Surgical management of a case of subcutaneous abscess caused by Staphylococcus aureus in adult White Fulani cow

A White Fulani cow whose record reveals three-year old, weighing about 350kg belonging to DUFARMS of the Federal University of Agriculture, Abeokuta was presented with a swelling on the left flank. Clinical evaluation of the animal revealed the following: rectal temperature, 38.2°C, heart rate, 60bpm and respiratory rate, 35bpm. A rectangular shaped mass, soft and warm to touch was palpated on the left flank. Pus was aspirated from the swelling with a sterile needle and syringe, and taken for biogram. Staphylococcus aureus was isolated from the aspirate which was sensitive to antibiotic, enrofloxacin, ciprofloxacin and gentamycin (Table 1). Total surgical extirpation of the encapsulated abscess was carried out aseptically under sedation and local anaesthesia and managed chemotherapeutically using antimicrobial, analgesic, anti-inflammatory agents post operatively.

Surgical management of a case of subcutaneous abscess caused by Staphylococcus aureus in adult White Fulani cow

A White Fulani cow whose record reveals three-year old, weighing about 350kg belonging to DUFARMS of the Federal University of Agriculture, Abeokuta was presented with a swelling on the left flank. Clinical evaluation of the animal revealed the following: rectal temperature, 38.2oC, heart rate, 60bpm and respiratory rate, 35bpm. A rectangular shaped mass, soft and warm to touch was palpated on the left flank. Pus was aspirated from the swelling with a sterile needle and syringe, and taken for biogram. Staphylococcus aureus was isolated from the aspirate which was sensitive to antibiotic, enrofloxacin, ciprofloxacin and gentamycin (Table 1). Total surgical extirpation of the encapsulated abscess was carried out aseptically under sedation and local anaesthesia and managed chemotherapeutically using antimicrobial, analgesic, anti-inflammatory agents post operatively.

Long segment cervicothoracic intramedullary dermoid with concomitant conal lesion – A case report

Background: Spinal dermoid cysts are benign tumors that result from congenital or acquired ectodermal inclusions. Long segment intramedullary involvement of the spinal cord is exceedingly rare, and there are only a handful of case reports found in the literature. Case Description: A 30-year-old female presented with a 3-month history of myelopathy characterized by progressive quadriparesis and urinary incontinence. Magnetic resonance imaging revealed multifocal heterogeneous intramedullary masses extending from C2 to T4 and at T12–L1 with similar intensity lesions seen within the central cord from T5 to T11 level. Following tumor decompression, she showed significant improvement in neurological function 1 month later. The histopathological examination confirmed the diagnosis of a multifocal intramedullary dermoid cyst. Conclusion: Partial surgical extirpation is a reasonable treatment for long segment intramedullary dermoid cysts, particularly when the tumor capsule is adherent to critical adjacent neural tissues.

Dacryocystectomy as a treatment alternative for chronic recurrent dacryocystitis in elderly patients: case series study

Dacryocystectomy is a procedure that involves complete surgical extirpation of the lacrimal sac. It was first described by Woolhouse in 1724 and became the gold standard for the management of lacrimal system obstruction and dacryocystitis before the advent of dacryocystectomy. Many minimally invasive methods are currently available to treat lacrimal disorders, but there are several specific indications for dacryocystectomy, such as malignant lacrimal sac tumors. Generally, the procedure is performed under local anesthesia, which avoids risks that are associated with general anesthesia or sedation in ailing or elderly patients. Dacryocystectomy can also also avoid skin scars. In 2013, Shams and Selva were the first to perform endoscopic dacryocystectomy. This article discusses indications, contraindications, goals, techniques, and complications of dacryocystectomy.

Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness

Cerebral arteriovenous malformations are often located in regions of the brain that are not surgically accessible, or they are found in patients who are not candidates for microsurgery. If the expected neurological morbidity of surgical extirpation is unacceptably high, or if the patient’s medical condition presents an unacceptable risk for surgery, either conservative management or radiosurgery should be offered. Stereotactic radiosurgery provides a noninvasive treatment of such lesions and should be considered in the discussion of management of all arteriovenous malformations. Customization of treatment strategy to each arteriovenous malformation is necessary, as obliteration rates and complications share an inverse relationship depending on treatment volume and radiation dose. This chapter presents the key considerations in the work-up and radiosurgical management of patients with arteriovenous malformations.

Spontaneous expulsion of a pulmonary hydatid cyst through bronchial rupture

The management of a pulmonary echinococcal cyst consists mainly of medical treatment with a scolicidal agent such as albendazole and surgical extirpation. Rarely, a pulmonary cyst may rupture into a bronchus and be spontaneously expelled. This may result in seeding elsewhere in the bronchial tree, or even the alimentary tract, but occasionally, as in our case, may result in a cure.

Radiation-induced sarcoma masquerading as osteoradionecrosis: case report and literature review

Background:Radiation therapy is a commonly used treatment in head and neck oncology, whether used alone or as an adjunct to other treatments. Osteoradionecrosis and radiation-induced malignancy are both rare, late complications of radiation therapy.Methods:This paper describes a case of radiation-induced sarcoma of the mandible initially presenting as osteoradionecrosis. In addition, the literature on the identification and treatment of these entities is reviewed.Results:The patient underwent excision and reconstruction of the presumed osteoradionecrosis. Final pathology demonstrated radiation-induced sarcoma. The patient suffered tumour recurrence at seven months post-operatively.Conclusion:When evaluating a patient with osteoradionecrosis, clinicians should be cognisant of the risk of malignancy. This paper describes the first case of radiation-induced sarcoma presenting as osteoradionecrosis. Primary treatment of radiation-induced sarcoma is wide surgical extirpation, with a very limited role for chemotherapy. Overall survival for this entity is poor.