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Phlegmon


Presentation

  • Head and neck manifestations of RD are diverse but most commonly present as massive cervical lymphadenopathy. Interestingly, a retropharyngeal fluid collection has never been described as a sequelae of RD.[ncbi.nlm.nih.gov]
Cervical Lymphadenopathy
  • Head and neck manifestations of RD are diverse but most commonly present as massive cervical lymphadenopathy. Interestingly, a retropharyngeal fluid collection has never been described as a sequelae of RD.[ncbi.nlm.nih.gov]
Fever
  • A 9-year-old boy with thigh pain, high fever, hyperleukocytosis and positive blood cultures for Staphylococcus aureus had a left obturator internus phlegmon.[ncbi.nlm.nih.gov]
  • General symptoms are: pain disruption of organ function Some location-specific symptoms may include: Intestinal tract abdominal pain fever nausea vomiting Appendix pain fever vomiting diarrhea intestinal blockage Eye pain floaters disrupted vision flu-like[healthline.com]
Swelling
  • [G. phlegmonē, inflamed swelling, fr. phlegma, flame] phlegmon (fleg mon), n 1. an intense inflammation spreading through tissue spaces over a large area and without definite limits. n 2. clinically, a hard, boardlike swelling without gross suppuration[medical-dictionary.thefreedictionary.com]
  • CT of the pelvis is the procedure of choice to show diffuse swelling of the muscle or collection of pus. Conservative treatment with adequate antibiotics is the treatment of choice.[ncbi.nlm.nih.gov]
  • Clinical photograph showing severe swelling at the left posterior area of the mandible 56. This submandibular space infection produced large, indurated swelling of submandibular space. 57.[slideshare.net]
  • As with any form of inflammation, phlegmon presents with inflammatory signs dolor (localized pain), calor (increase local tissue temperature), rubor (skin redness/hyperemia), tumor (either clear or non-clear bordered tissue swelling), functio laesa (diminish[en.wikipedia.org]
Relapsing Polychondritis
  • Anti-human cartilage antibodies were demonstrated by indirect immunofluorescence, and the diagnosis of relapsing polychondritis was established.[ncbi.nlm.nih.gov]
HELLP Syndrome
  • The case of a premature intra-uterine growth retardation (IUGR) infant, born from caesarean section to a mother with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, and admitted to NICU for low birth weight is reported.[ncbi.nlm.nih.gov]
Crying
  • Suddenly, the infant presented inconsolable crying, and then she appeared pale, hypothermic, and irritable. Eventually she showed apneic spells and hyperglycemia. A purple rash in the left submandibular area was noted.[ncbi.nlm.nih.gov]
Systolic Murmur
  • Herein we describe a case of perforated mitral valve annular abscess/phlegmon that presented as a new pan-systolic murmur in the setting of hallux osteomyelitis requiring amputation.[ncbi.nlm.nih.gov]
Recent Dental Work
  • Further investigation found her to be suffering from endocarditis and she had had recent dental work. Presentation and management is discussed, with learning points highlighted.[ncbi.nlm.nih.gov]
Thigh Pain
  • A 9-year-old boy with thigh pain, high fever, hyperleukocytosis and positive blood cultures for Staphylococcus aureus had a left obturator internus phlegmon.[ncbi.nlm.nih.gov]
Agalactia
  • The diagnosis of sepsis and submandibular phlegmon was confirmed by a positive blood culture for serotype III group B Streptococcus agalactiae.[ncbi.nlm.nih.gov]
Neurologic Manifestation
  • The progressive and inconspicuous course of the illness, its complex clinical picture, neurologic manifestation in the form of cauda equina syndrome, and multidisciplinary approach to diagnosis and treatment in this patient make this case worthy of particular[ncbi.nlm.nih.gov]
Convulsions
  • She had a mild peripheral eosinophilia and complained of pounding headaches and convulsions.[ncbi.nlm.nih.gov]

Workup

  • They’ll also order tests, which may include: blood workup urine analysis ultrasound X-ray MRI CT scan To distinguish among cellulitis, abscess, and phlegmon, your doctor may use intravenous gadolinium with MRI to show the outline of an abscess “wall”[healthline.com]
Pseudomonas
  • Abstract Pseudomonas aeruginosa orbital infections have been described very rarely in patients with neutropenia after chemotherapy.[ncbi.nlm.nih.gov]
  • Purulent abscess caused by pyogenic germs, staphylococcus, streptococcus, pseudomonas, etc. With the penetration of the tissues of E. coli, Proteus vulgaris, Streptococcus putrid putrid abscess develops.[medusanews.com]

Treatment

  • Nonsurgical treatment fails in 7.2% (CI: 4.0-10.5). The need for drainage of an abscess is 19.7% (CI: 11.0-28.3). Immediate surgery is associated with a higher morbidity compared with nonsurgical treatment (odds ratio, 3.3; CI: 1.9-5.6; P 0.001).[ncbi.nlm.nih.gov]

Prognosis

  • This study aimed to evaluate outcomes and prognosis of nonoperative management of appendiceal phlegmon or abscess with an appendicolith in children.[ncbi.nlm.nih.gov]
  • The prognosis for the early diagnosis and proper treatment early favorable. Treatment of patients with cellulitis should be in a hospital.[survinat.com]
  • […] during their life. 1 Patients spend more days in hospital for foot complications than for any other aspect of diabetes mellitus. 2 A key aspect in the management of diabetic foot infections is to assess the severity of infection, which determines the prognosis[jpma.org.pk]
  • The prognosis of an appendiceal phlegmon or abscess is good ( Markides 2010 ; Santacroce 2012 ). The overall mortality rate of appendiceal phlegmon or abscess is Cueto 2006 ; Markides 2010 ; Santacroce 2012 ).[cochranelibrary.com]
  • This, together with manure removed part of microorganisms, their toxins and products of tissue disintegration that is damaged by endogenous factors, mediators of inflammation. the earlier evacuation of pus made better prognosis, the lower the likelihood[intranet.tdmu.edu.ua]

Etiology

  • Such an understanding of the etiology of the false sonographic image may help to increase awareness and avoid misdiagnosis.[ncbi.nlm.nih.gov]
  • Etiology and pathogenesis PHLEGMON OF THE LACRIMAL SAC (PHLEGMONA SACCI LACRIMALIS) Etiology. Inflammation of the lacrimal SAC , and sometimes inflammation of the ethmoid labyrinth due to infection by pyogenic bacteria. The pathogenesis.[lecheniebolezni.com]
  • The age, sex, and presumed etiology of the pancreatitis were not significantly different in the four groups.[uthscsa.influuent.utsystem.edu]
  • The etiology is Staphylococcus aureus exotoxin, while enterotoxins act as superantigens. Most cases are identified in women using a vaginal tampon.[jccm.ro]

Epidemiology

  • Chronic wounds - epidemiology and factors influence on healing process. Wound treatment. 2014; 11: 43–50. Rojczyk-Gołębiewska E, Wilemska-Kucharzewska K, Pałasz A, et al. The role of angiogenesis in wound healing. Leczenie Ran. 2015; 12(1): 1–7.[journals.viamedica.pl]
  • […] dietetics, public health (including: health economics, medical biostatistics, medical information systems, research on the quality of health care, philosophy of medicine), environmental health, sociology, sozology, parasitology, infectious diseases, epidemiology[progress.umb.edu.pl]
  • Concerning the epidemiology, Nocardiae are ubiquitous in the environment and can be found worldwide in fresh and salt water, in a variety of soil types, dust, decaying vegetation, and decaying faecal deposits from animals [ 2 ].[bmcinfectdis.biomedcentral.com]
Sex distribution
Age distribution

Prevention

  • Partial intestinal antibiotic decontamination with ciprofloxacine did not prevent the infection. She was treated successfully with intravenous ceftazidime, netilmicin and granulocyte-colony stimulating factor (G-CSF).[ncbi.nlm.nih.gov]
  • It is also followed by antibiotics, while a tonsillectomy is necessary in the following months to prevent recurrence.[health.ccm.net]

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