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https://www.readbyqxmd.com/read/29273882/the-oral-microbiome-the-relevant-reservoir-for-acute-pediatric-appendicitis
#1
Carlotta Blod, Nadine Schlichting, Sara Schülin, Anne Suttkus, Nicole Peukert, Catalina Suzana Stingu, Christian Hirsch, Wieland Elger, Martin Lacher, Ulf Bühligen, Steffi Mayer
PURPOSE: The oral microbiome has been related to numerous extra oral diseases. Recent studies detected a high abundance of oral bacteria in inflamed appendices in pediatric patients. To elucidate the role of oral bacteria in acute pediatric appendicitis, we studied the oral and appendiceal microbiome of affected children compared to healthy controls. METHODS: Between January and June 2015, 21 children undergoing appendectomy for acute appendicitis and 28 healthy controls were prospectively enrolled in the study...
December 22, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29234613/phlegmonous-esophagitis-treated-with-internal-drainage-and-feeding-jejunostomy
#2
Won Gi Woo, Young Woo Do, Geun Dong Lee, Sung Soo Lee
We report the case of a 67-year-old woman presenting with epigastric pain. Computed tomography identified diffuse phlegmonous esophagitis. Esophagogastroduodenoscopy revealed multiple perforations in the mucosal layer of the esophagus. A large amount of pus was drained internally through the gut. The patient was treated with antibiotics and early jejunostomy feeding. Although phlegmonous esophagitis is a potentially fatal disease, the patient was successfully treated medically with only a minor complication (esophageal stricture)...
December 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29183136/-laparoscopic-cecal-wedge-resection
#3
Iván Karaffa, Zoltán Barra, Tamás Balog, Zita Farkas, János Bezsilla
INTRODUCTION: Several indications of cecal wedge resection can be found in the literature, but the most common ones are acute appendicitis, appendiceal mucocele and selected cecal polyps. PURPOSE: We summarize the indications, review the results of laparoscopic cecal wedge resections carried out in our department from 01.01.2010 till 31.12.2016. A case report is presented when cecal resection was carried out for a cecal polyp. PATIENTS: Between 01...
December 2017: Magyar Sebészet
https://www.readbyqxmd.com/read/29154249/deep-neck-infections-review-of-263-cases
#4
Alise Adoviča, Linda Veidere, Marks Ronis, Gunta Sumeraga
OBJECTIVES: In patients hospitalized due to deep neck infections (DNIs), to investigate the association between demographic parameters, etiology, and localization of abscesses and/or phlegmons, complications, comorbidities, treatment, and bacterial cultures. METHODS: We analyzed data of 263 patients that were hospitalized from January 1, 2012, to December 31, 2015, due to deep neck space phlegmons and/or abscesses. We performed statistical analysis with the SPSS 22...
October 30, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29100591/outcomes-of-complicated-appendicitis-is-conservative-management-as-smooth-as-it-seems
#5
Katelyn A Young, Nina M Neuhaus, Marcus Fluck, Joseph A Blansfield, Marie A Hunsinger, Mohsen M Shabahang, Denise M Torres, Kenneth A Widom, Jeffrey L Wild
BACKGROUND: This study characterized the failure rate of non-operative management (NOM) for complicated appendicitis (CA; perforation, abscess, phlegmon), and compared outcomes among patients undergoing acute appendectomy (AA), elective interval appendectomy (EIA), and unplanned appendectomy after failing to improve with NOM. METHODS: Adults treated at one facility between 2007 and 2014 were retrospectively studied. RESULTS: Ninety-five patients presented with CA...
October 31, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29099696/treatment-of-duodenal-injuries-and-complications-after-surgery-case-reports
#6
Z Beriashvili, M Gurgenidze
A 28-year-old male patient came to Surgical Department 15.07.2003 after a gunshot wound. An emergency operation was performed. Among the other damages of different part of intestinum damage of the anterior wall of the second anatomical part of the duodenum was diagnosed intraoperatively. The size of the damaged area was 3×1 sm. The doudenal wound was sutured with two layers after updating the edges. On the fifth postoperative day the wound leakage was detected. Later the giant sizes of duodenal fistula was formed...
October 2017: Georgian Medical News
https://www.readbyqxmd.com/read/29096428/erratum-phlegmonous-gastritis-in-an-ankylosing-spondylitis-patient-treated-with-infliximab
#7
Bo Young Kim, Hyun-Sook Kim
[This corrects the article on p. 945 in vol. 32, PMID: 28814069.].
November 2017: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/29095386/torticollis-and-fever-in-a-young-boy-a-unique-presentation-of-cat-scratch-disease-with-vertebral-osteomyelitis-and-epidural-phlegmon
#8
Jason R Rafferty, Elizabeth Janopaul-Naylor, Jeffrey Riese
Cat-scratch disease-associated vertebral osteomyelitis and epidural involvement are rare and may manifest with nonspecific chronic symptoms in children, such as fever or torticollis. We present only the fourth case in the literature describing epidural involvement in an immunocompetent boy presenting with fever, torticollis, and indiscriminate left upper back tenderness. Bartonella henselae serologies are important to consider because such atypical complications often are responsive to conservative management with antibiotics...
October 31, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29069019/end-colostomy-diverticulitis-with-parastomal-phlegmon-a-case-report
#9
Mirza Muradbegovic, Pénélope St-Amour, David Martin, David Petermann, Samir Benabidallah, Luca Di Mare
RATIONALE: Acute colonic diverticulitis is a well-known surgical emergency, which occurs in about 10 percent of patients known for diverticulosis. PATIENT CONCERNS: The case of a 77-year-old woman is reported, with past history of abdominoperineal resection with end-colostomy for low rectal adenocarcinoma, and who developed an acute colonic diverticulitis in a subcutaneous portion of colostomy with parastomal phlegmon. DIAGNOSES: Initial computed tomography imaging demonstrated a significant submucosal parietal edema with local fat tissues infiltration in regard of 3 diverticula...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28979892/the-adjunctive-role-of-nutritional-therapy-in-the-management-of-phlegmon-in-two-children-with-crohn-s-disease
#10
Andrew S Day, Stephanie C Brown
Crohn's disease may be complicated by the development of penetrating (fistulizing) or structuring complications. The presentation of an intra-abdominal phlegmon or abscess with or without an associated fistula has traditionally required surgical intervention. This series of two cases illustrates a beneficial role of non-surgical management, with parenteral and then enteral nutrition playing central roles. This report further elaborates the potential adjunctive role of enteral nutrition in the management of this complication of CD...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28972477/immunohistochemical-analysis-of-appendix-cell-wall-infiltrate-in-acute-phlegmonous-appendicitis
#11
L Kuyun, I Kurchenko, Yu Bisyuk
The purpse of the study was to analyze the content of the mucous infiltrate of cells of the lamina propria of the appendix using immunohistochemical analysis in patients with acute phlegmonous appendicitis. The research included 21 patients with acute phlegmonous appendicitis. The control group consisted of 15 persons lacking the inflammation of the intraperitoneal cavity. Primary monoclonal (MC) antibodies (AB) of the mouse used in the immunohistochemical (IHC) research included the following: Ki-67, CD3, CD4, CD8, CD20, CD45, CD45R0, and CD68 (DAKO, Denmark), as well as EnVision+ System-HRP (DAB) optical system...
September 2017: Georgian Medical News
https://www.readbyqxmd.com/read/28961750/flow-diverting-stents-for-the-obliteration-of-symptomatic-infectious-cavernous-carotid-artery-aneurysms
#12
Andrew Joshua Kobets, Aleka Scoco, Jonathan Nakhla, Allan Leonard Brook, Merritt Drew Kinon, Nrupen Baxi, David Altschul
BACKGROUND: Intracavernous aneurysms constitute up to 9% of all intracranial aneurysms and 6% are infectious (IIA). First line therapy is a protracted antibiotic course, yet with failure, surgery and endovascular parent vessel sacrifice have been utilized. Reconstructive endovascular therapies have emerged for aneurysm control and may demonstrate a safer therapeutic alternative. OBJECTIVE: To present an IIA treated with a flow-diverting Pipeline stent (ev3 Neurovascular, Irvine, California)...
August 5, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28879609/-bacterial-skin-and-soft-tissue-infections
#13
REVIEW
Frank Hanses
Bacterial skin and soft tissue infections are frequent and represent one of the most important differential diagnoses in patients presenting with reddened and swollen skin and soft tissue. Among these infections, cellulitis (phlegmon), erysipelas and abscesses are the most frequent. Whereas erysipelas is almost exclusively caused by streptococci and can be successfully treated with penicillin, an effective antibiotic therapy targeted at Staphylococcus aureus should be empirically considered for abscesses and phlegmon; other pathogens, such as gram negative and anaerobic bacteria can be found in patients with the corresponding underlying disease and certain risk factors...
November 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/28828512/accuracy-and-reliability-of-tablet-computer-as-an-imaging-console-for-detection-of-radiological-signs-of-acute-appendicitis-using-pacs-workstation-as-reference-standard
#14
Muhammad Awais, Dawar Burhan Khan, Muhammad Danish Barakzai, Abdul Rehman, Noor Ul-Ain Baloch, Naila Nadeem
PURPOSE: To ascertain the accuracy and reliability of tablet as an imaging console for detection of radiological signs of acute appendicitis [on focused appendiceal computed tomography (FACT)] using Picture Archiving and Communication System (PACS) workstation as reference standard. METHODS: From January, 2014 to June, 2015, 225 patients underwent FACT at our institution. These scans were blindly re-interpreted by an independent consultant radiologist, first on PACS workstation and, two weeks later, on tablet...
August 21, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28814069/phlegmonous-gastritis-in-an-ankylosing-spondylitis-patient-treated-with-infliximab
#15
Bo Young Kim, Hyun-Sook Kim
No abstract text is available yet for this article.
September 2017: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/28729207/first-two-cases-of-severe-multifocal-infections-caused-by-klebsiella-pneumoniae-in-switzerland-characterization-of-an-atypical-non-k1-k2-serotype-strain-causing-liver-abscess-and-endocarditis
#16
Baharak Babouee Flury, Valentina Donà, Niccolò Buetti, Hansjakob Furrer, Andrea Endimiani
BACKGROUND: We describe the first two multifocal invasive infections due to Klebsiella pneumoniae recently observed in Switzerland. METHODS: Phenotypic (MIC assays and string test) and molecular analyses (PCR/Sequencing for bla, virulence factor genes and whole genome sequencing for one strain) were performed to characterize the causative K. pneumoniae isolates. RESULTS: Both K. pneumoniae isolates (Kp1 and Kp2) were pan-susceptible to antibiotics and produced narrow-spectrum SHV β-lactamases...
September 2017: Journal of Global Antimicrobial Resistance
https://www.readbyqxmd.com/read/28701213/survey-of-interdigital-phlegmon-outbreaks-and-their-risk-factors-in-free-stall-dairy-herds-in-finland
#17
Miia Kontturi, Minna Kujala, Reijo Junni, Erja Malinen, Eija Seuna, Sinikka Pelkonen, Timo Soveri, Heli Simojoki
BACKGROUND: Severe outbreaks of interdigital phlegmon (IP) associated with a high morbidity and major economic losses have occurred in Finland in the past decade. A survey was performed to indicate the current occurrence of infectious hoof diseases and to identify herd level risk factors predisposing to an outbreak of IP. RESULTS: Responses to a questionnaire revealed that an outbreak of IP defined as morbidity ≥5% within the 1st month of the outbreak, had occurred in 18...
July 12, 2017: Acta Veterinaria Scandinavica
https://www.readbyqxmd.com/read/28689394/magnetic-resonance-imaging-patterns-of-post-operative-spinal-infection-relationship-between-the-clinical-onset-of-infection-and-the-infection-site
#18
Seon-Jeong Kim, Sang Hoon Lee, Hye Won Chung, Min Hee Lee, Myung Jin Shin, Seoung Woo Park
OBJECTIVE: To investigate the magnetic resonance imaging (MRI) findings and the patterns of postoperative spinal infection according to the passage of time. METHODS: Institutional review board approval was obtained, and informed consent was not obtained for the retrospective review of patients' medical records. A total of 43 patients (27 men and 16 women; mean age, 64) diagnosed with postoperative spinal infection were included in this study. We retrospectively reviewed the MRI findings and the medical records and categorized the infection sites based on MRI, i...
July 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28674919/creating-diagnostic-criteria-for-perforated-appendicitis-using-cross-sectional-imaging
#19
Joseph T Church, Megan A Coughlin, Alexis G Antunez, Ethan A Smith, Steven W Bruch
INTRODUCTION: Preoperative determination of perforated versus acute appendicitis can be difficult. We compared CT and MRI performance in diagnosing perforated appendicitis, and created diagnostic criteria. METHODS: We retrospectively reviewed all pediatric patients who underwent appendectomy within one day of CT or MRI between 1/1/2013 and 1/16/2016. True diagnosis was determined by pathology report. Findings on CT/MRI were grouped into "hard" findings (abscess, pneumoperitoneum, extruded fecalith, appendiceal wall with visible hole) and "soft" findings (extensive/diffuse inflammation/free fluid, phlegmon)...
July 3, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28651260/the-cdd-system-in-computed-tomographic-diagnosis-of%C3%A2-diverticular-disease
#20
REVIEW
Daniel Pustelnik, Fabian Henry Jürgen Elsholtz, Christian Bojarski, Bernd Hamm, Stefan Markus Niehues
Purpose This overview sums up the Classification of Diverticular Disease (CDD) with regard to its application in computed tomographic diagnosis and briefly recapitulates its targeted advantages over preliminary systems. Primarily, application of the CDD in computed tomography diagnostics is described. Differences with respect to the categories of the older systems are pointed out on the level of each CDD type using imaging examples. Materials and Methods The presented images are derived from our institute according to the S2k criteria...
August 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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