same clinical entity. The exact mechanism by which certain drugs create clinical lesions resembling porphyria cutanea tarda or erythropoietic protoporphyria is still unknown. A phototoxic mechanism is hypothesized. Objective: We describe six patients diagnosed with pseudoporphyria and detail the diagnostic tests leading to the eventual diagnosis. Results: The patients ranged in age from 27 to 59 years and had a female:male predominance of 2:1. The offending NSAID was DayPro (oxaprozin) for three of the patients, Relafen (nabumetone) for two of the patients, and Aleve (naproxen) for one patient. For each patient, histology and immunofluorescence was either consistent with the diagnosis of porphyria cutanea tarda or nonspecific, while serum, stool, and urine porphyrins did not support that diagnosis. Withdrawal of the offending agent provided relief from the clinical symptoms for each patient. None of our patients were rechallenged with the putative offending drug. However, prolonged avoidance has provided a sustained remission from symptoms in all six patients. Conclusions: Pseudoporphyria is a relatively rarely reported condition. Clinical suspicion with appropriate laboratory and histopathologic findings help to make this diagnosis, and exclude true porphyrias. Rechallenge with the offending drug to produce symptom relapse has been proposed to be helpful in confirming this diagnosis of exclusion. Since all 6 patients with drug-induced pseudoporphyria experienced resolution of their symptoms after discontinuing the offending agent, we propose that this clinical correlation alone is sufficient to confirm this diagnosis. Our observation of six new cases of NSAID-induced pseudoporphyria over a two-year interval suggests that this is not a rare entity.

scholarly journals Clinical pathogenic basis for anti-adhesive treatment for appendicular-genital syndrome in women of reproductive age

2020 ◽  
Vol 3 (4) ◽  
pp. 228-232
Author(s):  
V.V. Simrok ◽  
◽  
I.A. Popova ◽  
D.V. Mel’nikova ◽  
◽  
...  
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Symptoms ◽  
Adhesion Formation ◽  
Fold Increase ◽  
Reproductive Age ◽  
Complex Treatment ◽  
Women Of Reproductive Age ◽  
Peritoneal Adhesions ◽  
Normal Ranges

Aim: to assess the efficacy of penicillamine for the complex prevention of pelvic peritoneal adhesions in appendicitis associated with the acute conditions of uterine appendages (appendicular-genital syndrome, AGS) based on the changes in the levels of hydroxyproline and the major clinical symptoms of pelvic inflammatory disease. Patients and Methods: 157 women of reproductive age with AGS who were urgently or routinely admitted to a gynecological or surgical hospital were examined. Comparison group women were prescribed with conventional anti-inflammatory treatment or surgery as needed. Study group women additionally received penicillamine 250 mg twice daily for a month. Pre- and post-treatment non-invasive assessment of the peritoneal adhesive process was performed by measuring the levels of protein-bound and free hydroxyproline. Treatment efficacy was evaluated after 1 month by the changes in hydroxyproline levels, major clinical symptoms, and ultrasound. Results: it was demonstrated that pelvic acute inflammatory disease results in > 1.5-fold increase in the levels of protein-bound and free hydroxyproline. Penicillamine as a component of the complex treatment for pelvic inflammatory disease reduces the levels of hydroxyproline to normal ranges. The changes in the major clinical symptoms and ultrasonic findings after penicillamine therapy were more significant compared to the standard treatment. Conclusions: penicillamine as a component of the complex treatment for pelvic inflammatory disease significantly accelerates the improvement of symptoms and remission as well as the formation of peritoneal adhesions. This prevents both pelvic adhesive disease and tubal- and peritoneal-factor infertility. KEYWORDS: appendicular-genital syndrome, inflammation, hydroxyproline, penicillamine, pelvic peritoneal adhesions, prevention, adhesion formation. FOR CITATION: Simrok V.V., Popova I.A., Mel’nikova D.V. Clinical pathogenic basis for anti-adhesive treatment for appendicular-genital syndrome in women of reproductive age. Russian Journal of Woman and Child Health. 2020;3(4):228–232. DOI: 10.32364/2618-8430- 2020-3-4-228-232.

scholarly journals Rheumatoid Arthritis with Avascular Necrosis of Femur Head (AVN): A Case Report

2018 ◽  
Vol 6 (04) ◽  
Author(s):  
Rani Khushboo ◽  
Umesh Kumar Sapra ◽  
Vidula Gujjarwar
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Inflammatory Disease ◽  
Clinical Symptoms ◽  
Visual Analogue Score ◽  
The Body ◽  
Femur Head ◽  
Remarkable Improvement ◽  
Systemic Inflammatory Disease ◽  
The Status

 Rheumatoid arthritis is a chronic systemic inflammatory disease whichinvolve multiple joints  of the body.The clinical symptoms of the Rheumatoid Arthritisresemble with Amavata described in Ayurvedic literature. In thisdisease, the vitiated Vatadosha and Ama spread all along the body and  localisein kaphasthana likejoints and producing symptoms like pain, stiffness, swelling, tendernessetc.Treatment principle recommended are to correct the status of the digestive fireof the bodyand balance of Vata in the body. In this case, a male patient of 28 years old presented with the symptoms of inabilityto walk and stand without support associated with pain, swelling and  stiffnessover multiple jointsalong with deformity of hands. Pain was assessed by Visual analogue score(VAS).The patient was admitted in IPD of the hospital andtreatedwith Ayurvedic  medicines and Panchakarma therapy for 28 days. Remarkable improvement was seen in pain, swelling and stiffness after the treatment.

Case of a chronic ectopic pregnancy misdiagnosed as pelvic inflammatory disease

2021 ◽  
Vol 14 (1) ◽  
pp. e237053
Author(s):  
Hashviniya Sekar ◽  
Olga Divakova ◽  
Tanya Alan ◽  
Gregory Premetis
Keyword(s):  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Preoperative Diagnosis ◽  
Clinical Symptoms ◽  
Delayed Diagnosis ◽  
Uterine Fibroids ◽  
Diagnostic Dilemma ◽  
Clinical Presentations ◽  
Definition Of

The definition of a chronic ectopic pregnancy (CEP) is poorly defined in the literature and making a timely diagnosis can be incredibly challenging. This is primarily due to its broad range of clinical presentations and conflicting biochemical and sonographic results. Often, CEPs are mistaken for ovarian malignancies, pelvic inflammatory disease (PID), uterine fibroids or endometriosis, therefore, leading to a delayed diagnosis. We present a case report of a woman who was initially misdiagnosed with PID and then later preoperatively diagnosed with a CEP. This case particularly highlights the diagnostic dilemma posed by CEPs and raises awareness of the key clinical symptoms, biochemical and sonographic investigations which in combination can contribute towards making a timely preoperative diagnosis.

scholarly journals Does Extraction or Retention of the Wisdom Tooth at the Time of Surgery for Open Reduction and Internal Fixation of the Mandible Alter the Patient Outcome?

2015 ◽  
Vol 8 (4) ◽  
pp. 277-280 ◽  
Author(s):  
Douglas Hammond ◽  
Sat Parmar ◽  
Justin Whitty ◽  
Nick Pigadas
Keyword(s):  
Patient Outcome ◽  
Internal Fixation ◽  
Complication Rate ◽  
Open Reduction ◽  
Fracture Line ◽  
Third Molars ◽  
Fixation Procedure ◽  
Wisdom Tooth ◽  
Wisdom Teeth ◽  
Controversial Topic

Whether to extract or retain wisdom teeth present in a fracture line is a controversial topic. This study reviewed the records of all patients who had mandibular wisdom teeth at the time of the injury, and had an open reduction and internal fixation procedure between January 2009 and January 2012. The cohort of patients who concomitantly had their wisdom tooth extracted at the time of fixation had a greater complication rate (24.3%) compared with patients who did not (14.9%). This suggests that if third molars in the line of a fracture have caries, are fractured, show signs of pericoronitis, are periodontally involved, or are interfering with the occlusion are extracted at the time of fixation, this will increase the incidence of complications.

scholarly journals ORBITAL PSEUDOTUMOR − CURRENT STATE OF KNOWLEDGE

2020 ◽  
Vol 73 (4) ◽  
pp. 818-822
Author(s):  
Marceli Gacan ◽  
Ewa Papuć ◽  
Konrad Rejdak
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Inflammatory Disease ◽  
Clinical Symptoms ◽  
Unknown Origin ◽  
Diagnosis And Treatment ◽  
Orbital Pseudotumor ◽  
Anatomical Structures ◽  
Current State ◽  
Biological Treatments

The orbital pseudo-tumor is an orbital inflammatory disease of unknown origin that can affect all the anatomical structures that make up the orbit. The diagnosis is based on the assessment of clinical symptoms, imaging tests and the exclusion of other possible causes. Glucocorticosteroids are used for treatment, but other immunosuppressants as well as biological treatments can be used. The aim of the study is to present, based on the literature review, the current state of knowledge about pathogenesis, symptoms, differential diagnosis, and treatment of the orbital pseudotumor.

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