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Community-acquired necrotising pneumonia caused by Panton-Valentine leucocidin-producing methicillin-resistant Staphylococcus aureus

Leong CL, Norazah A, Azureen A, Lingam R

Med J Malaysia, 2017 12;72(6):378-379.
PMID: 29308781

A 61-year-old male presented with community-onset pneumonia not responding to treatment despite given appropriate antibiotics. Computed tomography scan of the thorax showed large multiloculated pleural effusion with multiple cavitating foci within collapsed segments; lesions which were suggestive of necrotising pneumonia. Drainage of the effusion and culture revealed methicillin-resistant Staphylococcus aureus, which had the same antibiotic profile with the blood isolate and PVL gene positive.
Fulltext Iatrogenic Pseudoaneurysm of the Lateral Femoral Circumflex Artery Following Antegrade Intramedullary Femur Nailing: A Case Report

Khirul Ashar NA, Ismail II, Lingam R

Cureus, 2024 Jan;16(1):e52009.
PMID: 38344538 DOI: 10.7759/cureus.52009

Few cases of femoral artery pseudoaneurysm or its branches have been reported following intramedullary nailing of femur fractures. The occurrence of a false aneurysm of the lateral femoral circumflex artery (LFCA) for such a fracture has never been reported so far. We report a case of a young male with a delayed presentation of right thigh swelling following an antegrade interlocking nail femur. Ultrasonography and CT angiography of the right thigh confirmed a pseudoaneurysm communicating with LFCA. After unsuccessful ultrasound-guided compression therapy, the patient underwent embolization of the right LFCA pseudoaneurysm by an interventional radiologist. Although intramedullary nailing is considered a safe procedure, a pseudoaneurysm should be suspected when the patient presents with a painful swelling after the surgery. Glue embolization of the artery should be considered as one of the treatment options, as it yields favorable outcomes with less morbidity.
Fulltext The Incidence and Variation of Corona Mortis in Multiracial Asian: An Insight from 82 Cadavers

Khirul-Ashar NA, Ismail II, Hussin P, Nizlan NM, Harun MH, Mawardi M, et al.

Malays Orthop J, 2024 Mar;18(1):26-32.
PMID: 38638662 DOI: 10.5704/MOJ.2403.004

INTRODUCTION: Corona Mortis (CMOR) is a term used to describe an anatomical vascular variant of retropubic anastomosis located posterior to superior pubic ramus. We aim to provide sufficient data on the incidence, morphology and mean location of 'crown of death' in Asian population. Other objectives include to assess the relationship between CMOR incidence with gender, race and age.
MATERIALS AND METHODS: This is a cross-sectional cadaveric study involving 164 randomly selected fresh multiracial Asian hemipelves (82 cadavers). Hemipelves were dissected to expose and evaluate the vascular elements posterior to superior pubic rami. Data were analysed using Chi-Square, t-test and with the help of IBM SPSS Statistics v26 software.
RESULTS: CMOR was found in 117 hemipelves (71.3%). No new morphological subtype was found. The mean distance of CMOR to symphysis pubis was 54.72mm (SD 9.35). Based on the results, it is evident that precaution needed to be taken at least within 55mm from symphysis pubis during any surgical intervention. The lack of statistically significant correlation between CMOR occurrence and gender, race and age suggest that the incidence of CMOR could be sporadic in manner.
CONCLUSION: We conclude that CMOR is not just aberrant vessel as the incidence is high and this finding is comparable to other studies. The mean location of CMOR obtained in this study will guide surgeons from various disciplines in Asia to manage traumatic vascular injury and to perform a safe surgical procedure involving the pelvis area.

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