Fourth branchial cleft anomalies are rare head and neck congenital lesions seen in children. They present as a neck inflammatory mass and arise essentially on the left side of the neck. We report the case of a 7-month-old female with a mass of the neck associated with respiratory distress. The mass was diagnosed as an incomplete fourth branchial cleft fistula. Surgical revision of the neck abscess from an external approach and plasma coblation of the orifice in the pyriform fossa by an endoscopic approach were performed.
- MeSH
- absces chirurgie MeSH
- branchiální krajina * abnormality chirurgie MeSH
- kojenec MeSH
- kraniofaciální abnormality chirurgie MeSH
- krk abnormality chirurgie patologie MeSH
- lékařské ilustrace MeSH
- lidé MeSH
- nemoci faryngu MeSH
- píštěle chirurgie MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- přehledy MeSH
Autori v článku prezentujú kazuistiku 6-ročného chlapca s nefrogénnym diabetes insipidus a retrofaryngovým abscesom. Perioperačné obdobie bolo komplikované neadekvátnym perorálnym príjmom a poruchou minerálovej a tekutinovej rovnováhy. Nephrogenic diabetes insipidus is a rare disorder characterized by impaired concentration ability of the kidneys. For these patients, not only the adequate fluid intake is crucial, but also their composition itself. The adequate hydration is especially important in situations with limited oral intake, such as in the case of an operation and preoperative period. In this article, the authors present a case report of a 6-year-old boy with nephrogenic diabetes insipidus and retropharyngeal abscess. The perioperative period was complicated by inadequate oral intake and a disorder of mineral and water balance.
Neprohrogenic diabetes insipidus is a rate disorder characterized by impaired concentration ablility of the kidneys. For these patients, not only the adequate fluid intake is crucial, but also their composition itself. The adequate hydration is especially important in situations with limited oral intake, such as in the case of an operation and preoperative period. In this article, the authors present a case report of a 6-year-old boy with nephrogenic diabetes insipidus and retropharyngeal abscess. The perioperative period was complicated by inadequate oral intake and a disorder of mineral and water balance.
- MeSH
- dítě MeSH
- lidé MeSH
- nefrogenní diabetes insipidus * MeSH
- perioperační období MeSH
- retrofaryngeální absces chirurgie MeSH
- tekutinová terapie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- diferenciální diagnóza MeSH
- lidé MeSH
- plicní absces * diagnostické zobrazování klasifikace patologie terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Parapharyngeal abscess in an infant is a very rare condition. We present the case of a 4-month-old girl with large masses on the neck's left side. Computed tomography showed an extensive parapharyngeal abscess. Left tonsillectomy was performed under general anesthesia from a transoral approach, followed by an incision and evacuation of the abscess from the parapharyngeal space. Microbiological analysis identified a massive occurrence of Streptococcus intermedius.
- MeSH
- absces * mikrobiologie chirurgie MeSH
- kojenec MeSH
- lidé MeSH
- nemoci faryngu mikrobiologie chirurgie MeSH
- počítačová rentgenová tomografie MeSH
- spatium parapharyngeum * chirurgie diagnostické zobrazování mikrobiologie MeSH
- Streptococcus intermedius izolace a purifikace MeSH
- streptokokové infekce * mikrobiologie chirurgie MeSH
- tonzilektomie MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Klíčová slova
- parafaryngeální absces,
- MeSH
- absces diagnostické zobrazování diagnóza etiologie klasifikace MeSH
- dítě MeSH
- edém * diagnóza etiologie klasifikace MeSH
- faryngitida diagnóza etiologie klasifikace MeSH
- krk * diagnostické zobrazování patologie MeSH
- lidé MeSH
- retrofaryngeální absces diagnostické zobrazování diagnóza etiologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) caused imminent acute infection of respiratory tract known as Coronavirus disease 2019 (COVID-19). Complications of hepatobiliary system especially liver often found in post-acute COVID-19 patients. However, there are only few studies specifically discussing about liver abscess in patients who had history of contracted COVID-19. We present a case of a 54-years-old gentleman with no previous medical illness and no history of vaccination, who was presented with ruptured liver abscess post COVID-19 infection Category 4 (symptomatic with lung infection and the need of oxygen supplementation). Percutaneous drainage was performed to drain the abscess and collections.
OBJECTIVES: This study of 331 primary brain abscess (PBA) patients aimed to understand infecting agents, predisposing factors, and outcomes, with a focus on factors affecting mortality. METHODS: Data were collected from 39 centers across 16 countries between January 2010 and December 2022, and clinical, radiological, and microbiological findings, along with their impact on mortality, were analyzed. RESULTS: The patients had a mean ± SD age of 46.8 ± 16.3 years, with a male predominance of 71.6%. Common symptoms included headache (77.9%), fever (54.4%), and focal neurological deficits (53.5%). Gram-positive cocci were the predominant pathogens, with Viridans group streptococci identified as the most frequently isolated organisms. All patients received antimicrobial therapy and 71.6% underwent interventional therapies. The 42-day and 180-day survival rates were 91.9% and 86.1%, respectively. Significant predictors of 42-day mortality included intravenous drug addiction (HR: 6.02, 95% CI: 1.38-26.26), malignancy (HR: 3.61, 95% CI: 1.23-10.58), confusion (HR: 2.65, 95% CI: 1.19-5.88), and unidentified bacteria (HR: 4.68, 95% CI: 1.76-12.43). Significant predictors of 180-day mortality included malignancy (HR: 2.70, 95% CI: 1.07-6.81), confusion (HR: 2.14, 95% CI: 1.11-4.15), temporal lobe involvement (HR: 2.10, 95% CI: 1.08-4.08), and unidentified bacteria (HR: 3.02, 95% CI: 1.49-6.15). CONCLUSION: The risk of death in PBA extends beyond the infection phase, with different factors influencing the 42-day and 180-day mortality rates. Intravenous drug addiction was associated with early mortality, while temporal lobe involvement was associated with late mortality.
- MeSH
- absces mozku * mikrobiologie mortalita MeSH
- antibakteriální látky terapeutické užití MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- míra přežití MeSH
- retrospektivní studie MeSH
- rizikové faktory MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Klíčová slova
- abdominální katastrofa,
- MeSH
- akutní bolest břicha * diagnóza etiologie komplikace MeSH
- břišní absces chirurgie etiologie farmakoterapie MeSH
- břišní dutina * chirurgie patologie MeSH
- cholecystitida chirurgie diagnóza farmakoterapie MeSH
- lidé MeSH
- mezenteriální ischemie chirurgie diagnóza komplikace MeSH
- nádory břicha chirurgie diagnóza MeSH
- nitrobřišní hypertenze etiologie farmakoterapie komplikace terapie MeSH
- pankreatitida diagnóza farmakoterapie patofyziologie MeSH
- perforace střeva chirurgie komplikace mortalita MeSH
- prasklé aneurysma chirurgie diagnóza MeSH
- pseudomembranózní enterokolitida etiologie komplikace mortalita MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
- MeSH
- absces mozku * etiologie MeSH
- lidé MeSH
- mikrobiota * MeSH
- orální hygiena metody MeSH
- ústa * mikrobiologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- souhrny MeSH
