• Title/Summary/Keyword: abscess

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Mycotic Abdominal Pseudoaneurysm due to Psoas Abscess after Spinal Fusion

  • Ryu, Dae Woong;Lee, Sam Youn;Lee, Mi Kyung
    • Journal of Chest Surgery
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    • v.48 no.6
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    • pp.443-446
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    • 2015
  • A 36-year-old man, who had undergone thoracoscopic anterior spinal fusion using the plate system and posterior screw fusion three months previously, presented to our hospital with left flank pain and fever. Computed tomography indicated the presence of a psoas muscle abscess. However, after two days of percutaneous catheter drainage, a mycotic abdominal aortic pseudoaneurysm was detected via computed tomography. We performed in situ revascularization using a prosthetic graft with omental wrapping. Methicillin-resistant Staphylococcus aureus was identified on blood and pus culture, and systemic vancomycin was administered for one month. Although the abscess recurred, it was successfully treated with percutaneous catheter drainage and systemic vancomycin administration for three months, without the need for instrumentation removal. The patient remained asymptomatic throughout two years of follow-up.

Nocardia Brain Abscess in a Liver Transplant Recipient

  • Moon, Jung-Hyeon;Cho, Won-Sang;Kang, Hyun-Seung;Kim, Jeong-Eun
    • Journal of Korean Neurosurgical Society
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    • v.50 no.4
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    • pp.396-398
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    • 2011
  • Nocardia brain abscess is rare. We report on a unique case of N. farcinica brain abscess in a liver transplant recipient, following Aspergillus fumigatus pneumonia. A 43-year-old liver transplant recipient presented with altered mentality at 2 months after A. fumigates pneumonia. He was successfully treated with surgical removal and antibiotic therapy with trimethoprim-sulfamethoxazole and ceftriaxone.

Brain abscess due to odontogenic infection: a case report

  • Park, Sung Yong;Suh, Dong Won;Park, Chul Min;Oh, Min Seok;Lee, Dong-Kun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.3
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    • pp.147-151
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    • 2014
  • In this report, we describe a case of brain abscess due to odontogenic infection. A 53-year-old female who had been suffering from headache and trismus for two weeks visited the Department of Oral and Maxillofacial Surgery at the Sun Dental Hospital (Daejeon, Korea). Even after several routine tests, we still could not make a diagnosis. However, after the combined multidisciplinary efforts of oral surgeons and neurosurgeons, the patient was treated for odontogenic infection and made an uneventful recovery. Therefore, patients with infections in the head and neck region showing symptoms such as headache, changes in mental state, nausea, vomiting, seizures, hemiplegia, speech disturbance, and visual disturbance, a brain abscess should be included in the list of differential diagnoses.

One Case Report on Physical Sequelas after Spinal Epidural Abscess Surgery (척추 경막외 농양 수술 후유증 치험 1례)

  • Kwon, Jeong-Gook;Lee, Jong-Ha;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.24 no.4
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    • pp.195-201
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    • 2014
  • The objective of this study is to report the improvement of one patient with physical sequelas induced by spinal epidural abscess surgery. The patient was treated by acupuncture therapy with pulsed electromagnetic therapy and herb medicine. We evaluated the effectiveness by numerical rating scale (NRS). As a result, the patient improved significantly NRS score. And the patient's symptoms were alleviated. We guess that the causes of the patient symptoms are chronic inflammation and fibrosis of dural. We conclude that acupuncture therapy with pulsed electromagnetic therapy is an effective treatment to reduce the residual pain after spinal epidural abscess surgery. But there is a limit on this study due to sufficient number of case. Further studies will be needed.

MASTICATORY SPACE ABSCESS INDUCED BY THE ACUPUNCTURE: A CASE REPORT AND REVIEW OF LITERATURES (침술에 의한 합병증으로 발생한 저작간극 농양: 증례보고 및 문헌 고찰)

  • Kim, Tae-Hwan;Lee, Choon-Ho;Park, Jun-Woo;Park, Young-Wook;Kim, Min-Keun;Kim, Seong-Gon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.6
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    • pp.541-543
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    • 2009
  • The masticatory space abscess caused by the acupuncture is a rare condition. A 27-year-old Korean man presented right buccal and submandibular space abscess induced by the acupuncture during his treatment of the temporomandibular disorder. The case was presented with review of literatures.

Surgical Experience of Aortic Root Abscess with Complete AV Block and Pseudoaneurysm (완전 방실 차단과 가성 동맥류를 동반한 만성 대동맥 근부농양 수술적 치험)

  • 한국남;오세진;구본권;김경환
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.868-871
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    • 2004
  • A 42 year old male was operated with aortic root abscess and pseudoaneurysm. Aortic valve vegetations which measured $8\times5$ cm and root abscess were removed and debrided. We reconstructed root and noncoronary sinus with autopericardium. Antibiotics were administered for 4 weeks. In general, Aortic root abscess recurs frequently and mortality is high. It is usually requires early surgical eradication with antibiotics medication.

Multiple Tuberculous Splenic Abscesses in a Child (소아에서 발생한 비장의 다발성 결핵성 미세농양 1예)

  • Park, Chan-Yong;Choi, Soo-Jin-Na;Chung, Sang-Young;Kim, Shin-Kon
    • Advances in pediatric surgery
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    • v.12 no.2
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    • pp.244-250
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    • 2006
  • Splenic abscess is a rare clinical condition with a reported incidence of 0.14 % to 0.70 % in various autopsy series. Primary tuberculosis of the spleen as a cause of splenic abscess is even rarer, especially in the antitubercular era. Infants and children have a higher predisposition to extra-pulmonary tuberculosis than adults and tend to develop severe extra-pulmonary disease such as miliary tuberculosis and meningitis. The diagnosis of tuberculosis in infants and children can be difficult because of nonspecific symptoms and clinical findings. Computed tomography establishes the diagnosis of splenic abscess and demonstrates the number and location of abscesses. Splenectomy is the standard of care in most clinical setting. We present a 4-year-old girl who had multiple tuberculosis splenic abscesses and was treated successfully with splenectomy.

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Liver abscess due to Klebsiella pneumoniae in a healthy 12-year-old boy

  • Yoon, Da Hye;Jeon, Yeon Jin;Bae, E Young;Jeong, Dae Chul;Kang, Jin Han
    • Clinical and Experimental Pediatrics
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    • v.56 no.11
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    • pp.496-499
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    • 2013
  • Pyogenic liver abscess (PLA) is rare in healthy children. We report a case of PLA in an immunocompetent 12-year-old boy. Percutaneous catheter drainage was performed for the abscess. In addition, parenteral antibiotics were administered for 3 weeks. Klebsiella pneumoniae was detected in the culture of blood and drained fluid. Here, we present this case and a brief review of the literature on this subject.

Thoracic Interdural Aspergillus Abscess Causing Rapid Fatal Spondylitis in the Presence of Posterior Mediastinitis

  • Kim, Joon-Seok;Kim, Sung-Bum;Yi, Hyeong-Joong;Chung, Won-Sang
    • Journal of Korean Neurosurgical Society
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    • v.37 no.2
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    • pp.146-149
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    • 2005
  • Most primary spinal abscesses, irrespective of pathogens and anatomical locations, have better prognosis than that of secondary abscesses with spondylitis. We report a 68-year-old man, previously undertaken pulmonary resection due to tuberculosis, presented with paraparesis. Imaging studies showed primary intraspinal abscesses at T-1 and T-3 vertebral levels, semi-invasive pulmonary Aspergillosis and inflammation of the posterior mediastinum. Operative procedure and histopathological examination revealed interdural Aspergillus abscess. Despite chemotherapy, he deteriorated progressively, and spondylitis developed at corresponding vertebrae. He eventually died 6 weeks postoperatively due to pulmonary complication. The authors intended to inform that such an extradural inflammatory lesion of Aspergillus abscess should be treated carefully.

A Case of Liver Abscess in A Child (소아에서 발병한 간농양 1예)

  • Oh, Seung-Taek;Choi, Kwang-Hae
    • Journal of Yeungnam Medical Science
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    • v.25 no.1
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    • pp.72-77
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    • 2008
  • Liver abscess in children is rare in developed countries; the incidence is 25 per 100,000 admissions in USA. Common complications are pleural effusion, empyema, pneumonitis, hepatopleural or hepatobronchial fistula, intraperitoneal or intrapericardiac rupture, septic shock, cerebral amebiasis, etc. These complications may lead to death if the management is delayed. However, recent management results in a mortality of less than 15%. We report a case of liver abscess in a child. He manifested with fever and abdominal pain in the right upper quadrant. On computerized tomography scans, multiple cystic lesions were seen in both lobes of the liver and were 5 to 55 mm in size. In laboratory findings, neutrophilic leukocytosis, peripheral eosinophila, elevated values of ESR, C-reactive protein, and elevated serum AST, ALT, ALP and GGT were detected. Furthermore, we determined the organisms in the blood culture and serum. Blood culture was positive for Streptococcus spp., and amebic indirect hemagglutination antibody titer was increased to 1:512.

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