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Transforaminal interbody debridement and fusion with antibiotic-impregnated bone graft to treat pyogenic discitis and vertebral osteomyelitis: a comparative study in Asian population.
Asian Spine J
January 2025
Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Study Design: A retrospective cohort study.
Purpose: To evaluate whether using antibiotic-impregnated bone graft (AIBG) enhances infection control and shortens the postoperative course of pyogenic discitis and vertebral osteomyelitis (PDVO).
Overview Of Literature: Surgical treatment of PDVO is indicated for neurological deficit, instability, unknown pathogen, or poorly controlled infection.
Concurrent liver abscess and infective endocarditis: A rare case report and literature review.
IDCases
November 2024
Department of Organ Transplantation, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510120, China.
Background: Investigating the clinical characteristics and treatment strategies of pyogenic liver abscess (PLA) complicated by infective endocarditis (IE), this study draws on a successfully treated case of PLA caused by Klebsiella pneumoniae, alongside a literature review of similar cases.
Case Summary: We report a 50-year-old male with type 2 diabetes who presented with acute fever, chills, and a liver abscess. The patient was initially treated with intravenous ceftriaxone (2 g daily).
Intravascular lobular capillary hemangioma (ILCH), also known as intravenous pyogenic granuloma, is a benign vascular lesion with a distinctive lobular arrangement of capillaries. It is typically confined to the head, neck, and upper extremities, and its occurrence in the testicular region is exceedingly rare. Here, we present a case of a 68-year-old male who was initially diagnosed with a testicular tumor based on imaging studies but was later found to have an ILCH located in the epididymis.
View Article and Find Full Text PDFSomething Seems Fishy: Hepatic Abscess Due to Foreign Body Ingestion in a Pediatric Patient.
Cureus
August 2024
Pediatric Hospital Medicine, Texas Children's Hospital, Houston, USA.
Article Synopsis
- - Pediatric hepatic abscesses are rare and often linked to intra-abdominal infections or biliary disease, with cases from foreign body ingestion being even less common, particularly in regions where such incidents occur frequently, like China.
- - This report highlights an adolescent patient who developed a hepatic abscess after swallowing a fishbone, presenting with symptoms like vomiting, abdominal pain, and fever; initial imaging suggested malignancy due to a heterogeneous mass in the liver.
- - Following the failure of broad-spectrum antibiotics, further imaging revealed the embedded fishbone, leading to successful surgical removal; this case underscores the need for healthcare providers to consider migrated foreign bodies when abscesses don't respond to typical treatments.
Periorbital Intravenous Lobular Pyogenic Granulomas: A Case Report and Literature Review of This Peculiar Pathology.
Ophthalmic Plast Reconstr Surg
January 2025
Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, Alberta, Canada.
Article Synopsis
- Intravenous lobular pyogenic granuloma (ILPG) is a rare condition affecting the periorbital area, characterized by palpable subcutaneous nodules, and this study focuses on its clinical presentation and pathology.
- A case study of a 42-year-old male diagnosed with ILPG through immunohistochemistry was presented, alongside a literature review that identified 6 other similar cases treated with local excision.
- Histopathological analysis showed ILPG to consist of capillary structures and a strong reaction to specific markers, with low recurrence rates after surgical treatment, suggesting its relevance in diagnosing periocular masses.
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