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]
Repeat surgical resection or abscess drainage was not required subsequently. 3 of 5 patients presenting with perforation and phlegmon at presentation were treated surgically, 2 of 5 patients with enteroenteric fistula and phlegmon at presentation were [ecco-ibd.eu]
In this case, we present a patient presenting with an appendicular phlegmon in which a conservative management with percutaneous drainage and delayed surgery were decided upon. Related specialties [websurg.com]
Entire Body System
- 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
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]
[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]
After 24 hours, we noticed a large swelling behind her jaw and in front of her ear. We suspected the swelling was related to a bug bite. After 12 hours, the swelling became very large, hot and painful for her. We took her to the Children's Hospital. [wisegeek.com]
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]
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
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]
Rosai Dorfman disease (RD), also known as sinus histiocytosis with massive lymphadenopathy (SHML), is a benign histiocytic proliferative condition of unsubstantiated etiology that most often presents as bilateral painless cervical lymphadenopathy. [ncbi.nlm.nih.gov]
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
[…] 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]
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]
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]
Prevention
It is also followed by antibiotics, while a tonsillectomy is necessary in the following months to prevent recurrence. [health.ccm.net]
Treatment usually requires surgery to prevent the spread of infection. [health-factbook.com]
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]