Presentation
Delayed presentation was responsible for the only death in the series and was also associated with prolonged morbidity in the remaining five cases. [ncbi.nlm.nih.gov]
Entire Body System
- Fever
Disseminated mycobacterial infection after Bacille Calmette-Guérin (BCG) vaccination is a rare disorder, usually presenting with fever, weight loss, anemia, lymphadenopathy and hepatosplenomegaly. [ncbi.nlm.nih.gov]
The authors define an unexplained fever as a fever which lasts a minimum of 14 days and whose etiology is not known. [books.google.de]
- Malaise
Two weeks later, fever, malaise, and pneumaturia developed and urine culture grew Escherichia coli. Laparotomy revealed a large occult retroperitoneal abscess on the left side, which had been irritating the psoas muscle. [ncbi.nlm.nih.gov]
It includes : Abdominal pain or flank pain Pain in the groin, hip or referred pain to the knee in a psoas abscess Fever with chills Weakness and malaise Loss of weight Please note that any information or feedback on this website is not intended to replace [healthhype.com]
Other symptoms are nausea, malaise and weight loss. Psoas muscle abscess may be classified as primary or secondary depending on the presence or absence of underlying disease. [radiopaedia.org]
Constitutional symptoms : chills, malaise, anorexia and weight loss. Abdominal pain : Not localized due to the unusual site of the abscess. [wikidoc.org]
Specific symptoms of abdominal abscesses depend on the location of the abscess, but most people have constant discomfort or pain, feel generally sick (malaise), and often have a fever. [msdmanuals.com]
- Fatigue
A 71-year-old man presented with pain in his left side, fatigue, fever, nausea, massive subcutaneous emphysema of the neck, and Blumberg sign in the left iliac fossa. [ncbi.nlm.nih.gov]
Definite and early fatiguing. May have occasional arrests in movement. 3 = Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement. 4 = Can barely perform the task. Seite 298 - Examinations: 18. [books.google.de]
A 63-year-old man with diabetes mellitus,renal failure and neurogenic bladder was hospitalized complaing of general fatigue and a poor appetite. [webview.isho.jp]
Physical Exam General Appearance The patient is usually fatigued & looking ill due to the preexisting risk factor. [wikidoc.org]
Gastrointestinal
- Abdominal Pain
A fatal case of appendicitis in a 76-year-old man who presented with progressive abdominal pain, retroperitoneal abscesses and extensive subcutaneous emphysema, is described. [ncbi.nlm.nih.gov]
- Food Poisoning
This was one case in an epidemic of food poisoning from Salmonella Oranienburg or Salmonella Chester transmitted by many kinds of contaminated dried squid products. [ncbi.nlm.nih.gov]
Poisoning 359 50 AntibioticAssociated Diarrhea 367 51 Sexually Transmitted Enteric Infections 371 52 Acute Appendicitis 377 53 Diverticulitis 381 54 Abdominal Abscess 387 55 Splenic Abscess 391 56 Peritonitis 397 57 Whipples Disease and Sprue 403 PART [books.google.ro]
- Right Lower Quadrant Tenderness
Abstract A 77-year-old man with diabetes mellitus presented with a 2-month history of lumbago radiating to the right lower limb as well as high fever spikes. Physical examination revealed a distended abdomen with right lower quadrant tenderness. [ncbi.nlm.nih.gov]
- Right Flank Pain
We herein present a case of gouty arthritis and avascular necrosis of the femoral head in a 41-year-old woman who complained of fever, right flank pain, body weight loss, swelling over her right lower limb, and 2 weeks of pain in the right hip. [ncbi.nlm.nih.gov]
Musculoskeletal
- Thigh Pain
We report a case of thigh emphysema in an 88-year-old patient with diabetes. Prior to admission the patient reported a vague 4-week history of left thigh pain and an inability to fully weight bear. [ncbi.nlm.nih.gov]
Skin
- Night Sweats
Case 3 : A 19 year old male presented with high grade fever with rigors, night sweats, vomiting and a constant dull ache in the right lumbar region of 20 days duration. [jpma.org.pk]
- Subcutaneous Mass
The abscess dissected through the right lower lobe of the lung and the posterior chest wall to produce a subcutaneous mass. The source of the posterior chest wall mass appeared to be a perinephric abscess. [ncbi.nlm.nih.gov]
Face, Head & Neck
- Subcutaneous Emphysema of the Neck
A 71-year-old man presented with pain in his left side, fatigue, fever, nausea, massive subcutaneous emphysema of the neck, and Blumberg sign in the left iliac fossa. [ncbi.nlm.nih.gov]
Workup
The most frequently used image modality for the initial workup of patients with abdominal discomfort is supine abdominal radiography (kidneys, ureters, and bladder [KUB]). [tcmjmed.com]
(See Workup, Computed Tomography.) Sequential, multiple organ failure is the main cause of death. [emedicine.medscape.com]
X-Ray
- X-Ray Abnormal
Abscesses near the diaphragm may result in chest x-ray abnormalities such as ipsilateral pleural effusion, elevated or immobile hemidiaphragm, lower lobe infiltrates, and atelectasis. CBC and blood cultures should be done. [merckmanuals.com]
- Gastric Varices
The association of gastric varices and left-sided portal hypertension further complicated the differential diagnosis and precluded percutaneous aspiration procedures. [ncbi.nlm.nih.gov]
Microbiology
- Mycobacterium Chelonae
To report a case of retroperitoneal abscess caused by Mycobacterium chelonae and treatment. Case report. Private community teaching hospital. A patient was admitted to the hospital following a gunshot to the flank. [ncbi.nlm.nih.gov]
Retroperitoneal abscess caused by mycobacterium chelonae and treatment. Ann Pharmacother 1993;27:178-179. 13. Rhode CM, Jennings WD. Retroperitoneal retrofascial space infections. Am Surg 1964;30:799-810. 14. Nortan KI, Cohen BA, Reiner MA, et al. [thefreelibrary.com]
- Mycoplasma Hominis
We report a case of a retroperitoneal abscess due to Mycoplasma hominis in a young polytraumatized man who developed septicemia under treatment with rifampin and flucloxacillin. [ncbi.nlm.nih.gov]
Treatment
INTRODUCTION: This study examined the risk factors for initial treatment failure in renal or retroperitoneal abscess as a multicenter study. [ncbi.nlm.nih.gov]
Prognosis
This case highlights this unusual initial presentation of right colonic cancer, the diagnostic dilemma and the poor prognosis associated with it. [ncbi.nlm.nih.gov]
Renal Failure DVT Small Bowel Obstruction Arterial Thrombosis UTI Brain abscess Empyema Osteomyelitis Prognosis Depending on the extent of the abscess at the time of diagnosis, the prognosis may vary. [wikidoc.org]
Treatment and prognosis Appropriate antibiotics along with drainage of the abscess are the treatment of choice. [radiopaedia.org]
ERCP-associated perforation is a rare complication and can be challenging to diagnose and treat; prompt recognition is mandatory for favorable prognosis. Our patient was managed successfully via nonsurgical approach. 1. [hindawi.com]
Children have a favorable prognosis with prompt diagnosis and treatment. Complications Inadequate treatment associated with unfavorable outcomes. About 40% of patients require >1 drainage procedure for full recovery (5). [unboundmedicine.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Retroperitoneal abscess is a rare complication of normal labor and delivery, and no apparent etiology is evident. We report on two patient who presented with back and leg pain soon after normal deliveries. [ncbi.nlm.nih.gov]
The authors define an unexplained fever as a fever which lasts a minimum of 14 days and whose etiology is not known. [books.google.de]
Epidemiology
[…] transverse mesocolon Perirenal space Kidneys, renal vessels, adrenal glands Posterior pararenal space Contains no major organs and is filled with fat, blood vessels, and lymphatics Bounded by renal fascia and the muscles of the posterior abdominal wall Epidemiology [unboundmedicine.com]
[…] tract ) Multibacterial & anaerobes (if gastrointestinal tract (GIT) is the primary source) Staphylococcus aureus (if from distant septic focus ) Tuberculosis (if secondary to Pott’s disease ) Differentiating retroperitoneal abscess from other Diseases Epidemiology [wikidoc.org]
[…] catheterization in the newborn. [20] A case of chronic splenic abscess occurring as the initial manifestation of pancreatic tail carcinoma has been reported. [21] Splenic abscess has been reported as a rare complication of sleeve gastrectomy. [22, 23] Epidemiology [emedicine.medscape.com]
Pathophysiology
This book covers pathophysiology of fever, the general approach to the febrile patient, and offers a systematic, in-depth discussion regarding the differential diagnosis of unexplained fever. [books.google.de]
These cases show that knowledge of the anatomy of the retroperitoneal space is important to establish the suspicion of an abscess, to understand its manifestations, which are sometimes caused by a rare pathophysiology, and to initiate appropriate treatment [ncbi.nlm.nih.gov]
Leukocytosis is usually not extremely high (between 10,000 and 20,000 in most cases) Blood culture is not always positive (but carries a grave prognosis if positive).Organism depends on the source of abscess as mentioned above in pathophysiology. [wikidoc.org]
[…] renal fascia and the muscles of the posterior abdominal wall Epidemiology Incidence Most common in the 3rd to 6th decades ( 1 ) Slight male predominance ( 1 ) Prevalence Rare condition in which perirenal abscesses are more common ( 2 ) Etiology and Pathophysiology [unboundmedicine.com]
Prevention
Prompt recognition, early surgical intervention, and optimal use of antibiotics can reduce morbidity and prevent death. [ncbi.nlm.nih.gov]
Treatment of the primary disease Prevention of infection, such as perioperative antibiotic prophylaxis Prompt treatment of symptomatic infection Commonly Associated Conditions Bowel perforation Diabetes mellitus Diverticulitis Immunosuppression (HIV, [unboundmedicine.com]
The amputated calyx is carefully ligated with a 4-0 chromic catgut suture to prevent urinary fistula or urinoma formation. [urologysurgery.wordpress.com]
An early ultrasound and drainage in this case may have prevented fistulation of the retroperitoneal abscess through the abdominal wall. Occult retroperitoneal abscess presenting as septic arthritis of the hip. [medical-dictionary.thefreedictionary.com]
In many cases, if the underlying cause can be discovered, an abscess can be prevented. Related wiseGEEK Articles Discuss this Article Telsyst Post 1 This seems like one of those diseases that you just don't know how someone gets something like this. [wisegeekhealth.com]