MyMedR

Epiglottic abscess is rare sequelae of acute epiglottitis. It occurs commonly in adult although acute epiglottitis commonly occur in children. The presentation includes fever with odynophagia. The diagnosis is based on high index of suspicion especially when oral examinations reveal normal findings. We report a case of adult epiglottic abscess which was treated with incision and drainage. The outline of management was discussed.

Matched MeSH terms: Abscess*

Fulltext Varicella-zoster infection with secondary bacteremia and extensive facial abscesses

Lee KG, Cheng MO

Med J Malaysia, 2012 Oct;67(5):529.

PMID: 23770874 MyJurnal

Varicella-zoster (chickenpox) infection is a common infectious disease and generally considered to be selflimiting. However, severe bacterial complications associated with the disease have been reported. We describe a case of varicella-zoster infection with secondary Staphylococcus aureus bacteremia, preseptal orbital cellulitis and extensive facial abscesses. She was aggressively treated with intravenous antibiotics and repeated surgical drainage, and eventually made good recovery.

Matched MeSH terms: Abscess*

Liver abscess in the tropics: experience in the University Hospital, Kuala Lumpur

Goh KL, Wong NW, Paramsothy M, Nojeg M, Somasundaram K

Postgrad Med J, 1987 Jul;63(741):551-4.

PMID: 3658864

We reviewed 204 cases of liver abscess seen between 1970 and 1985. Ninety were found to be amoebic, 24 pyogenic and one tuberculous. The cause of the abscesses in the remaining 89 patients was not established. The patients were predominantly male, Indians, and in the 30-60 age group. The majority of patients presented with fever and right hypochondrial pain. The most common laboratory findings were leucocytosis, hypoalbuminaemia and an elevated serum alkaline phosphatase. Amoebic abscesses were mainly solitary while pyogenic abscesses were mainly multiple. Complications were few in our patients and included rupture into the pleural and peritoneal cavities and septicaemic shock. An overall mortality of 2.9% was recorded. The difficulty in diagnosing the abscess type is highlighted. The single most important test in helping us diagnose amoebic abscess, presumably the most common type of abscess in the tropics, is the Entamoeba histolytica antibody assay. This test should be used more frequently in the tropics.

Matched MeSH terms: Liver Abscess/diagnosis*; Liver Abscess/epidemiology; Liver Abscess/therapy; Liver Abscess, Amebic/diagnosis; Liver Abscess, Amebic/epidemiology; Liver Abscess, Amebic/therapy

Ultrasound in the diagnosis of liver abscess

Sathyamoorthy P

Family Physician, 1990;2:28-31.

A retrospective analysis of 49 patients with 55 liver abscesses evaluated by diagnostic ultrasonography was made. The sonographic appearances were varied and non-specific. 96% of the abscesses were in the right lobe of the liver. Sonographic features which were frequently observed include (a) predominantly hypoechoic internal echotexture (64%) (b) distal sonic enhancement (98%) (c) well-defined margin with an abrupt transition between normal liver parenchyma and lesion (96%) and (d) absence of wall echoes (89%). A combination of these features has considerable diagnostic value. Distal sonic enhancement is of particular diagnostic importance. In equivocal cases the diagnosis can be quickly determined by percutaneous needle aspiration under ultrasound guidance.

Matched MeSH terms: Abscess; Liver Abscess

Fulltext Primary psoas abscess: case report and review of the literature

Sathyamoorthy P

Singapore Med J, 1992 Apr;33(2):201-3.

PMID: 1621132

A case of primary non-tuberculous psoas abscess is reported and the literature reviewed. The aetiology of psoas abscess is varied and there is a worldwide variation in the aetiology. Primary psoas abscess is due to Staphylococcal infection. The pathophysiology, clinical features, diagnosis and treatment are discussed with emphasis on the changing pattern in the aetiology and diagnosis.

Matched MeSH terms: Psoas Abscess/diagnosis*; Psoas Abscess/etiology

Fulltext Extension of paravertebral abscess in tuberculosis of the thoracic spine: report of two cases

Sathyamoorthy P

Med J Malaysia, 1990 Dec;45(4):329-34.

PMID: 2152055

Two cases of tuberculosis of the thoracic spine with extrapleural extension of paravertebral abscesses, presenting radiologically as cold abscesses away from the spine in the PA chest radiograph, are presented. The radiographic features and response to antitubercular drugs are discussed.

Matched MeSH terms: Abscess/microbiology; Abscess/pathology*; Abscess/radiography

Melioidosis presenting as spinal epidural abscess

Ganesan D, Puthucheary SD, Waran V

Br J Neurosurg, 2003 Dec;17(6):568-71.

PMID: 14756491

Central nervous system melioidosis is an unusual infection in humans. This article reports a case of melioidosis presenting as an acute spinal epidural abscess. A discussion of this case and its management together with a brief review of melioidosis of the central nervous system is presented.

Matched MeSH terms: Epidural Abscess/diagnosis*; Epidural Abscess/microbiology; Epidural Abscess/surgery

Multiple abscesses in the liver secondary to ascaris infection

Sivasambandan R

Malayan Medical Journal, 1928;3:101-4.

Matched MeSH terms: Abscess

Migratory Fish Bone Presented With Extensive Surgical Subcutaneous Emphysema: A Case Report

Muhammad A, Tuang GJ, Zahedi FD, Nik Hussin NR

J Emerg Med, 2021 Jul;61(1):e4-e6.

PMID: 33863569 DOI: 10.1016/j.jemermed.2021.02.022

BACKGROUND: Fishbone ingestion represents a common cause for emergency department (ED) referral. In the majority of cases, an observed fishbone can be easily retrieved in the clinic setting. An impacted fishbone in the throat, albeit uncommon, carries potential risks of life-threatening events. Unusual complications caused by a migrated fishbone, including deep neck abscess, airway obstruction, and major vessels injury, are greatly influenced by the type of ingested fishbone and time between onset and presentation.

CASE REPORT: Here we report an unusual case of surgical subcutaneous emphysema after multiple attempts of purging to remove an ingested fishbone. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Fishbone foreign body is a common presentation to the ED. A thorough history and examination for the migratory foreign body is essential, as the complications are consequential.

Matched MeSH terms: Abscess

Fulltext Citrobacter koseri bacteraemia complicated by paraspinal abscess and spondylodiscitis--a case report

Shaharuddin NR, Leong CL, Chidambaram SK, Lee C

Med J Malaysia, 2012 Jun;67(3):337-9.

PMID: 23082432

Paraspinal abscess and spondylodiscitis due to Citrobacter koseri is a very rare condition. We report a remarkable case of Citrobacter koseri bacteraemia complicated by paraspinal abscess and spondylodiscitis in a patient who has successfully been treated in our hospital. Our patient demonstrates one of the common challenges in the practice of infectious disease medicine, wherein an innocuous presentation may and often underlie a serious infection. This case report elucidates to us that the diagnosis of a paraspinal abscess and spondylodiscitis requires a high index of suspicion in at risk patient presenting with compatible signs and symptoms.

Matched MeSH terms: Abscess/complications; Abscess/microbiology*; Abscess/therapy; Psoas Abscess/complications; Psoas Abscess/microbiology; Psoas Abscess/therapy

Re: Pneumoperitoneum due to ruptured tubo-ovarian abscess

Soe MZ, Hayati F, Yeap BT, Guad RM, Thein TT

ANZ J Surg, 2021 07;91(7-8):1635-1636.

PMID: 34402171 DOI: 10.1111/ans.16979

Matched MeSH terms: Abscess/etiology

Fulltext What expert says … periodontal abscess

Norhidayah, Khamiza

Malaysian Dental Journal, 2008;29(2):154-157.

MyJurnal

Abscess of the periodontium is a localized purulent inflammation of the periodontal tissues1. It has been classified into three categories which are gingival abscess, periodontal abscess and pericoronal abscess. A periodontal abscess can be defined as a localized purulent infection affecting the tissues surrounding a periodontal pocket that can lead to the destruction of supporting structures4 including tortuous periodontal pockets, furcation involvement, and intrabony defects. The lesion may be acute or chronic abscess. A localized acute abscess may progress to a chronic abscess if the pus drains through a fistula into the outer gingival surface or into the periodontal pocket. (Copied from article).

Matched MeSH terms: Abscess; Periodontal Abscess

Fulltext Recurrent Nasal Septal Hematoma and Abscess: A Rare Manifestation of Leukemia

Hong CX, Husain S, Wan Hamizan AK, Zahedi FD

Clin Med Res, 2021 Mar;19(1):35-38.

PMID: 33582646 DOI: 10.3121/cmr.2020.1552

Nasal septal abscess and hematoma are rare clinical entities. To the best of our knowledge, there have only been 2 cases of nasal septal abscess associated with haematological malignancy reported in the literature. Herein, we present a unique case of recurrent spontaneous nasal septal hematoma and abscess in a patient prior to and after the diagnosis of acute myelogenous leukemia. Its rarity in immunocompromised population, clinical presentation, treatment and complications are further discussed.

Matched MeSH terms: Abscess/etiology

Fulltext Klebsiella pneumoniae-induced liver and prostate abscesses

Chang CY

Rev Soc Bras Med Trop, 2023;56:e02622023.

PMID: 37493754 DOI: 10.1590/0037-8682-0262-2023

Matched MeSH terms: Abscess*

Fulltext Endoscopic transmaxillary drainage of an infratemporal fossa abscess

Sundaram SS, Rajan P, Balasubramanian A

BMJ Case Rep, 2014;2014.

PMID: 24980993 DOI: 10.1136/bcr-2013-200637

Infratemporal fossa abscess is a rare and challenging condition to diagnose and manage. A few reported cases have been mostly due to odontogenic infections and were managed by external or intraoral drainage. This is the first reported case of an infratemporal fossa abscess that was successfully managed by endoscopic drainage via a transmaxillary approach.

Matched MeSH terms: Abscess/radiography; Abscess/surgery*

Fulltext Parapharyngeal and retropharyngeal abscess: anatomical complexity and etiology

Brito-Mutunayagam S, Chew YK, Sivakumar K, Prepageran N

Med J Malaysia, 2007 Dec;62(5):413-5.

PMID: 18705479 MyJurnal

The differential diagnoses of an abscess deep in the neck are retropharyngeal abscess and parapharyngeal abscess. We report a case each of these deep neck space abscesses to highlight their difference with emphasis on its anatomy and possible etiologies.

Matched MeSH terms: Retropharyngeal Abscess/diagnosis*; Retropharyngeal Abscess/etiology

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