scholarly journals Periorbital purulent drainage of resulting from bacterial pansinusitis

2019 ◽  
Vol 52 (2) ◽  
pp. 60
Author(s):  
Pin-Keng Shih ◽  
Chia-Ming Lin
Keyword(s):  
Purulent Drainage

Radiation proctitis-related lumbar spondylodiscitis due to Actinomyces odontolyticus: a rare finding

2021 ◽  
Vol 14 (7) ◽  
pp. e237047
Author(s):  
Pedro Madeira Marques ◽  
Maria Marta Quaresma ◽  
Eduardo Haghighi ◽  
José Augusto Barata
Keyword(s):  
Antibiotic Therapy ◽  
Cauda Equina ◽  
Radiation Proctitis ◽  
Lumbar Pain ◽  
Rare Finding ◽  
Therapy Regimen ◽  
Subsequent Investigation ◽  
History Of ◽  
Satisfactory Clinical Response ◽  
Purulent Drainage

Lumbar spondylodiscitis due to radiation proctitis-related fistula is a rare finding in the literature. After having isolated Actinomyces odontolyticus, a rare finding in the osteomuscular system, we present one of such cases.A 75-year-old patient with a history of rectum adenocarcinoma, submitted to surgery and radiotherapy, presented himself in our emergency department with a 3-month history of lumbar pain radiating to both legs. Physical examination was compatible with cauda equina syndrome and subsequent investigation revealed L4–L5 spondylodiscitis. Despite a 6-month antibiotic therapy regimen, the symptoms recurred. Intravertebral disc biopsy revealed A. odontolyticus and directed antibiotic therapy was started. However, the symptoms recurred after a new 6-month antibiotic therapy regimen, this time with rectal purulent drainage. Additional study revealed two rectal fistulae. It was assumed those were caused by radiation proctitis and constituted the primary cause of spondylodiscitis. Laminectomy was performed with a satisfactory clinical response.

Subcutaneous Phaeohyphomycosis Caused by Cladophialophora bantiana

2005 ◽  
Vol 129 (6) ◽  
pp. 794-797
Author(s):  
Sean M. Hussey ◽  
Rita Gander ◽  
Paul Southern ◽  
Mai P. Hoang
Keyword(s):  
Lupus Erythematosus ◽  
Clinical Symptoms ◽  
African American Woman ◽  
American Woman ◽  
Systemic Lupus ◽  
History Of ◽  
Skin Nodules ◽  
Subcutaneous Phaeohyphomycosis ◽  
Purulent Drainage

Abstract Primary subcutaneous phaeohyphomycosis can rarely be caused by Cladophialophora bantiana, and we present the histologic and culture findings of such a case. A 32-year-old African American woman with systemic lupus erythematosus presented with a 2-year history of multiple, recurrent, tender, and ulcerated skin nodules with purulent drainage on her upper back. Histologic sections of the excision demonstrated features of phaeohyphomycosis. Culture findings were characteristic of C bantiana. Of interest, at age 10 she had sustained traumatic implantation of wood splinters into this area during a tornado, yet clinical symptoms of a subcutaneous infection did not manifest until she developed lupus erythematosus at age 27. Our case highlights the role of trauma and immunosuppression in the pathogenesis of subcutaneous phaeohyphomycosis.

Diabetic Foot Infections

2016 ◽  
Author(s):  
Clare Kelleher
Keyword(s):  
Diabetic Foot ◽  
Prior History ◽  
Diabetic Foot Infections ◽  
Definitive Therapy ◽  
Empiric Antibiotic ◽  
History Of ◽  
Mrsa Infection ◽  
Systemic Manifestations ◽  
Purulent Drainage ◽  
Incision Drainage

Diabetic foot infections (DFI) are diagnosed by two or more classic findings of inflammation (redness, swelling, warmth, and tenderness) or purulent drainage within an existing diabetic foot wound. Wounds without clinical evidence of soft tissue or bone infection often do not require antibiotic therapy. When infection is present, empiric antibiotic regimens must be based on the available clinical and local epidemiologic data, but definitive therapy should be based on cultures of infected tissues or clinical response. Consideration of methicillin-resistant Staphylococcus aureus (MRSA) coverage should be given when local prevalence is high, in patients with a prior history of MRSA infection, or when the systemic manifestations are severe. Surgical intervention and vascular assessment play key roles in the management of many DFI; deep DFI require incision, drainage, and debridement. Redistribution of pressure off of the wound is a tenet in the management of DFI.

Concurrent Placement of Bilateral Suboccipital and Supraorbital Nerve Stimulators Using On-Q* Tunneler: Technical Note

2018 ◽  
Vol 15 (6) ◽  
pp. 720-724 ◽  
Author(s):  
Lara Massie ◽  
Rushna Ali ◽  
Konstantin V Slavin ◽  
Jason M Schwalb
Keyword(s):  
Technical Note ◽  
Full Time ◽  
Unilateral Approach ◽  
Infectious Risk ◽  
First Case ◽  
Alternative Approach ◽  
Patient Reported ◽  
Cosmetic Effect ◽  
Purulent Drainage ◽  
Stimulation Of

Abstract BACKGROUND Stimulation of the occipital and supraorbital nerves is used to treat chronic migraine refractory to medical management. Placement of cranial leads is often challenging due to the rigid Touhy needle included in the kit for its placement. OBJECTIVE To report the first case of concurrent placement of bilateral supraorbital (SNS) and occipital nerve stimulators (ONS) from a unilateral approach using the On-Q* Tunneler, (Halyard Health, Alpharetta, Georgia) a flexible, blunt tipped plastic tunneler with a tear-away sheath. METHODS We present the case of a 49-yr-old female with debilitating daily holocephalic headaches who underwent placement of SNS and ONS through a cervical and left temporal incision at an outside hospital. She presented to our institution with purulent drainage from the temporal incision and the system was removed. We describe an alternative approach to bilateral SNS and ONS placement with a soft flexible tunneling device, which facilitated placement of the entire system through a right temporal incision, thereby avoiding her previously infected surgical sites. RESULTS The patient reported complete resolution of her daily headaches and was able to resume her activities as a full-time student. CONCLUSION The flexibility of the On-Q tunneler device (Halyard Health) allows the placement of bilateral SNS and ONS from a unilateral incision, thereby minimizing the cosmetic effect and infectious risk of this procedure.

Primary Closure of Infected Spinal Wounds

Neurosurgery ◽  
1990 ◽  
Vol 26 (4) ◽  
pp. 707-709 ◽  
Author(s):  
Paul D. Dernbach ◽  
Heldo Gomez ◽  
Joseph Hahn
Keyword(s):  
Primary Closure ◽  
Wound Care ◽  
Cleveland Clinic ◽  
Duration Of Treatment ◽  
Considerable Morbidity ◽  
Secondary Closure ◽  
Purulent Drainage ◽  
Length Of Hospitalization ◽  
Secondary Wound Closure ◽  
Primary Healing

Abstract Although postoperative infections of spinal wounds are uncommon, when they occur, they cause considerable morbidity. The classic treatment for deep infected wounds of the spine involves opening the wound, packing it, and permitting secondary closure to occur through granulation. A combined total of 10 patients with infected postoperative spinal wounds (two cervical and eight lumbar) from the Lahey Clinic and the Cleveland Clinic were treated by primary closure. Infection was diagnosed, usually within 2 weeks of operation (average, 10.9 days), by increasing back pain, purulent drainage from the incision, cultures, and subfascial extension of the process. In one patient, an associated disk space infection was observed. Causative organisms were Staphylococcus aureus in five patients and Staphylococcus epidermidis in five patients. At the second operation, the wounds were opened and radically debrided, irrigated, and closed primarily over one or two large drains. Treatment with intravenously administered antibiotics was continued postoperatively; the duration of treatment varied from 10 days to 6 weeks, depending on the presence or absence of involvement of bone or disks. Complete resolution of the infections and primary healing of the wounds occurred in all patients. This technique offers advantages over the traditional technique of secondary wound closure by decreasing the amount of wound care and length of hospitalization and is recommended as the treatment of choice for patients with postoperative spinal wound infections.

scholarly journals Interdigital Tinea: The Forerunner of Infectious Eczematoid Dermatitis

2020 ◽  
Vol 4 (4) ◽  
pp. 353-356
Author(s):  
Kyle R Bhatia ◽  
Robert T Brodell ◽  
Ashish C Bhatia ◽  
Chelsea S Mockbee
Keyword(s):  
Immune Response ◽  
Hypersensitivity Reaction ◽  
Primary Infection ◽  
Tinea Pedis ◽  
Acute Onset ◽  
Common Presentation ◽  
Streptococcal Species ◽  
Purulent Drainage ◽  
Source Management ◽  
Infectious Source

Infectious eczematoid dermatitis (IED) is defined as an acute, eczematous eruption that occurs secondary to autosensitization to purulent drainage from a primary infected site. The condition is believed to develop when bacterial products, most often the result of Staphylococcal or Streptococcal species, act as haptens and stimulate an immune response. IED typically manifests as a plaque with associated vesicles and pustules surrounding drainage from a central infectious source, or as oozing, erythema, crusting, and scaling spreading peripherally from a central infectious source. Management of IED includes both targeting the causative primary infection and suppressing the immune response producing a hypersensitivity reaction. This report details two cases. Case 1 describes a common presentation of tinea pedis. Case 2 is that of a 28 year-old-male who presented with an acute onset tender, pruritic, weeping rash after wearing boots for two straight days, and who was subsequently diagnosed and treated for IED.

scholarly journals Disseminated Coccidioidomycosis Presenting as Polyarticular Septic Arthritis: A Case Report

2020 ◽  
Vol 8 ◽  
pp. 232470962097489
Author(s):  
Faisal Nasrawi ◽  
Arash Heidari ◽  
Thulfiqar Aljashamy ◽  
Nishan Mangat ◽  
Jasbir Bhaika ◽  
...  
Keyword(s):  
Amphotericin B ◽  
Liposomal Amphotericin ◽  
Complement Fixation ◽  
Left Knee ◽  
Liposomal Amphotericin B ◽  
Fungal Culture ◽  
Coccidioides Immitis ◽  
Rheumatology Clinic ◽  
Hispanic Male ◽  
Purulent Drainage

Coccidioidomycosis a fungal infection endemic to southwestern United States. It is caused by inhalation of spores of Coccidioides immitis. Sixty percent of infections are asymptomatic; the remaining 40% are primarily pulmonary disease. In <1% of infections, dissemination can occur. Dissemination usually affects those with impaired cellular immunity and pregnant women, and can involve bones, joints, meninges, and skin. We present the case of a 29-year-old Hispanic male who presented to the emergency department (ED) complaining of pain and swelling of right wrist and ankle as well as left knee for 2 months. He was referred to rheumatology clinic but returned to the ED as he developed spontaneous purulent drainage from his wrist. In the ED, an arthrocentesis of 2 of the joints showed total nucleated cells of 520 000/cm2 and 90 000/cm2 with 61% and 93% neutrophils, respectively. Fungal culture eventually grew Coccidioides immitis from his wrist and knee. Coccidioidomycosis complement fixation titer came back >1:512. Bone scan showed uptake of adjacent bones in the affected joints. Superimposed bacterial infection of the wrist complicated the treatment course and delayed the start of liposomal amphotericin B. Eventually patient received 12 weeks of intravenous liposomal amphotericin-B with slow clinical improvement and then switched to oral isavuconazonium for maintenance therapy. This case shows that although disseminated polyarthritis coccidioidomycosis is very rare, clinicians should keep the diagnosis of disseminated synovial coccidioidomycosis in mind in patients with risk factors.

Halo Scalp Ring With Purulent Drainage in a Newborn

2010 ◽  
Vol 26 (1) ◽  
pp. 46-47 ◽  
Author(s):  
Judson Heugel ◽  
David Spiro ◽  
Garth D. Meckler
Keyword(s):  
Purulent Drainage

scholarly journals Necrotic Skin Infection by Sphingomonas Paucimobilis in Amazonia Region

2019 ◽  
Author(s):  
Talles Henrique Pichinelli Maffei ◽  
Frederico Alberto Bussolaro ◽  
Arlei Belaus ◽  
Alexandra Prevedello ◽  
Claudine Thereza-Bussolaro
Keyword(s):  
Pain Control ◽  
Skin Infection ◽  
Complete Healing ◽  
Sphingomonas Paucimobilis ◽  
Empirical Antibiotic Therapy ◽  
Rare Occurrence ◽  
Gram Negative ◽  
The Third ◽  
Purulent Drainage ◽  
Opportunist Pathogen

Sphingomonas paucimobilis is an opportunist pathogen bacillus gram-negative aerobic with a rare occurrence. We present a case in an immunocompetent man successfully treated by surgical debridement, purulent drainage and with an associated course of antibiotics. A large necrotic infection, approximately 5 cm x 3 cm, in a 74-year-old man was identified. Empirical antibiotic therapy with ciprofloxacin 400mg EV 12/12 hours, associated with clindamycin 600mg EV 6/6 hours and pain control was done through dipyrone 1gr, tramadol 400 mg. Deep venous thrombosis was prevented through the prescription of enoxaparin 40mg subcutaneous once a day during hospitalization. The case was well illustrated with pictures throughout treatment. Complete healing was achieved after 90 days. Herein, we present a case of cutaneous contamination. The presented case is the third cutaneous contamination case reported in the literature and the first reported case in the Amazonia region in Brazil.

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