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Intraabdominal infection

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https://www.readbyqxmd.com/read/29907941/the-clinical-outcome-of-postoperative-invasive-fungal-infections-complicating-laparoscopic-sleeve-gastrectomy
#1
Yoav Bichovsky, Leonid Koyfman, Michael Friger, Boris Kirshtein, Abraham Borer, Gilbert Sebbag, Dmitry Frank, Amit Frenkel, Jochanan G Peiser, Moti Klein, Evgeni Brotfain
PURPOSE: Peritonitis is a major complication of bariatric surgery due to direct damage to the natural barriers to infection. Most such secondary peritoneal infections are caused by Gram-negative microorganisms; however, under certain conditions, Candida species can infect the peritoneal cavity following bariatric surgery. MATERIALS AND METHODS: We retrospectively analyzed the clinical and microbiological data of morbidly obese patients who suffered infectious complications following laparoscopic sleeve gastrectomy (LSG) at the Soroka Medical Center between January 2010 and June 2015...
June 15, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29895518/disseminated-cryptococcosis-associated-with-administration-of-eculizumab
#2
Megan Clancy, Ryan McGhan, Jeremy Gitomer, Ana Marie Inocencio, Christina Aldrich, Roberto Iaderosa, Ryan Stevens
PURPOSE: A case report of fatal disseminated cryptococcosis in a patient treated with eculizumab is presented along with a review of literature suggesting a possible etiologic mechanism. SUMMARY: A 23-year-old man with a history of minimal change nephrotic syndrome was hospitalized for acute kidney injury and abdominal pain and swelling. He was found to have disseminated pneumococcal disease, including peritonitis, bacteremia, and pulmonic endocarditis. The patient developed evidence of microangiopathic hemolytic anemia, leading to a diagnosis of atypical hemolytic uremic syndrome, and was started on eculizumab...
June 12, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29866070/undiagnosed-cryptococcus-gattii-meningitis-leading-to-subsequent-ventriculoperitoneal-shunt-infection-in-a-patient-with-symptoms-of-normal-pressure-hydrocephalus-case-report-and-literature-review
#3
Wutthiseth Dhitinanmuang, Piriyaporn Chongtrakool, Anupop Jitmuang
BACKGROUND: Cryptococcus gattii is known to be an etiologic agent of human cryptococcosis, particularly in immunocompetent persons. C. gattii infection usually involves the central nervous system, the respiratory tract, or may be disseminated. Here we report an atypical manifestation of C. gattii infection in a patient who had C. gattii meningitis complicating the ventriculoperitoneal (VP) shunt infection and concurrent infected intraabdominal VP shunt pseudocyst. CASE PRESENTATION: A 66-year-old Thai female was initially diagnosed with normal pressure hydrocephalus (NPH) and underwent programmable VP shunt placement...
June 4, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29843641/progression-into-sepsis-an-individualized-process-varying-by-the-interaction-of-comorbidities-with-the-underlying-infection
#4
Dimitrios Sinapidis, Vassileios Kosmas, Vasileios Vittoros, Ioannis M Koutelidakis, Aikaterini Pantazi, Aggelos Stefos, Konstantinos E Katsaros, Karolina Akinosoglou, Magdalini Bristianou, Konstantinos Toutouzas, Michael Chrisofos, Evangelos J Giamarellos-Bourboulis
BACKGROUND: Development of sepsis is a process with significant variation among individuals. The precise elements of this variation need to be defined. This study was designed to define the way in which comorbidities contribute to sepsis development. METHODS: Three thousand five hundred nine patients with acute pyelonephritis (AP), community-acquired pneumonia (CAP), intraabdominal infections (IAI) or primary bacteremia (BSI) and at least two signs of the systemic inflammatory response syndrome were analyzed...
May 29, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29813115/factors-associated-with-an-outbreak-of-hospital-onset-healthcare-facility-associated-clostridium-difficile-infection-ho-hcfa-cdi-in-a-mexican-tertiary-care-hospital-a-case-control-study
#5
Eric Ochoa-Hein, José Sifuentes-Osornio, Alfredo Ponce de León-Garduño, Pedro Torres-González, Víctor Granados-García, Arturo Galindo-Fraga
OBJECTIVE: To identify clinical and environmental factors associated with an outbreak of hospital-onset, healthcare facility-associated Clostridium difficile infection (HO-HCFA CDI). DESIGN: Case-control study. SETTING: Public, acute care, academic tertiary referral center in Mexico. PATIENTS: Adults hospitalized ≥48 hours between January 2015 and December 2016 were included. Cases were patients with a first episode of HO-HCFA CDI...
2018: PloS One
https://www.readbyqxmd.com/read/29736664/tuberculosis-mimicking-disseminated-peritoneal-carcinomatosis-of-a-sigmoid-carcinoma
#6
Tim Fahlbusch, Beat Künzli, Renate Schlottmann, Andrea Tannapfel, Waldemar Uhl, Chris Braumann
BACKGROUND: A 76-year-old Moroccan patient with a medical history of sigmoid carcinoma suffered from weight loss of 15 kg and abdominal pain. Laparoscopy showed disseminated miliary peritoneal lesions, prima vista suspicious for disseminated peritoneal cancer spread. METHODS: Patient's medical history was reprocessed and compared to recent literature via PubMed. RESULTS: Pathological evaluation revealed granulomas and an infection with miliary intraabdominal tuberculosis (TB) was proven...
May 7, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29683218/outcome-of-patients-with-hemodialysis-or-peritoneal-dialysis-undergoing-simultaneous-pancreas-kidney-transplantation-comparative-study
#7
Alberto Marcacuzco, Carlos Jiménez-Romero, Alejandro Manrique, Jorge Calvo, Félix Cambra, Óscar Caso, Álvaro García-Sesma, Anisa Nutu, Iago Justo
BACKGROUND: Controversy remains with regard to the higher risk of intra-abdominal infections and lower patient and graft survival when peritoneal dialysis (PD) rather than hemodialysis (HD) is used in simultaneous pancreas-kidney transplantation (SPKT). METHODS: From March 1995 to December 2015, we performed 165 SPKTs. Prior to transplant, patients received hemodialysis (group HD; n = 98) or peritoneal dialysis (group PD; n = 67). A comparison was made to analyze post-transplant complications and patient, pancreas, and kidney graft survivals...
April 23, 2018: Clinical Transplantation
https://www.readbyqxmd.com/read/29534868/the-impact-of-surgically-placed-intraperitoneal-drainage-on-morbidity-and-mortality-after-pancreas-resection-a-systematic-review-meta-analysis
#8
REVIEW
Stephan Schorn, Ulrich Nitsche, Ihsan Ekin Demir, Florian Scheufele, Elke Tieftrunk, Rebekka Schirren, Sarah Klauss, Mine Sargut, Güralp Onur Ceyhan, Helmut Friess
BACKGROUND: Although routinely used, the benefit of surgically placed intraperitoneal drains after pancreas resection is still under debate. To assess the true impact of intraperitoneal drains in pancreas resection, a systematic review with meta-analysis was performed. METHODS: For this, the Preferred-Reporting-Items-for-Systematic-review-and-Meta-Analysis/PRISMA-guidelines were conducted and Pubmed/Medline, Embase, Scopus and The Cochrane Library were screened for relevant studies...
April 2018: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/29510913/different-manifestation-of-a-familiar-diagnosis-from-anuria-to-acute-appendicitis
#9
Eylem Kuday Kaykisiz, Murat Baki Yildirim, Emrah Dadali, Hüseyin Kaykisiz, Erden Erol Ünlüer
The differential diagnosis of anuria in emergency department (ED) is broad. Secondary to intraabdominal mass pressure or infections, symptoms of micturation difficulties or disuria accompanying to back pain may arise with the interruption of sacral nerve stimulation. Here, we report a patient who admitted to ED with back pain and anuria and diagnosed acute appendicitis (AA) after advanced investigation despite of not to have any abdominal pain. A 36-year-old man admitted to our ED with a 6-h history of back pain and urination difficulty...
May 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29419955/-predictive-factors-of-gangrenous-post-appendectomy-intra-abdominal-abscess-a-case-control-study
#10
J Serradilla, A Bueno, C De la Torre, E Domínguez, A Sánchez, B Nava, M Álvarez, M López Santamaría, L Martínez
BACKGROUND: Acute appendicitis is the most frequent surgical urgency in children. Frequently, it can be complicated with an intraabdominal abscess that will require a longer and expensive treatment. Our aim is to know if it is possible to predict this complication before its beginning. MATERIAL AND METHODS: Retrospective case-control study with patients treated between 2011 and 2016, paired according to their own characteristics (age, sex and weight), clinical aspects (symptoms, time of their onset, physical examination) and type of appendicitis (gangrenous)...
February 1, 2018: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/29399279/predicting-early-outcomes-of-liver-transplantation-in-young-children-the-early-study
#11
Rashid Alobaidi, Natalie Anton, Dominic Cave, Elham Khodayari Moez, Ari R Joffe
AIM: To determine potentially modifiable predictors of early outcomes after liver transplantation in children of age < 3 years. METHODS: This study was a retrospective chart review including all consecutive children of age less than 3-years-old having had a liver transplant done at the Western Canadian referral center from June 2005 to June 2015. Pre-specified potential predictor variables and primary and secondary outcomes were recorded using standard definitions and a case report form...
January 27, 2018: World Journal of Hepatology
https://www.readbyqxmd.com/read/29394432/risk-factors-for-failure-in-complicated-intraabdominal-infections
#12
Bryan P White, Jamie L Wagner, Katie E Barber, S Travis King, Kayla R Stover
OBJECTIVES: Approximately 20% of patients with complicated intraabdominal infections (cIAIs) fail therapy. The purpose of this study was to identify risk factors for clinical failure in patients with cIAIs. METHODS: International Classification of Diseases, Ninth Revision codes for cIAIs were obtained to identify patients. Adult patients who received at least 48 hours of intravenous antibiotics were included. Patients were chronologically matched for age, sex, and comorbidities...
February 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29386303/randomized-controlled-trial-comparing-open-versus-laparoscopic-placement-of-a-peritoneal-dialysis-catheter-and-outcomes-the-capd-i-trial
#13
Jorinde H H van Laanen, Tom Cornelis, Barend M Mees, Elisabeth J Litjens, Magda M van Loon, Jan H M Tordoir, Arnoud G Peppelenbosch
OBJECTIVE: To determine the best operation technique, open versus laparoscopic, for insertion of a peritoneal dialysis (PD) catheter with regard to clinical success. Clinical success was defined as an adequate function of the catheter 2 - 4 weeks after insertion. METHODS: All patients with end-stage renal disease who were suitable for PD and gave informed consent were randomized for either open surgery or laparoscopic surgery. A previous laparotomy was not considered an exclusion criterion...
March 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/29378381/-antimicrobial-activity-of-ceftolozane-tazobactam-against-enterobacteriaceae-and-pseudomonas-aeruginosa-in-the-czech-republic-in-2016
#14
Helena Žemličková, Vladislav Jakubů, Marta Fridrichová
OBJECTIVE: Ceftolozane/tazobactam is an antibiotic effective against Gram-negative bacteria(including Pseudomonas aeruginosa).The study aimed at determining the effectiveness of the novel antibiotic in the Czech Republic. MATERIAL AND METHODS: The effectiveness of the antibiotic was studied in 16 Czech laboratories in 822 Enterobacteriaceae isolates (including AmpC and ESBL producers) and P. aeruginosa causing complicated intraabdominal or urinary tract infections...
December 2017: Klinická Mikrobiologie a Infekc̆ní Lékar̆ství
https://www.readbyqxmd.com/read/29370580/trial-of-short-course-antimicrobial-therapy-for-intraabdominal-infection
#15
(no author information available yet)
No abstract text is available yet for this article.
February 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29353527/irrigation-versus-suction-alone-in-laparoscopic-appendectomy-is-dilution-the-solution-to-pollution-a-systematic-review-and-meta-analysis
#16
Shahab Hajibandeh, Shahin Hajibandeh, Adam Kelly, Jigar Shah, Rao Muhammad Asaf Khan, Nilanjan Panda, Moustafa Mansour, Sohail Malik, Sanjay Dalmia
OBJECTIVES: To investigate outcomes of peritoneal irrigation versus suction without irrigation in patients undergoing emergency laparoscopic appendectomy. METHODS: We performed a systematic review and conducted a search of electronic information sources to identify all randomized controlled trials (RCTs) and observational studies investigating outcomes of irrigation versus suction alone in patients undergoing emergency laparoscopic appendectomy. We used the Cochrane risk of bias tool and the Newcastle-Ottawa scale to assess the risk of bias of RCTs and observational studies, respectively...
January 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29325351/-analysis-of-risk-factors-and-outcomes-for-delayed-gastric-emptying-following-pancreaticoduodenectomy-a-single-center-experience-of-492-cases
#17
J Yin, Z P Lu, K Zhang, J L Wu, W T Gao, F Guo, J M Chen, J S Wei, P F Wu, D Xu, K R Jiang, Y Miao
Objective: To evaluate risk factors for delayed gastric emptying(DGE)following pancreaticoduodenectomy(PD). Methods: There were 492 consecutive patients who underwent PD in Pancreas Center, the First Affiliated Hospital with Nanjing Medical University between January 2012 and December 2014 were identified from a prospective database.There were 315 male and 177 female patients with a median age of 60.5 years.Univariate and multivariate analyses were performed to investigate the independent risk factors for clinically relevant DGE(CR-DGE)...
January 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29307988/procalcitonin-in-inflammatory-bowel-disease-drawbacks-and-opportunities
#18
REVIEW
Giuseppe Lippi, Fabian Sanchis-Gomar
The measurement of procalcitonin has recently become a mainstay for the diagnosis and therapeutic management of severe bacterial infections, especially those sustained by Gram-negative bacteria. Therefore, the aim of this article is to provide a narrative overview on the potential role of procalcitonin measurement in patients with inflammatory bowel disease (IBD). According to the available scientific literature, the clinical significance of procalcitonin for diagnosing IBD or monitoring disease activity remains elusive, and its association with disease severity is confined to a limited number of case-control studies, with low sample size...
December 21, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29248543/plasma-ghrelin-suppression-as-an-early-predictor-for-postoperative-complications-after-pancreatoduodenectomy
#19
Kazuki Sasaki, Tadafumi Asaoka, Hidetoshi Eguchi, Yasunari Fukuda, Yoshifumi Iwagami, Daisaku Yamada, Yasuhiro Miyazaki, Takehiro Noda, Tsuyoshi Takahashi, Kunihito Gotoh, Koichi Kawamoto, Yukinori Kurokawa, Shogo Kobayashi, Shuji Takiguchi, Masaki Mori, Yuichiro Doki
BACKGROUND/OBJECTIVES: The gut peptide hormone ghrelin induces appetite and exhibits an anti-inflammatory effect. Serial perioperative changes in ghrelin have been examined in several surgical procedures, but few in pancreatectomy. The present study analyzed perioperative changes in plasma ghrelin levels after pancreaduodenectomy (PD). METHODS: The study included 24 patients undergoing PD between May 2015 and January 2016 at Osaka University Hospital. Plasma ghrelin and interleukin-6 (IL-6) levels, as well as white blood cells (WBCs) and C-reactive protein (CRP), were measured preoperatively and on postoperative day (POD) 1, 3, 7, and 14 by enzyme-linked immunosorbent assay...
January 2018: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/29155250/surgical-management-of-acute-appendicitis-in-adults-a-review-of-current-techniques
#20
REVIEW
Maximilian Sohn, Ayman Agha, Stefan Bremer, Kai S Lehmann, Marcus Bormann, Alfred Hochrein
Acute appendicitis is one of the most frequent disorders in abdominal surgery. Therefore, appendectomy is a matter of significant interest in that field. Yet, four different techniques are available: open appendectomy, (conventional) laparoscopic appendectomy, single port laparoscopic appendectomy and NOTES-appendectomy with its different variations. To evaluate the current state of the art in appendectomy a bibliographic search was conducted. All prospectively randomized trials and national register cohort studies published between 1/2010 and 5/2016 were included into the analysis...
December 2017: International Journal of Surgery
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