Odontogenic phlegmon of the mouth floor: a case report

Odontogenic phlegmon of the mouth floor—Ludwig's angina (phlegmonae fundi cavi oris seu angina Ludovici)—is a rare, life-threatening, local complication in most cases of odontogenic inflammation. This study presents the case of a patient treated in the Department of Maxillofacial and Plastic Surgery of the University Hospital in Białystok due to phlegmon of the mouth floor resulting from odontogenic inflammation with a dynamic course. Quick diagnostics, surgical intervention as well as antibiotic therapy contributed to its efficient and successful treatment.

Download Full-text

Successful Treatment of Severe Complicated Cholangitis Using Regional Antibiotic Therapy (Case Report)

UKRAINIAN JOURNAL OF SURGERY ◽

10.22141/1997-2938.1-2.30-31.2016.78111 ◽

2016 ◽

Vol 0 (1-2.30-31) ◽

pp. 78

Author(s):

V.I. Desiateryk ◽

O.V. Kotov ◽

O.V. Brovko ◽

K.P. Alimov ◽

O.A. Hul

Keyword(s):

Case Report ◽

Antibiotic Therapy ◽

Successful Treatment

Download Full-text

Thirty-five years of the Department of Plastic Surgery and Burns Treatment at the University Hospital in Hradec Králové

Acta Chirurgiae Plasticae ◽

10.48095/ccachp202178 ◽

2021 ◽

Vol 63 (2) ◽

Author(s):

Leo Klein

Keyword(s):

Plastic Surgery ◽

University Hospital ◽

The University

Download Full-text

Role of SatO2, PaO2/FiO2 Ratio and PaO2 to Predict Adverse Outcome in COVID-19: A Retrospective, Cohort Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182111534 ◽

2021 ◽

Vol 18 (21) ◽

pp. 11534

Author(s):

Stefano Sartini ◽

Laura Massobrio ◽

Ombretta Cutuli ◽

Paola Campodonico ◽

Cristina Bernini ◽

...

Keyword(s):

Respiratory Failure ◽

Adverse Outcome ◽

University Hospital ◽

Rt Pcr ◽

Threatening Condition ◽

Life Threatening ◽

Group A ◽

Group B ◽

The University

COVID-19 respiratory failure is a life-threatening condition. Oxygenation targets were evaluated in a non-ICU setting. In this retrospective, observational study, we enrolled all patients admitted to the University Hospital of Genoa, Italy, between 1 February and 31 May 2020 with an RT-PCR positive for SARS-CoV-2. PaO2, PaO2/FiO2 and SatO2% were collected and analyzed at time 0 and in case of admission, patients who required or not C-PAP (groups A and B) were categorized. Each measurement was correlated to adverse outcome. A total of 483 patients were enrolled, and 369 were admitted to hospital. Of these, 153 required C-PAP and 266 had an adverse outcome. Patients with PaO2 <60 and >100 had a higher rate of adverse outcome at time 0, in groups A and B (OR 2.52, 3.45, 2.01, respectively). About the PaO2/FiO2 ratio, the OR for < 300 was 3.10 at time 0, 4.01 in group A and 4.79 in group B. Similar odds were found for < 200 in any groups and < 100 except for group B (OR 11.57). SatO2 < 94% showed OR 1.34, 3.52 and 19.12 at time 0, in groups A and B, respectively. PaO2 < 60 and >100, SatO2 < 94% and PaO2/FiO2 ratio < 300 showed at least two- to three-fold correlation to adverse outcome. This may provide simple but clear targets for clinicians facing COVID-19 respiratory failure in a non ICU-setting.

Download Full-text

Case Report: Poor oral hygiene leading to an emergency condition: A case report of Ludwig’s angina

F1000Research ◽

10.12688/f1000research.74692.1 ◽

2021 ◽

Vol 10 ◽

pp. 1219

Author(s):

Prashant Pant ◽

Oshan Shrestha ◽

Pawan Budhathoki ◽

Nebula Devkota ◽

Prabin Kumar Giri ◽

...

Keyword(s):

Case Report ◽

Oral Hygiene ◽

Common Source ◽

Poor Oral Hygiene ◽

Presenting Symptoms ◽

Dental Procedures ◽

Life Threatening ◽

History Of ◽

Ludwig’S Angina ◽

Ludwig's Angina

Ludwig’s angina (LA) is a rapidly spreading and potentially life-threatening infection having an odontogenic infection as the most common source. It involves the floor of the mouth and neck. Modernization in medical care has made this entity rare and of low mortality at the present but it is still feared as a lethal entity due to rapidly progressive airway obstruction that follows. Here we report a case of a 15-year-old male who suffered from LA. Presenting symptoms and findings of the examination helped in the clinical diagnosis. Immediate intubation, use of broad-spectrum antibiotics, and treatment of complications aided the patient’s recovery. LA should be considered for differential diagnosis in the case of neck swelling especially in those having a history of poor oral hygiene and recent dental procedures. Management of LA and its complications should always involve doctors from multiple disciplines.

Download Full-text

Fetal Profile Markers for the Detection of Robin Sequence in Fetuses with Retrognathia

Ultraschall in der Medizin - European Journal of Ultrasound ◽

10.1055/a-1659-2499 ◽

2021 ◽

Author(s):

Cornelia Wiechers ◽

Christian Poets ◽

Markus Hoopmann ◽

Karl Oliver Kagan

Keyword(s):

Normal Population ◽

False Positive Rate ◽

University Hospital ◽

Robin Sequence ◽

Profile Line ◽

Positive Rate ◽

Life Threatening ◽

Matched Case ◽

The University ◽

Control Study

Abstract Objective To determine whether the prefrontal space ratio (PSFR), inferior facial (IFA) and maxilla-nasion-mandible angle (MNM), and the fetal profile line (FPL) are helpful in identifying fetuses with Robin sequence (RS) in cases with isolated retrognathia, and thus better predict the likelihood of immediate need for postnatal respiratory support. Methods This was a retrospective matched case-control study of fetuses/infants with isolated retrognathia with or without RS receiving pre- and postnatal treatment at the University Hospital of Tübingen, Germany between 2008 and 2020. The PFSR, IFA, MNM, and FPL were measured in affected and normal fetuses according to standardized protocols. Cases were stratified into isolated retrognathia and RS. Results 21 (n=7 isolated retrognathia, n=14 RS) affected fetuses and 252 normal fetuses were included. Their median gestational age at ultrasound examination was 23.6 and 24.1 weeks, respectively. In fetuses with isolated retrognathia and RS, the PSFR, IFA, and FPL were significantly different from the normal population. At a false-positive rate of 5%, the detection rate was 76.2% for the PFSR, 85.7% for the IFA, and 90.5% for both parameters combined. However, all parameters failed to distinguish between isolated retrognathia and RS. Conclusion PSFR and IFA are simple markers for identifying retrognathia prenatally. However, they are not helpful for the detection of RS in fetuses with isolated retrognathia. Therefore, delivery should take place in a center experienced with RS and potentially life-threatening airway obstruction immediately after birth.

Download Full-text

Diagnostic challenges in tuberculous otitis media

The Journal of Laryngology & Otology ◽

10.1017/s0022215110000265 ◽

2010 ◽

Vol 124 (8) ◽

pp. 913-915 ◽

Cited By ~ 5

Author(s):

I P Tang ◽

N Prepageran ◽

C A Ong ◽

P Puraviappan

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Antibiotic Therapy ◽

Otitis Media ◽

Surgical Intervention ◽

Clinical Suspicion ◽

Middle Ear Infection ◽

Clinical Presentations ◽

Tuberculous Otitis Media ◽

Systemic Antibiotics

AbstractObjectives:To demonstrate the different clinical presentations of tuberculous otitis media and the management of selected cases.Case report:We report four cases of tuberculous otitis media with different clinical presentations, encountered between 1998 and 2002. None of the cases showed improvement with local or systemic antibiotics. The diagnosis, complications and management of these cases are discussed.Conclusions:A high index of clinical suspicion of tuberculous otitis media is required in patients who do not respond to standard antibiotic therapy for (nontuberculous) chronic middle-ear infection. Early diagnosis and treatment of tuberculous otitis media is important to avoid irreversible complications, surgical intervention and propagation of the disease.

Download Full-text

Epidemiology and Clinical Outcome of Patients Hospitalized With Pelvic Inflammatory Disease Complicated by Tubo-Ovarian Abscess

Infectious Diseases in Obstetrics and Gynecology ◽

10.1155/s1064744995000470 ◽

1995 ◽

Vol 3 (4) ◽

pp. 135-139 ◽

Cited By ~ 7

Author(s):

Ying Chan ◽

Winsome Parchment ◽

Joan H. Skurnick ◽

Laura Goldsmith ◽

Joseph J. Apuzzio

Keyword(s):

Clinical Outcome ◽

Antibiotic Therapy ◽

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Surgical Intervention ◽

Severe Disease ◽

University Hospital ◽

Hospital Stays ◽

Wbc Count ◽

Ovarian Abscess

Objective: The purpose of this retrospective study was to compare the clinical outcome and characteristics of pelvic inflammatory disease (PID) complicated by tubo-ovarian abscess (TOA) with PID without TOA.Methods: Chart reviews were performed for all PID admissions to the University of Medicine and Dentistry of New Jersey-University Hospital, Newark, NJ, from January 1, 1992, to December 31, 1993.Results: The incidence in this study of TOA based on sonographic evidence of a complex adnexal mass was 18%. The major differences between the patients with and without TOAs were 1) history of hospitalization for PID: 68% (13/19) vs. 29% (25/85); 2) increased erythrocyte sedimentation rate: 82 vs. 41 mm/h; 3) increased WBC count on admission: 16,200 vs. 14,700/ml; 4) failure to respond to initial antibiotic therapy; and 5) longer hospital stay: 7.8 vs. 4.4 days, respectively. Surgical intervention was required in 3 patients: 2 patients who had TOAs and 1 patient who did not have a TOA by clinical examination or by ultrasound.Conclusions: Despite longer hospital stays and blood tests suggesting more severe disease processes, PID complicated by TOA is usually responsive to intravenous (IV) antibiotic therapy without the need for surgical intervention.

Download Full-text

Under the Radar: A Case Report of a Missed Aortoenteric Fistula

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.4.51791 ◽

2021 ◽

Vol 5 (3) ◽

pp. 312-315

Author(s):

Blake Briggs ◽

David Manthey

Keyword(s):

Case Report ◽

Surgical Intervention ◽

Imaging Modality ◽

Aortic Surgery ◽

Aortoenteric Fistula ◽

Prior History ◽

Gi Bleeding ◽

Life Threatening ◽

History Of ◽

Widespread Availability

Introduction: An aortoenteric fistula (AEF) is an abnormal connection between the aorta and the gastrointestinal tract that develops due to a pathologic cause. It is a rare, but life-threatening, cause of gastrointestinal (GI) bleeding. Although no single imaging modality exists that definitively diagnoses AEF, computed tomography angiography (CTA) of the abdomen and pelvis is the preferred initial test due to widespread availability and efficiency. Case Report: Many deaths occur before the diagnosis is made or prior to surgical intervention. We describe a case of a patient with a history of aortic graft repair who presented with active GI bleeding. Conclusion: Although CTA can make the diagnosis of AEF, it cannot adequately rule it out. In patients with significant GI bleeding and prior history of aortic surgery, vascular surgery should be consulted early on, even if CTA is equivocal.

Download Full-text

The importance of the dentist in the diagnosis of Cowden syndrome: case report

Brazilian Dental Science ◽

10.14295/bds.2016.v19i3.1262 ◽

2016 ◽

Vol 19 (3) ◽

pp. 111

Author(s):

Camila Feier Viegas ◽

Tulio De Lucena Pires ◽

Paulo Tadeu de Souza Figueiredo ◽

Andre Ferreira Leite ◽

Clemes Alves Mesquita

Keyword(s):

Case Report ◽

Medical History ◽

Dental Treatment ◽

Cowden Syndrome ◽

University Hospital ◽

Connective Tissues ◽

Autosomal Dominant Disorder ◽

The University ◽

To Receive ◽

Multiple Hamartoma Syndrome

Cowden Syndrome is an autosomal dominant disorder characterized by the development of several hamartomas in a variety of tissues, including the skin, gastrointestinal tract, adipose tissue, and bone and connective tissues. This syndrome is associated with a high risk of developing malignancies, especially breast, thyroid and endometrium cancers. This report presents a case of a 53-year-old patient who sought assistance at the Dentistry Department of the University Hospital of Brasilia (HUB) to receive basic dental treatment. The current and past medical history and oral and facial manifestations led to the diagnosis of Cowden syndrome. This case report aims to highlight the importance of a dental surgeon in the diagnosis of this syndrome, based on the observation of oral manifestations and medical history.KeywordsCowden Syndrome; Multiple Hamartoma Syndrome.

Download Full-text