• Title/Summary/Keyword: abscess

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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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Apicoectomy for Treatment of Periapical Abscess in two Dogs (치근단 주위 농양의 치료로서 치근단 절제술 적용 2례)

  • 이은창;김희영;이충호;정성목;박성민;김완희;양정환;유준호;홍연정
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.253-255
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    • 2002
  • A 10-year-old, female mixed breed dog and a 3-year-old, female chihuahua which had swelling below lower eyelid were refered to Veterinary Medical Teaching Hospital, Seoul National University. The plain maxillary oblique view revealed radiolucency at periapical area in maxillary fourth premolar. The 2 cases were diagnosed as periapical abscess by clinical sign and radiographs, and apicoectomies were performed for resetting the lesions and preserving the teeth. Under general anesthesia with isoflurane, periapical abscess was resected by burs and the defect was filled with zinc phosphate cement. Radiograph was perfomed at 1 week and 1 year after apicoectomy and there was no evidence of recurrence.

A Case of Parotid Abscess and Chest Wall Inflammation Induced by Giant Warthin's Tumor (거대 와르틴 종양에 의해 유발된 이하선 농양과 흉벽 염증 1예)

  • Lim, Sung Hwan;Koo, Beom Mo;Baeg, Moon Seung;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.35 no.2
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    • pp.57-60
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    • 2019
  • Warthin's tumor (WT) is second most common neoplasm in the parotid gland and it can be accompanied by inflammation and necrosis. The chest wall inflammation may present a rapid and fatal clinical course and secondary to parotid abscess is extremely rare. An 81-year-old man came to emergency room complained of rapidly enlarged left parotid mass and inflammatory symptoms and signs around the upper lateral neck. We performed incision and drainage with adequate infection control. He was pathologically diagnosed as abscess. We report the unique and instructive clinical case with a literature review.

TREATMENT OF ODONTOGENIC MAXILLOFACIAL SPACE ABSCESS IN CHILDREN: CASE REPORT (소아의 치계성 악안면 근막극 농양에 관한 치험례)

  • Cho, Seong-Hoon;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.813-822
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    • 1997
  • Odontogenic maxillofacial space abscess in childeren was treated by the surgcal intervention combined with antiboitic therapy. Followings are the results after monitoring its progression. 1. Maxillofascial space abscess is mainly from the odontogenic infection and it may result in the severe states with the various fascial spaces and their relatives. So their early detection and treatment are needed. 2. The most common symptom in patients was the pain under palpation with painful swelling and the mouth floor elevation was observed in the sublingual space abscess. 3. In most cases, for its treatment, symptomatic therapy, antibiotic therapy, surgical incision and drainage were executed. If the infected tooth is possibly conserved, endodontic treatment is preferred, otherwise, it will be extracted as soon as possible.

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Two Cases of Retropharyngeal Tbc Abscess (결핵성 인후농양 2예)

  • Jang, Han-Sung;Sun, Dong-Il;Rhee, Soo-Jin;Kim, Min-Silk
    • Korean Journal of Bronchoesophagology
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    • v.6 no.1
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    • pp.127-131
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    • 2000
  • Retropharyngeal abscesses are uncommon but potentially lethal infections, especially in the pediatric population. In adults, retropharyngeal abscesses are very rare and usually secondary to chronic tuberculous cervical spine osteomyelitis. Retropharyngeal tuberculosis can manifest itself as a cold abscess, and the symptoms and signs are usually influenced by its size and location. We present two cases of retropharyngeal abscess in adults without tuberculous cervical osteomyelitis.

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Aortic Root Replacement with Pulmonary Autograft in Patient with Subaortic Abscess and False Aneurysm in Left Ventricular Outflow Tract -Report of A Case- (동맥근 농양 및 좌심실유출호 가성 심실류 환자에서 폐동맥 자가이식편을 이용한 대동맥근부치환술 -1례 치험 보고-)

  • 장병철
    • Journal of Chest Surgery
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    • v.28 no.7
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    • pp.704-707
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    • 1995
  • The use of the patient`s pulmonary valve for replacement of the patient`s diseased aortic valve was introduced and developed by Mr. Donald Ross. The long term benefits of having a normal, fully viable, trileaflet semilunar valve in aortic position was demonstrated. A 38 year old male had histories of failures of previously implanted aortic prosthetic valves twice and evidence of progressive heart failure. At operation, aortic root abscess was found; the abscess extension to adjacent structures and partial valve dehiscence had occurred. The patient underwent replacement of the aortic root with autologous pulmonary valve, autologous pericardial patch repair of left ventricuar outflow tract and recontruction of the right ventricular outflow tract and pulmonary artery with prosthetic valved conduit. Postoperatively, the patient recovered well. Postoperative doppler echocardiography demonstrated minimal central regurgitation in new aortic valve. Aortic root replacement with pulmonary autograft in a patient of recurrent aortic root abscess and false aneurysm of left ventricuar outflow tract was experienced and reported with follow up echocardiography.

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Lower Leg Abscess in Klebsiella pneumoniae Invasive Syndrome Caused by Hypervirulent Klebsiella pneumoniae: A Case Report (고병원 폐렴막대균 침습 증후군에 동반된 하지 농양: 증례 보고)

  • Kim, Dong Seok;Kim, Dae-Yoo
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.2
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    • pp.107-110
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    • 2022
  • Klebsiella pneumoniae is known to cause an invasive syndrome characterized by primary liver abscess associated with metastatic infection. The characteristics of the metastatic infection involving the musculoskeletal system in this invasive syndrome are not well understood. The authors present a case report of a patient who developed abscesses of the lower extremities along with abscesses of multiple organs, such as the liver and eye, caused by K. pneumoniae. The patient was diagnosed early, and the infection was successfully controlled after several surgical treatments.

Intraabdominal abscess mimicking gastric cancer recurrence: a case report

  • Yong-Eun Park
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.426-429
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    • 2023
  • Surgical site infection is a common healthcare-associated infection that rarely occurs several months after surgery. Herein, a case is described in which an abdominal mass lesion was found at a 6-month follow-up visit after gastrectomy was performed for early gastric cancer. Positron emission tomography-computed tomography revealed a 2.5 cm-sized mass with a high maximal standard uptake value (8.32), located above a previous anastomosis site. Locoregional recurrence of gastric cancer was diagnosed by multidisciplinary team discussion, and explorative laparotomy was performed. However, surgical and pathologic findings revealed that the mass was an intraabdominal abscess. In conclusion, differential diagnosis of delayed abscess formation should be considered if the possibility of tumor recurrence is low, especially after early gastric cancer surgery.

Lupus Panniculitis of the Lower Leg Misdiagnosed as an Abscess: A Case Report (농양으로 오인된 하퇴의 루푸스 지방층염: 증례 보고)

  • Young-Chae Seo;Hyun-Seung Lee;Dae-Yoo Kim
    • Journal of Korean Foot and Ankle Society
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    • v.28 no.1
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    • pp.36-39
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    • 2024
  • Lupus panniculitis is a rare disease that may present with similar clinical manifestations to an infection, such as cellulitis or abscess. This paper reports a case of a 25-year-old woman with systemic lupus erythematosus who underwent surgical intervention initially with the suspicion of an abscess but who was eventually diagnosed with lupus panniculitis. Despite the low incidence of lower leg involvement of panniculitis, clinicians should be aware of the possibility of an etiology other than infection when encountering patients with inflammatory diseases. Moreover, a skin biopsy and magnetic resonance imaging with a diffusion-weight image may be helpful.