1.Successful Treatment of Left Atrial Auricular Abscess.
Jeong Ryul LEE ; Jun Sung KIM ; Cheul LEE ; Kook Nam HAN ; Ji Min CHANG
Journal of Korean Medical Science 2003;18(3):441-443
Mural endocarditis causing myocardial abscess without valvular involvement is very rare. We report an unusual case of left atrial auricular abscess which was successfully treated by surgical resection, treatment with antibiotics, and mediastinal irrigation. A 9-yr-old female patient with previous history of urinary tract infection was admitted because of persistent fever. Echocardiography and magnetic resonance imaging revealed massive pericardial effusion and a mass lesion at the left upper cardiac border. Pericardiocentesis isolated Staphylococcus aureus on culture. The patient underwent mass removal under cardiopulmonary bypass. The mass was located in the left atrial auricle with fibropurulent abscess formation inside. Postoperative mediastinal irrigation was performed using povidone iodine solution. Pathological examination of the mass showed organized thrombi with chronic fibrosing mural endocarditis.
Abscess/microbiology/pathology/*surgery
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Child
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Endocarditis/microbiology/pathology/*surgery
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Female
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Heart Atria/microbiology/pathology
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Human
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Staphylococcal Infections/pathology/*surgery
2.Chest wall abscess due to Prevotella bivia.
Gwo-jong HSU ; Cheng-ren CHEN ; Mei-chu LAI ; Shi-ping LUH
Journal of Zhejiang University. Science. B 2009;10(3):233-236
Prevotella bivia is associated with pelvic inflammatory disease. A 77-year-old man developed a rapidly growing chest wall abscess due to P. bivia within days. He underwent surgical resection of the infected area; his postoperative course was uneventful. This is the first case of chest wall abscess due to P. bivia infection. Its correct diagnosis cannot be underestimated because fulminant infections can occur in aged or immunocompromised patients if treated incorrectly. Prompt, appropriate surgical management, and antibiotic therapy affect treatment outcome.
Abscess
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diagnostic imaging
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microbiology
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pathology
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surgery
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Aged
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Bacteroidaceae Infections
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diagnostic imaging
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microbiology
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pathology
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surgery
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Humans
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Male
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Prevotella
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isolation & purification
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physiology
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Thoracic Diseases
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diagnostic imaging
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microbiology
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pathology
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surgery
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Thoracic Wall
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microbiology
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pathology
;
surgery
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Tomography, X-Ray Computed
3.Spleen abscess in a child.
Li-qun YANG ; Ming GE ; Ming-yue WANG
Chinese Journal of Pediatrics 2003;41(11):807-807
Abscess
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diagnosis
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microbiology
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surgery
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Bacteria, Aerobic
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isolation & purification
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Child, Preschool
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Female
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Fever
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Humans
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Prognosis
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Spleen
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pathology
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surgery
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Splenic Diseases
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diagnosis
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surgery
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Treatment Outcome
4.A Case of Epidural Abscess Occurred after Liver Abscess Complicated by Transarterial Chemoembolization in a Patient with Metastatic Cancer to Liver.
Yong Jae LEE ; Gwang Ha KIM ; Do Youn PARK ; Suk KIM ; Chang Jun PARK ; Tae Kyun KIM ; Jung Hee KOH
The Korean Journal of Gastroenterology 2013;61(4):225-229
Transarterial chemoembolization (TACE) is one of the most effective therapies for unresectable hepatocelluar carcinoma or metastatic hypervascular tumors. Abscess occurring in the other organs beside the liver after TACE is a complication that often occurs, sometimes potentially fatal. We report a case of spinal epidural abscess occurred after liver abscess complicated by TACE in a patient with metastatic neuroendocrine tumors to the liver. A 67-year-old female underwent TACE first for the metastatic lesions to liver, with a history of pancreatoduodenectomy for the primary pancreatic neuroendocrine tumor. Four days after TACE, sudden high fever occurred, and liver abscess was found on abdominal CT. Two days later, back pain and radiating pain to the right leg occurred, and lumbar spine MRI showed spinal epidural abscess. After intravenous antibiotics for 8 weeks and partial laminectomy, the patient recovered and was discharged without complications.
Aged
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Anti-Bacterial Agents/therapeutic use
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Carcinoma, Hepatocellular/secondary/*therapy
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Chemoembolization, Therapeutic/*adverse effects
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Epidural Abscess/*etiology/microbiology/surgery
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Escherichia coli/isolation & purification
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Escherichia coli Infections/drug therapy
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Female
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Humans
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Laminectomy
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Liver Abscess/*etiology
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Liver Neoplasms/secondary/*therapy
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Lumbar Vertebrae/microbiology/radiography
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Magnetic Resonance Imaging
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Neuroendocrine Tumors/pathology/surgery
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Pancreaticoduodenectomy
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Tomography, X-Ray Computed