multiple abscess
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Author(s):  
J. Vijay ◽  
R. Vedamanickam ◽  
K. Saranya Devi

Melioidosis also termed as Whitmore’s disease is an infectious disease which is caused by bacterium Burkholderia pseudomallei.Southeast Asia and northern Australia are endemic to this diseases which is predominantly transmitted in tropical climates.The coarse of disease involves multiple system involvement most common being lungs and it is mistaken as tuberculosis in many times.the other system involved are musculoskeletal and abscess over internal organs in spleen ,liver.This is a case report of 20 year old male presented with history of fever, swelling over multiple sites of the body, reddish discharge from the swelling, with history of planting trees in the past. Routine investigation showed leucocytosis and multiple abscess in liver and spleen .Blood culture showed positive for burkholderia pseudomallei .started treatment with meropenam and linezolid for 2 weeks and patient resolved from symptoms completely and discharged. Here we discuss about an clinical coarse and treatment response to bacteria burkholderia pseudomallei.


2021 ◽  
Vol 14 (2) ◽  
pp. 129-132
Author(s):  
Amanda Guedes ◽  
◽  
Eldo Gonçalves ◽  
Ruan Paulino ◽  
Adony Andrade Neto ◽  
...  

Biliary calculi are rare in cattle and occur usually in the gallbladder, without clinical signs. In humans, cholelithiasis is a common cause of hepatic abscess due calculi microbiota. Here is described a case of cholelithiasis, choledocholithiasis and hepatolithiasis in a 10-year-old female mixed breed dairy cow. The animal died during physical examination with signs as cachexia, icterus, and fever. At necropsy, a large number of green calculi were observed in the gallbladder, common duct lumen and in markedly distended biliary ducts. The liver was firm and decreased in volume with multiple abscess and multiple red foci measuring 0.5 cm in diameter in the hepatic parenchyma. Microscopically in the liver, marked ductal proliferation and abscedative cholangiohepatitis with abundant fibrosis and multiple foci of hepatocytes necrosis. In conclusion, choledocholithiasis and hepatolithiasis may occur in cattle and cause significant clinical signs and pathological alterations.


2021 ◽  
pp. 98-104
Author(s):  
Lukpan Orazbekov ◽  
Botagoz Issergepova ◽  
Makpal Assainova ◽  
Kairat Ruslanuly

Granulomatosis with polyangiitis (GPA) is a granulomatous-necrotic systemic vasculitis with a lesion of predominantly the upper and lower respiratory tracts at the onset of the disease (vasculitis, accompanied by granulomatous inflammation), and subsequently renal (glomerulonephritis). In addition, GPA may manifest as inflammation of small arteries and veins. Despite many years of study of this disease, the etiology of GPA remains unknown. The present case is about a 47-year-old female, who had been suffering from necrotizing scleritis, corneal ulcer, and secondary glaucoma in both eyes for 3 months, and she was treated with anti-inflammatory and antimicrobial therapy that showed no effect; the patient’s general condition became worse. In the second week of treatment, multiple abscess ruptures exposed the sclera. Sampling of the affected conjunctival tissue and positive HLA B8 haplotype and ANCA (PR3-ANCA) testings make it clear that GPA was the main reason of necrotizing scleritis with inflammation. The targeted treatment of the underlying disease allows to stabilize an inflammation of corneal and scleral lesions.


2020 ◽  
Vol 13 (12) ◽  
pp. e239043
Author(s):  
James Patrick King ◽  
Mili Dhar ◽  
Stephanie Jane Smith ◽  
Julian Emmanuel

This report presents the case of a mixed infection of Actinomyces israelii and Fusobacterium nucleatum, presenting as an extensive neck mass progressing through tissue planes and causing bony destruction. Despite multiple abscess aspirates, imaging and serological investigations, the causative organisms proved elusive over the course of the patient’s long admission, only to be identified postdischarge. The patient was successfully initiated on a prolonged course of intravenous antibiotics and did not suffer from any complications. This report aims to raise awareness of the presentation, pathogenicity and treatment of Actinomyces and Fusobacteria infections, given a notable difficulty in diagnosis.


2018 ◽  
Vol 10 (4) ◽  
pp. 530-533
Author(s):  
İsmet Miraç Çakır ◽  
Doğukan Atabay ◽  
Eser Bulut ◽  
Mustafa Peker ◽  
Nahide Gökçe Çakır

2018 ◽  
Vol 42 (2) ◽  
pp. 94-97 ◽  
Author(s):  
Eshita Reza Khan ◽  
Chowdhury Yakub Jamal ◽  
Anwarul Karim ◽  
Ismat Nigar ◽  
Farah Diba

Histoplasma capsulatum is a dimorphic fungus, which primarily causes a pulmonary disease. It is found throughout the world with the soil being the environmental reservoir. In infants and toddlers, disseminated histoplasmosis is the commonest presentation. In this age group, 60-80% patients has acute disseminated progressive disease. Disseminated histoplasmosis may also cause bone involvement with osteolytic lesion. Here, we have described a rare and unusual disseminated histoplasmosis, a 3 and half year old boy from Bangladesh with multiple abscess like soft tissue lesions, along with multiple osteolytic bone lesions.Bangladesh J Child Health 2018; VOL 42 (2) :94-97


Background: Follicular occlusion tetrad (FOT) is a clinical syndrome consisting of suppurative hidradenitis, acne conglobata, dissecting cellulitis of the scalp, and pilonidal sinus. FOT is a rare case that is mostly found in severe conditions resulting in resistance to therapy. Diagnostic accuracy and therapy for all components of FOT is extremely important. Case: A 43-year old male presented with small, painful blisters and bumps filled with pus that had been ongoing for five years. We found pustules and erythematous nodules and multiple abscess with atrophic scars on the scalp, anterior and posterior trunks, abdomen, groin and gluteal regions on the facial region, we found multiple atrophic scars. The pus culture showed the presence of Escherichia coli, and fistulography examination revealed multiple cutaneous fistules and enterocutaneous sinus. The histopathological examination indicated rupture of hair follicles, follicular plugs, and infiltration of heavy-mixed infiltrate cells. Discussion: The FOT diagnosis was established through medical history recording, physical and histopathological examinations, and fistulography. Upon medical history recording and physical examination, we found pustules and nodules in several hairy areas. The fistulographic examination showed some fistules and sinus tracts, and the histopathological examination showed adnexal tissue damage caused by occlusion of hair follicles and inflammation due to accumulation of keratin and debris. All these findings led to the FOT diagnosis.


2017 ◽  
Vol 63 (4) ◽  
pp. 232-236
Author(s):  
Naoko AOYAGI ◽  
Ryousuke KITA ◽  
Seiji KONDOU ◽  
Hiromasa TAKAHASHI ◽  
Toshihiro KIKUTA

2016 ◽  
Vol 51 (2) ◽  
pp. e60-e62 ◽  
Author(s):  
Mikel Mikhail ◽  
Robert K. Koenekoop ◽  
Ayesha Khan

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