Streptococcus Intermedius Lung Abscess in a 17-year-old Male

Streptococcus intermedius lung abscess and empyema is a chronic infectious process associated with a high morbidity and mortality. It is typically seen in adults, and is considered a rare disease process in the pediatric population. Our case describes a 17 year old male presenting with 3 months of cough associated with later development of chest and back pain. He was later found to have a severe empyema secondary to Streptococcus intermedius. This case underlines a rare diagnosis in the pediatric population, as well as a association with smoking and vaping.

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Pediatric neuromuscular disorders: Care considerations during the COVID-19 pandemic

Journal of Pediatric Rehabilitation Medicine ◽

10.3233/prm-200768 ◽

2020 ◽

Vol 13 (3) ◽

pp. 405-414

Author(s):

Anne Troike Stratton ◽

Richard Ogden Roberts III ◽

Oren Kupfer ◽

Terri Carry ◽

Julie Parsons ◽

...

Keyword(s):

Muscular Atrophy ◽

Pediatric Population ◽

Adult Population ◽

Neuromuscular Disorders ◽

Systemic Disease ◽

Well Being ◽

Morbidity And Mortality ◽

Morbidity Rate ◽

High Morbidity ◽

Caregiver Support

COVID-19, the respiratory and frequently systemic disease caused by the novel SARS-COV-2 virus, was first recognized in December 2019 and quickly spread to become a pandemic and world-wide public health emergency over the subsequent 3–4 months. While COVID-19 has a very low morbidity rate across approximately 80% of the population, it has a high morbidity and mortality rate in the remaining 20% of the population.1 These numbers have put a significant strain on medical systems around the world. Patients with neuromuscular diseases such as those with Duchenne muscular dystrophy (DMD) and spinal muscular atrophy (SMA), tend to be more medically fragile and have higher health care needs than the general population. Respiratory insufficiency, cardiac disease, obesity, and immunocompromised status due to chronic steroid treatments in certain patient populations with neuromuscular conditions are specific risk factors for severe COVID-19 disease. In general, the pediatric population has shown to be less severely impacted with lower infection rates and lower morbidity and mortality rates than the adult population, however, as expected, children with underlying medical conditions are at higher risk of morbidity from COVID-19 than their peers.2 Many patients with neuromuscular disease also rely heavily on caregiver support through their lifetime and thus maintaining the health of their primary caregivers is also a significant consideration in the health and well-being of the patients. This paper will address routine and emergency medical care, rehabilitation services, and other considerations for the pediatric patient with a neuromuscular condition during the COVID-19 pandemic.

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EP.TU.192Phlegmasia cerulea dolens associated with lung abscess

British Journal of Surgery ◽

10.1093/bjs/znab311.024 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Ban Ibrahim ◽

Raviprasad Kattimani

Keyword(s):

Ejection Fraction ◽

Femoral Vein ◽

District General Hospital ◽

Lung Abscess ◽

Morbidity And Mortality ◽

High Morbidity ◽

Threatening Condition ◽

Life Threatening ◽

History Of ◽

Phlegmasia Cerulea Dolens

Abstract Introduction Phelgmasia cerulea dolens (PCD) is a rare limb and life-threatening condition caused by extensive of deep veins thrombosis of the extremities and it is classically associated with extensive oedema, severe pain and skin mottling which may lead to compartment syndrome, venous gangrene, and death. Case presentation We present a rare case of phlegmasia cerulea dolens associated with lung abscess. A 40-year-old male with background history of right femoral vein thrombosis, cardiomyopathy with ejection fraction of only 10% presented with three days history of progressive swelling, pain and purple discoloration of right leg to the accident and emergency department at a district general hospital. He was treated with therapeutic low molecular weight heparin. He was found to have lung abscess 2 weeks after admission for which he was treated with broad spectrum intra venous antibiotics. In view of his poor ejection fraction, he was treated without any surgical intervention for PCD. Patient succumbed after 3 months of presentation. PCD is a rare vascular emergency condition if not recognized early and treated aggressively may lead to high morbidity and mortality. Conclusion Phlegmasia cerulea dolens is an acute limb and life-threatening condition. Early diagnosis and aggressive intervention with thrombolysis and thrombectomy is necessary to prevent morbidity and mortality.

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Aortic Dissection

10.2310/em.4751 ◽

2020 ◽

Author(s):

Christine E Lee ◽

Leily Naraghi ◽

Beatrice Hoffmann

Keyword(s):

Back Pain ◽

Aortic Dissection ◽

Key Words ◽

Intramural Hematoma ◽

Morbidity And Mortality ◽

High Morbidity ◽

Emergency Physicians ◽

Key Words Aortic Dissection ◽

Aortic Dissections ◽

Intimal Tear

Aortic dissections are associated with high morbidity and mortality and thus are important diagnoses to consider, as delaying diagnosis can have drastic consequences. Emergency physicians should consider dissection in patients with the classic presentation of tearing chest and/or back pain but should also be aware that its presentation can be varied based on the location of the dissection. This review summarizes the pathophysiology, presentation, stabilization and assessment, diagnosis, treatment, disposition, and outcomes for patients with aortic dissection. This review contains 6 figures, 2 tables, 1 video, and 78 references. Key Words: aortic dissection, ascending aortic dissection, descending aortic dissection, intimal tear, intramural hematoma

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Management of oesophageal anastomosis dehiscence after oesophagectomy for oesophageal cancer

Perspectives in Surgery ◽

10.33699/pis.2020.99.5.200-206 ◽

2020 ◽

Vol 99 (5) ◽

pp. 200-206

Keyword(s):

Oesophageal Cancer ◽

Surgical Procedure ◽

Anastomotic Dehiscence ◽

Gastric Conduit ◽

Morbidity And Mortality ◽

High Morbidity ◽

Therapeutic Algorithm

Oesophagectomy is being used in treatment of several oesophageal diseases, most commonly in treatment of oesophageal cancer. It is a major surgical procedure that may result in various complications. One of the most severe complications is anastomotic dehiscence between the gastric conduit and the oesophageal remnant. Anastomotic dehiscence after esophagectomy is directly linked to high morbidity and mortality. We propose a therapeutic algorithm of this complication based on published literature and our experience by retrospective evaluationof 164 patients who underwent oesophagectomy for oesophageal cancer. Anastomotic dehiscence was present in 29 cases.

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Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽

10.1177/27325016211005062 ◽

2021 ◽

pp. 273250162110050

Author(s):

Samuel Ruiz ◽

Rizal Lim

Keyword(s):

Pediatric Population ◽

Rare Complication ◽

Disease Process ◽

Rare Condition ◽

External Drainage ◽

Direct Extension ◽

Life Threatening ◽

History Of ◽

High Index Of Suspicion ◽

Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

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Pneumocephalus Following Self-Inflicted Penetrating Brain Injury

Case Reports in Otolaryngology ◽

10.1155/2017/7878646 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

Che-Fang Ho ◽

Yuan-Yun Tam ◽

Chia-Chen Wu

Keyword(s):

Rare Complication ◽

Bed Rest ◽

Morbidity And Mortality ◽

High Morbidity ◽

Adequate Treatment ◽

Cerebrospinal Fluid Rhinorrhea ◽

Intravenous Antibiotics ◽

Computed Tomography Scans ◽

Intravenous Hydration ◽

Prompt Diagnosis

Objective. Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method. We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pneumocephalus occurred later. He was presented at our hospital with fever and meningeal signs. Result. Computed tomography scans revealed left rhinosinusitis and air collection in the subarachnoid space. The patient received the conservative treatment of bed rest, intravenous hydration, head elevation, and broad-spectrum intravenous antibiotics. Pneumocephalus and meningitis resolved without any surgery, and he experienced no other sequela or complication. Conclusion. Pneumocephalus is a rare incidence and can lead to high morbidity and mortality. Prompt diagnosis and adequate treatment of pneumocephalus and meningitis proved beneficial for our patient who recovered without any complication or surgery.

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Peer review report 4 on “High morbidity and mortality after lower extremity injuries in Malawi”

International Journal of Surgery ◽

10.1016/j.ijsu.2017.01.097 ◽

2017 ◽

Vol 37 ◽

pp. 170

Author(s):

Sam Emmanuel

Keyword(s):

Lower Extremity ◽

Peer Review ◽

Morbidity And Mortality ◽

High Morbidity ◽

Lower Extremity Injuries ◽

Extremity Injuries

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Epidemiological profile of workers with musculoskeletal disorders of a supermarket company

Fisioterapia em Movimento ◽

10.1590/0103-5150.028.003.ao16 ◽

2015 ◽

Vol 28 (3) ◽

pp. 573-581 ◽

Cited By ~ 2

Author(s):

Marcia Benites da Silva ◽

Caren Lara Martins Picasso ◽

Miriam Pilla Rosito

Keyword(s):

Back Pain ◽

Musculoskeletal Disorders ◽

Disease Process ◽

Signs And Symptoms ◽

Daily Activities ◽

Porto Alegre ◽

Cross Sectional ◽

Common Causes ◽

Epidemiological Profile ◽

Physiotherapy Clinic

AbstractIntroduction The epidemiological profile is considered a sensitive indicator of living conditions and the disease process. The musculoskeletal disorders are the most common causes of pain and can lead to disability or restriction of daily activities. These disorders take the name of RCT/OWRD when they are associated with work activities and may be associated with risk conditions at work.Objectives To describe the epidemiological profile of supermarket workers with musculoskeletal disorders under treatment at a physiotherapy clinic in the city of Porto Alegre, Brazil.Methods This was a cross-sectional, observational study which used retrospective data collected from 360 records of patients treated from January 2010 to December 2011 in a physiotherapy clinic that provides health services for a supermarket chain.Results There was a predominance of females (73.9%), aged 30–39 years (35.1%); 63.0% reported being single and 73.4% lived in Porto Alegre. The most commonly reported occupation was cashier (31.2%). The main reasons for referral to physiotherapy treatment were low back pain (21.4%), neck pain (19.7%), pain (16.1%), subacromial bursitis (13.9%) and back pain (12.2%). Among the signs and symptoms 95.8% of the sample reported pain in chronic phase.Conclusion The prevalence of musculoskeletal pain was high in this group. The presence of pain can disable the worker for daily activities and physiotherapy becomes the therapeutic procedure of choice for their rehabilitation.

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Role of Image-Guided Percutaneous Drainage in Pancreatic Collections

Digestive Disease Interventions ◽

10.1055/s-0038-1655772 ◽

2018 ◽

Vol 02 (02) ◽

pp. 125-130

Author(s):

Katayoun Samadi ◽

Ronald Arellano

Keyword(s):

United States ◽

Acute Pancreatitis ◽

Percutaneous Drainage ◽

Hospital Admissions ◽

Disease Process ◽

The United States ◽

Morbidity And Mortality ◽

Image Guided ◽

Gastrointestinal Conditions

AbstractAcute pancreatitis is one of the major gastrointestinal conditions that lead to around 300,000 hospital admissions per year in the United States. While mild inflammation of the pancreas is often managed conservatively, progression of the disease process to necrosis significantly increases the overall morbidity and mortality and often requires surgical or other interventional techniques for management. The purpose of this review is to describe the role of percutaneous drainage for the management of complicated pancreatitis.

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