Search Results
Results 351 - 400 of 639
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Douen A G - - 1997
BACKGROUND: Complex auditory hallucinations have rarely been reported in cases of brainstem stroke or tumor. METHOD: Case study. RESULTS: A patient with acute Listeria rhombencephalitis complained of formed musical auditory hallucinations on the side of recent sensorineural deafness. MRI revealed an abscess in the middle cerebellar peduncule with extensive surrounding ...
Karkanevatos A - - 1997
Retropharyngeal abscesses in adults are very rare and usually secondary to chronic tuberculous cervical spine osteomyelitis. We report a case of Staphylococcus aureus septicaemia with multifocal abscesses and osteomyelitis of the cervical spine causing a retropharyngeal abscess. This presented as neck pain and dysphagia following a fall. In addition, we ...
Artico M - - 1997
Intracranial aspergillosis is a rare pathologic condition, difficult to treat and often fatal, which generally affects immunodepressed patients. A case of brain abscess secondary to pulmonary localization in a patient with a non-Hodgkin lymphoma is described. The most significant clinico-pathological findings of intracranial aspergillosis are examined in the light of ...
Cohen J E - - 1997
BACKGROUND: Intracranial subdural hematoma is an exceptionally rare complication of spinal anesthesia. We report a case of this infrequent event and consider the influence of cerebral atrophy as a predisposing factor. METHODS AND RESULTS: This 18-year-old woman with severe headaches was admitted to the hospital 42 days after delivery. She ...
Louagie Y A - - 1997
A case of atherosclerotic abdominal aortic aneurysm, complicated by aortoenteric fistulizations and infected by Escherichia coli, is presented. Chronic contained rupture resulted in the formation of a huge left psoas abscess which was responsible for the symptoms. No similar case has been reported in the literature. Resection and extra-anatomic vascular ...
Koç R K - - 1997
Acute spontaneous subdural hematoma of arterial origin is very rare. We report five patients who presented with a history of sudden onset of severe headache and vomiting and who developed progressive neurologic deficits, three becoming comatose. The symptomatologic onset was indistinguishable from other cerebrovascular disorders; none of the patients had ...
Lee E C - - 1997
Traumatic recurrent auricular hematoma can be a challenging medical problem, with complications resulting in cauliflower ear. Proper management often depends on an understanding of the pathophysiology and pathogenesis of fibroneocartilage--an abnormal fibrous cartilage formation in response to injury. Traditional treatment by incision and drainage, and compression dressing technique may be ...
Tekkök I H - - 1996
OBJECTIVE AND IMPORTANCE: Gas-containing brain abscesses are rare, and the vast majority are caused by Clostridium perfringens. Significant simultaneous fungal infection in a bacterial abscess is even rarer. We present such a case and review the literature. CLINICAL PRESENTATION: A 21-month-old male patient sustained a penetrating head injury in a ...
Ramos J M - - 1996
We performed a retrospective analysis of 28 cases of bacteriuria due to nontyphoidal Salmonella (NTS). Twenty-one patients (75%) had symptoms of urinary tract infection (16, cystitis; 3, pyelonephritis; and 2, renal abscess), and 7 remained asymptomatic. In 24 cases NTS was the sole pathogen isolated from urine. Salmonella enteritidis (a ...
Pretorius E S - - 1996
Tropical pyomyositis is a rare cause of multiple abscesses of skeletal muscle. The entity is rare in temperate climates and, as its name suggests, is more common in areas such as the tropics and South Pacific. Staphylococcus aureus is the most common cause of infection. Therapy is aggressive, with surgical ...
Cools P - - 1996
Psoas abscess complicating Crohn's disease is a rare condition. Fever, abdominal tenderness, limb pain and hip contracture are typical signs but only present in half of the cases. Cultures of the pus mostly grow a mixture of enterobacteria. The diagnosis is made by CT-scan. Medical therapy always results in recurrence ...
Bavetta S - - 1996
Brainstem abscesses are rare and until recently were uniformly fatal. The case of a 49 year old lady with an abscess extending through the midbrain, pons and cerebellar peduncle is presented. She survived following stereotactic aspilation; only the seventh such case. The report is illustrated with very rare preoperative MRI ...
Saxena R - - 1996
Pylephlebitis or septic thrombophlebitis of the portal vein, a precursor of hepatic abscesses, is an extremely rare and frequently fatal complication of diverticulitis. The following report describes a patient presenting with pylephlebitis and complicated diverticulitis. Diagnosis was confirmed by computed tomography. The patient had a favorable outcome with medical and ...
Kurita H - - 1996
The authors report a rare case of a patient with a chronic encapsulated expanding hematoma and progressive neurological deterioration who presented 2 years after gamma knife radiosurgery for a cerebral arteriovenous malformation (AVM). A tough capsule containing multiple layers of organized hematoma resulting from previous bleeding was confirmed surgically. Histological ...
Simpson A J - - 1996
A case of brain abscess involving Haemophilus paraphrophilus and Actinomyces odontolyticus is presented. This combination of organisms has not previously been described. All brain abscess specimens should routinely be processed rapidly and cultured for a prolonged period to ensure recovery of fastidious organisms which may have implications for antibiotic therapy.
Apothéloz C - - 1996
Actinomyces meyeri is rarely isolated in cases of actinomycosis. We present a case of disseminated actinomycosis due to A. meyeri; the patient had an abscess of the lung, osteomyelitis of the tibia, and multiple skin abscesses. Cure was achieved with surgical debridement and administration of intravenous penicillin, followed by oral ...
Vallejo J G - - 1996
Suppurative disease of the liver and/or spleen is a rare and serious complication of human brucellosis. In the English-language literature, only nine cases have been reported, all involving adults with chronic infection. We report the case of a young child in whom abscesses of the liver and spleen developed during ...
Chang B C - - 1996
An uncommon case of actinomycosis found in bilateral tubo-ovarian abscess is presented. Preoperatively, bilateral ovarian tumors were initially suspected by pelvic examination and ultrasonography. The patient received total abdominal hysterectomy and bilateral salpingo-oophorectomy. The initial pathology frozen section report showed abscess without evidence of malignancy. The final pathological finding revealed ...
Elliott D W - - 1996
We describe a patient who received an apparently uneventful extradural block in labour but developed rapid extension of neural block within minutes of receiving her first incremental dose 2 h later. Computed contrast tomography revealed radio-opaque dye within both the subdural and subarachnoid spaces, but none within the extradural space. ...
Brown P S PS - - 1996
A case of focal xanthogranulomatous pyelonephritis (XPN) in a child, successfully cured with antibiotics only, is presented, and this report is followed by a review of the literature on XPN in both children and adults. XPN is a rare inflammatory disease of the kidney. Factors strongly implicated in the development ...
Fiorino A S - - 1996
OBJECTIVE: To summarize clinical features and treatments in reported cases of actinomycotic pelvic abscess occurring in women using intrauterine contraceptive devices (IUD), and to review detection of Actinomyces by cervical smear. DATA SOURCES: The English-language medical literature accessed through MEDLINE. METHODS OF STUDY SELECTION: We identified 92 cases of actinomycotic ...
Tacconi L - - 1996
Abscess formation in the spinal epidural space is a very rare lesion, occurring once in 10,000 admissions to a tertiary centre and often requiring emergency neurosurgical treatment commonly presenting late. We present our experience of ten cases of spinal epidural abscess treated at our institution between January 1984 and July ...
Nishimura T - - 1996
We present a 62-year-old patient with a chronic organized abscess of the right masseter muscle that developed following parotidectomy. This patient's chronic abscess originated from an infection in the masticator space from the second molar. Cases of repeated parotitis should lead one to suspect a masticator space infection. In this ...
Celgow L - - 1996
Disseminated mucormycosis is an uncommon condition with a high mortality rate and is infrequently diagnosed ante mortem. It is most frequently seen in immunosuppressed patients who are at risk for other unusual infections. The radiological features are not specific. We report the case of a 12-year-old girl in second haematological ...
Berkman N - - 1996
Although pancreatitis and subphrenic abscess frequently cause pleural effusion, renal disease rarely does so. We report a case of a young patient who presented with pleural effusion due to pyelonephritis and renal outflow obstruction secondary to nephrolithiasis. The effusion and the initial absence of urinary abnormalities resulted in delay in ...
Ridha A G AG Department of Internal Medicine, Algemeen Ziekenhuis Stuivenberg, Antwerpen, - - 1996
Lung abscess due to nontyphoid Salmonella (NTS) with or without other intestinal or extra-intestinal involvement is very rare. A literature review (Medline search) revealed only 20 cases including ours with this extra-intestinal manifestation of Salmonella infection. The case of a 49-year-old, HIV-positive man from Zaire is reported. Diagnosis was established ...
Merkel P A - - 1995
Cocaine use is associated with a variety of serious neurological complications, including cerebral infarction, intracerebral and subarachnoid hemorrhage, transient ischemic attacks, migraines, and seizures. We report two cases of intracerebral hemorrhage with biopsy-proven cerebral vasculitis associated with the use of cocaine. The first case involved a 32-year-old man who presented ...
Smith S A - - 1995
Subgaleal hematoma, also known as subaponeurotic hemorrhage, is a serious complication of birth that is associated with vacuum-assisted delivery. Despite a high rate of mortality associated with subgaleal hematoma, it has received relatively little attention in the medical literature. Lack of awareness may lead to delayed diagnosis and serious consequences ...
Desandre A R - - 1995
Iliopsoas abscess is a rarely encountered entity. Early diagnosis is hindered by a nonspecific clinical presentation. The resulting delays in therapy increase morbidity and mortality rates. Our recent experience with three cases of iliopsoas abscess is presented. Based on a review of the literature, diagnostic and treatment recommendations are made.
Alvarez O A - - 1995
Jejunal diverticulosis is generally considered to be an innocuous condition, but serious complications can arise and lead to acute or chronic syndromes. In this report, we describe a case of jejunal diverticulitis presenting with an abdominal wall abscess. To our knowledge, this is the first documented case of jejunal diverticulitis ...
Liew Y M - - 1995
It is well documented that retained foreign bodies can be associated with delayed abscess formation in the body. We report an unusual case of a large bomb shrapnel in the wrist of a 64-year-old Chinese woman which was retained for 52 years, causing gross wrist destruction and delayed abscess formation. ...
Kelley L C - - 1995
Mycobacterium chelonei is in the family of fast-growing atypical mycobacteria. Clinical infection can have varying presentations. We present a case of a nonhealing thigh abscess that grew Mycobacterium chelonei on culture. The clinical presentations and causes of Mycobacterium chelonei infections are reviewed, along with current treatment options.
Morioka T - - 1995
The authors report a case of bilateral chronic subdural hematoma in a 25-year-old woman who had occipital and neck pain. Magnetic resonance imaging revealed progressive caudal descent of the cerebellar tonsils (acquired Chiari I malformation) and a large eccentric syrinx in the spinal cord from the C3-T7 levels. Spontaneous disappearance ...
Rosenblum D - - 1995
The halo vest orthosis is commonly used for stabilization after cervical spinal cord injury. Well-documented complications of halo use include skin breakdown, pin loosening, and loss of reduction. Brain abscess associated with halo use has been rarely reported. A case of a 23-year-old man is presented with spinal cord injury ...
Bert F - - 1995
We report a case of a brain abscess due to Bacillus macerans and Clostridium sp. following a penetrating periorbital injury by a wooden branch. Intracranial penetration by and retention of a foreign body were not suspected initially, and neurological symptoms developed only 2.5 months later. Previously reported cases of brain ...
Kuramitsu T - - 1995
We present a 63-year-old man with chronic pancreatitis and the rare complication of giant subcapsular splenic hematoma. The hematoma showed no size reduction for 6 weeks. Then, the hematoma was infected with pseudomonas aeruginosa after the recurrence of the pancreatitis, and it finally ruptured. This case suggested that in cases ...
Bartels R H - - 1995
The interhemispheric subdural hematoma is a relatively uncommon type of subdural hematoma, especially seen in patients with blood clotting disturbances. When its mass becomes sufficiently large, specific neurological abnormalities such as hemiparesis and signs of the falx syndrome are seen. Treatment can consist of conservative observation or craniotomy and is ...
Chuang M T - - 1995
Psoas muscle abscess is an uncommon and challenging entity. The present report describes a 64-year-old man presenting with right flank mass. Abdominal computerized tomography showed a right psoas abscess. Extraperitoneal drainage was performed, and pathology revealed metastatic mucinous adenocarcinoma. After further study, laparotomy and right hemicolectomy were performed under the ...
Gurbani S G - - 1995
Obturator internal muscle (OIM) abscess or pyomyositis, a poorly recognized intrapelvic infection, is characterized by limping, pain in the hip with limited movement, and the sciatic type of radiating leg pain. With the use of advanced diagnostic tools such as computed tomography (CT), magnetic resonance imaging, and radionuclide scans, several ...
Wolf H - - 1995
Here we report on a case of chronic granulomatous disease (CGD) in a 3-year-old boy who suffered from severe repeated bacterial infections including multiple liver abscesses. The case is of interest because (1) the disease is very rare (it is the first case of CGD diagnosed at the Clinic for ...
Lowenwirt I - - 1995
Subdural catheterization is a well described, but uncommon complication of attempted epidural block. Aspiration of blood or cerebrospinal fluid and use of a test dose can help identify venous or subarachnoid catheter placement but do not rule out subdural catheter placement. An unexpected high level of sensory block with relative ...
Owings J T - - 1995
Hepatic abscess is a known complication following packing for massive liver injury. Posttraumatic hepatic arterial pseudoaneurysms are rare. The trend in management in each individual complication has been toward minimally invasive techniques. We present a case wherein the two processes occurred together and were managed safely with a transcatheter approach.
Huang C T - - 1995
Splenic involvement of tuberculosis is common, especially in cases of miliary tuberculosis. However, abscess formation due to tuberculosis in the spleen is extremely rare. We present a tuberculous splenic abscess in an otherwise healthy male patient. This patient presented with fever of unknown origin (FUO). The chest X-ray was consistent ...
Alter S A - - 1995
The authors present a case report with a 1-year follow-up period, demonstrating the successful diagnosis and surgical treatment of a focal lesion of the distal metaphysis of the right tibia in an 11-year-old female. The author discusses the pathology of hematologic osteomyelitis and its role in the development of a ...
Greinwald J H JH - - 1995
Cervical necrotizing fasciitis is a devastating polymicrobial soft tissue infection characterized by gas formation and extensive necrosis of subcutaneous fat and fascia with extension to skin and muscle. Involvement of the head and neck is rare and is typically dental in origin. Despite broad-spectrum antibiotics, mortality rates for this disease ...
Myers D J - - 1995
We report the case of a hemophiliac in whom developed an unusual site of intracranial bleeding, a subdural hematoma that extended in the posterior fossa anteriorly from the clivus into the upper spinal subdural space. The hematoma was delayed in onset and was fatal. We review the current management recommendations ...
Domenicucci M - - 1995
Post-traumatic acute epidural hematoma (EDH) is generally visible on the CT scan done immediately after admission: occasionally, it only comes to light at a later scan and is then termed delayed (DEDH). Since the introduction of CT, the frequency of this occurrence has gone up from 6-13% to 30%. The ...
Fernandes C M - - 1994
There are few reports of adverse outcomes associated with roller coaster rides. We present the case of a 26-year-old man who complained of a gradually worsening headache following a roller coaster ride. A computed tomographic scan of the head demonstrated bilateral chronic subdural hematomas. The clinical course and probable mechanism ...
Kulali A - - 1994
We report two cases of chronic calcified and ossified subdural empyema diagnosed during surgery and operated on successfully using an extraordinary large osteoplastic craniotomy. After surveying the literature, we must emphasize the unusual occurrence of the chronic subdural empyemas presenting with calcification-ossification and large size as observed in both of ...
Richmond B K - - 1994
Several studies have suggested that non-operative treatment be employed for spinal epidural abscesses involving a considerable length of the vertebral column. The reasons for this have not been clearly stated in the literature, however, nor has the critical number of vertebral levels been specified. Presumably, this is related to the ...
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