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| http://dx.doi.org/10.1177/014107680309600208 | DOI Listing |
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Clinical and radiological characteristics of odontogenic orbital cellulitis.
J Ophthalmic Inflamm Infect
October 2024
Department of Ophthalmology & Visual Sciences, University of Adelaide, North Terrace, 5000, Adelaide, South Australia, Australia.
Article Synopsis
- This study evaluated radiological features and clinical outcomes of four patients with odontogenic orbital cellulitis, focusing on causative organisms, clinical signs, and visual results.
- Patients had a mean age of 43 years and all presented with severe symptoms, including various levels of visual impairment; Streptococcus milleri and Streptococcus constellatus were primarily responsible for the infections.
- The findings indicated significant risks of vision loss, with two patients ending up blind, and one requiring an orbital exenteration due to severe complications, emphasizing the condition's seriousness.
Assay Interference Causing Persistently Elevated Vancomycin Levels Leading to Treatment Failure and Fatal Outcome.
Cureus
June 2024
Internal Medicine, One Brooklyn Health-Interfaith Medical Center, Brooklyn, USA.
In patients receiving vancomycin therapy, serum drug levels are routinely monitored to ensure therapeutic dosing and minimize toxicity. In rare cases, vancomycin levels may be falsely or persistently elevated without any apparent cause. In this case report, we explore a rare case of persistently elevated vancomycin levels despite discontinuation of the drug for days.
View Article and Find Full Text PDFDiagnosis and Treatments of Limb Lymphedema: Review.
Ann Vasc Dis
June 2024
Department of Orthopedic Surgery, Yokohama City University Hospital, Yokohama, Kanagawa, Japan.
Article Synopsis
- Lymphedema, caused by lymphatic system dysfunction, presents as swelling and skin changes, categorized as either primary (no known cause) or secondary (due to external factors), and can significantly diminish quality of life.
- Diagnosis involves imaging tests like lymphoscintigraphy, while treatment typically includes conservative methods like complex physical therapy (CPT) and, in some cases, surgical options to restore lymphatic flow.
- Despite the gold standard of CPT showing effectiveness in symptoms, it does not correct underlying lymphatic issues, necessitating further research to enhance treatment outcomes, especially in Japan, where combined therapies are common but complete cures are rare.
Varicella mimicking complications of acute rhinosinusitis in an infant.
BMJ Case Rep
April 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Graubunden, Chur, Switzerland
Article Synopsis
- Varicella, caused by the varicella-zoster virus, primarily impacts young children, presenting with a rash and fever, but can lead to severe complications.
- A case study is presented involving an infant with varicella who developed preseptal cellulitis and a frontal abscess, requiring an otorhinolaryngology consult due to concerns of sinusitis.
- Ultrasound findings indicated a mid-frontal collection without abscess formation, leading to the diagnosis of cutaneous superinfection of varicella lesions, which was successfully treated with drainage and antibiotics.
Acute Sternoclavicular Joint Sepsis With Medial Clavicle Osteomyelitis (Staphylococcus aureus) and Cervical-Thoracic Epidural Phlegmon in an Adult Female With No Apparent Risk Factors.
Cureus
March 2023
Orthopaedics, Utah Orthopaedic Specialists, Salt Lake City, USA.
This is a case of a 71-year-old female with a history of only one known medical problem (hypertension) who presented with a right sternoclavicular joint (SCJ) infection in addition to (1) a contiguous lower cervical and upper thoracic epidural phlegmon and (2) cellulitis and a phlegmon in her posterior neck, which was subcutaneous and near the lower cervical and upper thoracic spinous processes. These loci of infection developed several days after she had pricked her fingers when cutting rose bushes and were initially considered to be epidural abscesses. However, after the patient was transferred to our tertiary medical center, a neurosurgeon and radiologist determined that the cervicothoracic infections were phlegmons rather than fully developed abscesses.
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