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Axillary abscess

Gerardo Amaya-Tapia, Arturo Rodríguez-Toledo, Sergio Aguilar-Benavides, Guadalupe Aguirre-Avalos
BACKGROUND The retropharyngeal abscess is a rare presentation of head and neck tuberculosis. The pathogenesis of the abscess formation in the retropharyngeal space in the adult is controversial. CASE REPORT We report a case of large retropharyngeal abscesses in a 46-year-old man with disseminated tuberculosis. The patient had severe progressive dysphagia, weight loss, and a slowly enlarging bilateral cervical mass during a period of three months. His posterior pharynx wall was bulging and red, and both tonsils were enlarged and congested...
2016: American Journal of Case Reports
Mile Bosilkovski, Marija Dimzova, Milena Stevanović, Vesna Semenakova Cvetkovska, Maja Vasileva Duganovska
BACKGROUND/AIM: Fewer of unknown origin (FUO) remains amongst the most difficult diagnostic dilemmas in contemporary medicine. The aim of this study was to determine the causes of FU and to identify the methods of diagnosis in patients with FUO in a tertiary care setting in the Republic of Macedonia. METHODS: Retrospectively histories of 123 immunocompetent patients older than 14 years with classical FUO that had been examined at the University Hospital for Infectious Diseases and Febrile Conditions in the city of Skopje, during the period 2006-2012 were evaluated...
June 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Vaya W Tanamai, Brandon-Luke L Seagle, Guoyang Luo
BACKGROUND: The incidence of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infection is increasing, and 0.5-4% of pregnant women are colonized. CASE: A 30-year-old pregnant woman at term presented with intractable headache 1 week after incision and drainage of a MRSA-positive axillary abscess. Imaging demonstrated a right-sided epidural abscess with midline shift and myositis of the overlying temporalis muscle. She underwent cesarean delivery followed by craniectomy of osteomyelitic bone and evacuation of the epidural abscess...
May 2016: Journal of Reproductive Medicine
Maria Papazian, Ioannis Kalantzis, Georgios Galanopoulos, Iliana Mani, Olympia Tzaida, Ioanna Iacovidou, Nikolaos Ziras
Malignant myoepithelioma of the breast is an extremely rare tumor composed entirely or almost entirely of malignant spindle cells with myoepithelial differentiation. Only a limited number of case reports have been descibed to date; therefore the biological behavior and treatment outcomes of this rare tumor have not been clearly determined. Herein, we present a case of a 74-year-old woman who was admitted with inflammatory-like cancer of the breast, presenting with invasion of the chest wall and axillary lymph node metastasis at the time of diagnosis...
May 2016: Molecular and Clinical Oncology
Cristina Thomas, Katherine A Rodby, Jessina Thomas, Elizabeth Shay, Anuja K Antony
Hidradenitis suppurativa (HS) is characterized by chronic inflammation, recurrent abscesses, and scarring. Surgery is performed when medical management and antibiotic therapy fails. This study sought to evaluate the demographics, surgical procedures, bacteriology, pharmacologic intervention, and quality of life of patients with recalcitrant HS requiring surgical intervention. A retrospective chart review was performed of 76 recalcitrant HS patients at the University of Illinois Medical Center. Patient demographics, bacterial culture, and surgery data were reviewed...
April 2016: American Surgeon
Eri Oda, Daisuke Hashimoto, Yuko Shiomi, Koji Ohnishi, Hiromitsu Hayashi, Akira Chikamoto, Motohiro Takeya, Hideo Baba
Cancer of unknown primary is associated with unknown biology and dismal prognosis. The most common primary sites of cancer of unknown primary were usually the lungs in autopsy studies, and intrahepatic cholangiocarcinoma is rare. We describe the case of a 57-year-old male patient with systemic lymph node metastasis. Imaging examination failed to reveal primary cancer; however, immunostaining of cytokeratins 7, 19, and 20 of a metastatic axillary lymph node suggested a pancreaticobiliary cancer as a primary lesion...
December 2015: Surgical Case Reports
Bahar Çalışkan, Ayper Somer, Nevin Hatipoğlu, Melike Keser, Ensar Yekeler, Feryal Gün, Mine Güllüoğlu, Tansu Salman, Nuran Salman
Infectious diseases are the leading cause of FUO. A case of prolonged fever with hepatic and pulmonary tuberculosis as a final diagnosis is herein presented. A 4-year-old, otherwise healthy boy presented with an axillary temperature of up to 39.5ºC for the previous 3 weeks. His medical history revealed an occasional increase in body temperature up to 38.5ºC for the last 6 months. Physical examination revealed coarse breath sounds on the basal lung area. Chest X-ray showed mediastinal lymphadenomegaly and computed tomography revealed paratracheal conglomerated lymph nodes and a groundglass appearance on the right lung...
January 2015: Turkish Journal of Pediatrics
Chukwuemeka Anele, Yih Chyn Phan, Suanne Wong, Anil Poddar
A 67-year-old woman with non-insulin dependent diabetes mellitus with a history consistent with a right axillary abscess, presented to her general practitioner (GP). A diagnosis of folliculitis was made and the GP started a course of flucloxacillin. Despite antibiotics, the patient's symptoms worsened and the abscess increased in size. This prompted her GP to perform an incision and drainage procedure of the abscess. The practice nurse subsequently oversaw the follow-up care of the wound. Two months after the incision and drainage, and after regular wound dressing, the patient was referred to the acute surgical team with a complicated, non-healing right axillary abscess cavity and associated generalised right breast cellulitis...
2015: BMJ Case Reports
Dibuseng P Ramaema, Ines Buccimazza, Richard J Hift
BACKGROUND: Breast tuberculosis (BTB) is uncommon, but not rare. Knowledge of the ways in which it can present can prevent unnecessary invasive procedures and delay in diagnosis. OBJECTIVES: To describe the clinical and radiological findings in patients with BTB, including evaluation of current treatment methods. METHODS: We retrospectively analysed 65 patients diagnosed with BTB at Addington and King Edward VIII hospitals, Durban, South Africa, between 2000 and 2013...
October 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Kathi Walther, Elisabeth Bruder, Daniel Goldenberger, Johannes Mayr, Urs Beat Schaad, Nicole Ritz
Actinomycetes are Gram-positive bacteria that can be part of the normal human flora of the gastrointestinal, pulmonary, and genital tract. Infections are rare, slowly progressing and most commonly affect the cervicofacial region. Actinomyces israelii is the most frequently isolated species but a number of other species may cause infection. We report the first postnatally acquired case of an actinomycosis caused by A. neuii in a child. We also provide a systematic review of all published cases of A. neuii infections...
September 2015: Journal of the Pediatric Infectious Diseases Society
Vandana L Gaopande, Sourabh S Joshi, Avinash R Joshi
A subcutaneous painful left axillary nodule was clinically diagnosed as abscess. Fine-needle aspiration biopsy (FNAB) revealed smears full of mature neutrophils. Background was free of fibrinous necrotic material and degenerating and necrotic neutrophils, which is characteristic of abscess. No organisms were detectable on special staining, and culture was sterile. A cytological differential diagnosis of abscess or Sweet's syndrome (SS) was offered, and the latter was confirmed. SS, also known as acute febrile neutrophilic dermatosis, shows diffuse dermal neutrophilic infiltrate without vasculitis on biopsy...
December 2015: Diagnostic Cytopathology
D Barlev, D B Eisen, A Alikhan
Hidradenitis suppurativa (HS) is a chronic disease of the follicular unit that often leads to marked impairment of quality of life and usually affects the axillary, perineum and inframammary regions resulting in tender subcutaneous nodules, abscesses, fibrosis and sinus tract formation. New updates on HS underscores the role of various genes as well as the innate and adaptive immune response in its pathogenesis. Although every patient requires an individualized approach to treatment, topical therapy and antibiotics are mainly used for mild to moderate disease, whereas various systemic immune modulators and/or surgical approaches play a pivotal role in moderate to severe disease...
July 2015: Skin Therapy Letter
Yutaka J Kawamura, Michitaka Kohno, Junji Shiga, Naoki Asakage, Minoru Hatano, Hirohisa Okame, Junichi Sasaki, Shoichi Tobari, Katsunori Nishida
Axillary lymph node metastasis from colorectal carcinoma is extremely rare, and this scarcity hinders understanding of its pathogenesis and, thus, the application of appropriate management. Here, we present a case with axillary lymph node metastasis of cecal carcinoma associated with macroscopic invasion of the skin of the abdominal wall with histological evidence of such invasion, findings which support our hypothesis that the axillary lymph node metastasis developed via the lymph channels in the skin of the abdominal wall...
2015: Surgical Case Reports
A K Chowdhury, S Mubin, N A Yousuf, M Rahman, M A Islam, S U Ahmed
Breast tuberculosis is a rare form of tuberculosis. Moreover the disease is often overlooked and misdiagnosed as carcinoma or pyogenic abscess. Reports on breast tuberculosis have been few; reported incidence of breast tuberculosis amongst the total number of mammary conditions varies between 0.1 and 4 percent. Bilateral involvement is still more uncommon (3%). Here we report 3 cases of adult female ranging from 27 to 35 years who presented with 1 to 4 months history of firm lumps in both breasts and no axillary lymphadenopathy...
July 2015: Mymensingh Medical Journal: MMJ
Ana Alberca-Páramo, Esther Pilar García-Santos, Susana Sánchez-García, Francisco Javier Ruescas-García, José Luis Bertelli-Puche, Jesús Martín-Fernández
BACKGROUND: Hidradenitis is a disorder where abscesses appear after the infection of the apocrine sweat glands. It is located normally in the axillae, groin, perineal region, and the scalp. CLINICAL CASE: A 37 year old male was referred by his GP to the General Surgery Department with axillary hidradenitis which had evolved over the years. The physical examination shows signs of hidradenitis in both axillae, with a noticeable suppurative hidradenitis in the right armpit...
May 2016: Cirugia y Cirujanos
Irina Jari, A G Naum, Manuela Ursaru, Elenis Gabriela Manafu, Liliana Gheorghe, D Negru
AIM: Evaluation of ultrasonographic and mammographic pattern, etiology and risk factors of breast infections. MATERIAL AND METHODS: Our study included a group of 66 female patients aged 16 to 71 years, examined by ultrasound and mammography in several medical imaging services in Iaşi in the interval 2008-2014; ultrasound was performed in all 66 patients and mammography in 22. RESULTS: In our study breast infections occurred mostly during breastfeeding and the most frequent causative agent was Staphylococcus aureus; ultrasound established the correct diagnosis in 63 cases and detected one or more of the following aspects in case of breast infections: edema of the fatty tissue, hypoechoic areas in the breast tissue, dilated ducts, or fluid collections...
April 2015: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Subrata Pal, Srabani Chakarabarti, Jyoti Prakash Phukan, Sudhanya Biswas, Anuradha Sinha, Rajani Sinha
CONTEXT: Regional lymphadenitis is the most common complication of bacille Calmette-Guerin (BCG) vaccination. Most of the BCG lymphadenitis cases are nonsuppurative, but some suppurate and follow abscess formation, rupture, ulceration and cicatrization. Needle aspiration is the rapid, safe and cost-effective method for diagnosis as well as management of suppurative BCG adenitis. AIMS: The aims of the present study were to assess the clinical and cytological spectrum of BCG lymphadenitis and to evaluate the role of needle aspiration in the management of suppurative BCG lymphadenitis...
January 2015: Journal of Laboratory Physicians
Luke Traeger, Marrillo Jayasuriya, Aravind Suppiah, Peter G Devitt
No abstract text is available yet for this article.
April 1, 2015: ANZ Journal of Surgery
John W Frew, Dunja A Vekic, Jane Woods, Geoffrey D Cains
No abstract text is available yet for this article.
May 2015: Experimental Dermatology
Amit Kumar, Amar Kumar, Kumar Gaurav, Gautam Chandra, A K Tiwary, S Bhagat, M Sarawgi
INTRODUCTION: Hydatid cyst of the breast is very rare. It is challenging to differentiate it from other tumoral lesions of the breast. Only few reports of breast hydatid cyst are published and majority of the reported cases have been diagnosed postoperatively as it is not possible to reach definitive diagnosis with clinical examination and radiological investigations only. PRESENTATION OF CASE: A 31-year old woman presented with a painless lump in the right breast since one year duration...
2015: International Journal of Surgery Case Reports
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