scholarly journals An unusual case of breast abscess caused by Proteus mirabilis and Prevotella buccalis

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Elhanan Parnasa ◽  
◽  
Adiel Cohen ◽  
Bar Avital ◽  
Yafa Shani Parnasa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Proteus Mirabilis ◽  
Unusual Case ◽  
Left Breast ◽  
Acute Onset ◽  
Nulliparous Woman ◽  
Breast Abscess ◽  
Keywords Breast

A 56-year-old nulliparous woman presented to the emergency department with acute onset of redness, sensitivity, and local fever in the left breast. Mastitis with abscess was diagnosed. Unusual pathogens were identified in the culture obtained from the abscess - Proteus mirabilis and Prevotella buccalis. Keywords: breast abscess; Proteus mirabilis; Prevotella buccalis.

scholarly journals An unusual case of breast abscess in a male patient

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Adiel Cohen ◽  
◽  
Bar Avital ◽  
Elchanan Parnasa ◽  
Yafa Shani Parnasa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Male Patient ◽  
Unusual Case ◽  
Left Breast ◽  
Acute Onset ◽  
Full Recovery ◽  
Ultrasound Scan ◽  
Breast Abscess ◽  
Incision And Drainage

A 49-year-old male patient presented to the emergency department with acute onset of painful swelling in the left breast. An unusual diagnosis of breast abscess was made using ultrasound scan, incision and drainage were performed followed by antibiotics, with full recovery.

Proteus mirabilis Breast Abscess

2015 ◽  
Vol 23 (3) ◽  
pp. 126-127
Author(s):  
Sandra Labalo ◽  
Louis D. Saravolatz
Keyword(s):  
Proteus Mirabilis ◽  
Breast Abscess

An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Signs And Symptoms ◽  
Memorial Hospital ◽  
Pubic Bone ◽  
Bowel Habit ◽  
Gross Hematuria ◽  
Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

Just the facts: Risk stratifying nontraumatic back pain for Cauda Equina Syndrome in the emergency department

CJEM ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 652-654
Author(s):  
Zoe Polsky ◽  
Margriet Greidanus ◽  
Anjali Pandya ◽  
W. Bradley Jacobs
Keyword(s):  
Emergency Department ◽  
Back Pain ◽  
Cauda Equina Syndrome ◽  
Bowel Movement ◽  
Chronic Back Pain ◽  
Cauda Equina ◽  
Digital Rectal Examination ◽  
Acute Onset ◽  
Clinical Exam ◽  
History Of

A 43-year-old male, with a history of chronic back pain, presents to the emergency department (ED) with acute onset chronic pain. He states he “tweaked something” and has been debilitated by back pain, radiating down both his legs, for 24 hours. He has not had a bowel movement but denies noticing any “saddle anesthesia.” His clinical exam is limited by pain, and it is difficult to determine if he has objective weakness. His perineal sensation is intact, as is his sensation upon digital rectal examination. The patient has a post-void residual of 250 mL, but you are unsure how to interpret this value. As an emergency physician, when should you suspect, and how should you evaluate cauda equina syndrome?

scholarly journals An Atypical Presentation of Cystic Echinococcosis

2020 ◽  
Vol 4 (2) ◽  
pp. 164-166
Author(s):  
Bhavana Tetali ◽  
Daniel Grahf ◽  
Elian Abou Asala ◽  
Daniel Axelson
Keyword(s):  
Emergency Department ◽  
Echinococcus Granulosus ◽  
Cystic Echinococcosis ◽  
Acute Onset ◽  
Atypical Presentation ◽  
Hepatic Lobe ◽  
Secondary Lesion ◽  
The Right

Cystic echinococcosis (CE) is an infection caused by the Echinococcus granulosus tapeworm. CE generally manifests in the liver, but it may present in any organ. These patients often first present to the emergency department. Mortality over 10 years is significant for those who go undiagnosed. We report the case of a 34-year-old patient who immigrated from Yemen six years earlier. She presented with acute onset dysuria, suprapubic pain, and fever. Imaging revealed a primary multicystic mass on the right renal pole with a secondary lesion in the right hepatic lobe. On further investigation, the patient’s serum was positive for echinococcus antibodies.

scholarly journals An Unusual Case of Acute Appendicitis due to Metastatic Prostatic Adenocarcinoma

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Numbereye Numbere ◽  
Andrew Dunn ◽  
Aaron R. Huber
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Acute Appendicitis ◽  
Unusual Case ◽  
The Elderly ◽  
Prostatic Adenocarcinoma ◽  
Metastatic Spread ◽  
Histopathologic Examination ◽  
Appendiceal Neoplasm ◽  
Surgical Emergency

Acute appendicitis is a common surgical emergency in older adults. In the elderly, like in younger cohorts, acute appendicitis most commonly arises without neoplastic underpinnings. However, the occurrence of acute appendicitis in a patient with a concurrent abdominopelvic malignancy should trigger suspicion for the possibility of a metastatic appendiceal neoplasm. We present the case of a 66-year-old man with a background of a biochemically recurrent prostatic adenocarcinoma who presented to the emergency department with acute appendicitis. Histopathologic examination of the resected appendix revealed an unexpected metastatic spread from his prostatic adenocarcinoma.

Pulmonary embolism as the primary presentation of IgA vasculitis

2020 ◽  
Vol 13 (8) ◽  
pp. e235884
Author(s):  
Osama Mosalem ◽  
Nora Hernandez Garcilazo ◽  
Yehia Saleh ◽  
Fawzi Abu Rous
Keyword(s):  
Emergency Department ◽  
Pulmonary Embolism ◽  
Acute Onset ◽  
Iga Vasculitis ◽  
Erythematous Rash ◽  
Ct Angiogram ◽  
Right Ventricular Strain ◽  
History Of ◽  
Obstructive Shock ◽  
Primary Presentation

A 47-year-old man presented to the emergency department with acute onset of dyspnoea and a week history of painful erythematous rash on both of his legs. CT angiogram of the chest showed saddle pulmonary embolism resulting in right ventricular strain and obstructive shock. Due to the atypical nature of his skin rash, a skin biopsy from one of these lesions was done and came consistent with the diagnosis of IgA vasculitis.

scholarly journals Rare variant of Guillain-Barré syndrome after chikungunya viral fever

2019 ◽  
Vol 12 (4) ◽  
pp. e228845 ◽  
Author(s):  
Sajid Hameed ◽  
Sara Khan
Keyword(s):  
Emergency Department ◽  
Early Diagnosis ◽  
Symptom Onset ◽  
Complete Resolution ◽  
Neurological Complications ◽  
Acute Onset ◽  
Guillain Barre Syndrome ◽  
Ventilator Support ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Chikungunya (CHIK) viral fever is a self-limiting illness that presents with severe debilitating arthralgia, myalgia, fever and rash. Neurological complications are rare. We present a case of a 36-year-old woman who presented with acute onset progressive difficulty swallowing and left arm weakness. She was diagnosed with CHIK viral fever 4 weeks prior to admission. After investigations, she was diagnosed with a pharyngeal–cervical–brachial variant of Guillain-Barré syndrome. In hospital, she required ventilator support. Her condition improved after five sessions of intravenous immunoglobulin with almost complete resolution within 6 months of symptom onset. With frequent CHIK outbreaks, the neurological complications are increasingly seen in the emergency department. The knowledge of these associations will result in early diagnosis and treatment.

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