1
|
Yang R, Hu Y, Liu S, Wang H. Subcutaneous and paravertebral abscess following massage and acupuncture with cupping: A case report and literature review. Asian J Surg 2024; 47:2632-2634. [PMID: 37689514 DOI: 10.1016/j.asjsur.2023.08.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 08/30/2023] [Indexed: 09/11/2023] Open
Affiliation(s)
- Rui Yang
- Department of Orthopedics, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, No.826, Southwestern Road, Shahekou District, Dalian City, Liaoning Province, 116021, China; School of Graduates, Dalian Medical University, No.9, West Section of South Lvshun Road, Dalian City, Liaoning Province, 116044, China
| | - Yunxiang Hu
- Department of Orthopedics, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, No.826, Southwestern Road, Shahekou District, Dalian City, Liaoning Province, 116021, China; School of Graduates, Dalian Medical University, No.9, West Section of South Lvshun Road, Dalian City, Liaoning Province, 116044, China
| | - Sanmao Liu
- Department of Orthopedics, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, No.826, Southwestern Road, Shahekou District, Dalian City, Liaoning Province, 116021, China; School of Graduates, Dalian Medical University, No.9, West Section of South Lvshun Road, Dalian City, Liaoning Province, 116044, China
| | - Hong Wang
- Department of Orthopedics, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, No.826, Southwestern Road, Shahekou District, Dalian City, Liaoning Province, 116021, China; School of Graduates, Dalian Medical University, No.9, West Section of South Lvshun Road, Dalian City, Liaoning Province, 116044, China.
| |
Collapse
|
2
|
Saar M, Vaikjärv R, Parm Ü, Kasenõmm P, Kõljalg S, Sepp E, Jaagura M, Salumets A, Štšepetova J, Mändar R. Unveiling the etiology of peritonsillar abscess using next generation sequencing. Ann Clin Microbiol Antimicrob 2023; 22:98. [PMID: 37940951 PMCID: PMC10633907 DOI: 10.1186/s12941-023-00649-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 10/29/2023] [Indexed: 11/10/2023] Open
Abstract
BACKGROUND Peritonsillar abscess (PTA) is a severe deep neck space infection with an insufficiently characterized bacterial etiology. We aimed to reveal the bacteria associated with PTA applying next generation sequencing (NGS). Tonsil biopsies and pus samples of 91 PTA patients were analysed applying NGS method. RESULTS Over 400 genera and 800 species belonging to 34 phyla were revealed. The most abundant species in both sample types were Streptococcus pyogenes, Fusobacterium necrophorum and Fusobacterium nucleatum. When present, S. pyogenes was normally a predominant species, although it was recovered as a minor population in some samples dominated by F. nucleatum and occasionally F. necrophorum. S. pyogenes and F. necrophorum were the predominant species (> 10% in a community) in 28 (31%) pus samples, while F. nucleatum in 21 (23%) and S. anginosus in 8 (9%) pus samples. We observed no substantial differences between the microbial findings in pus and tonsil biopsies. CONCLUSIONS The most probable causative agents of PTA according to our NGS-study include Streptococcus pyogenes, Fusobacterium necrophorum and Fusobacterium nucleatum. Some other streptococci (S. anginosus) and anaerobes (Prevotella, Porphyromonas) may contribute to the infection as well. Pus of the peritonsillar abscess is more representative specimen for microbiological examination than the tonsillar tissue. Our results are important in the context of optimizing the handling of the PTA patients.
Collapse
Affiliation(s)
- Merili Saar
- Department of Microbiology, Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, Ravila 19, Tartu, 50411, Estonia
- Competence Center on Health Technologies, Tartu, Estonia
| | | | - Ülle Parm
- Department of Microbiology, Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, Ravila 19, Tartu, 50411, Estonia
- Tartu Health Care Colleges, Tartu, Estonia
| | - Priit Kasenõmm
- Ear Clinic, Tartu University Hospital, Tartu, Estonia
- Department of Oto-Rhino-Laryngology, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
| | - Siiri Kõljalg
- Department of Microbiology, Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, Ravila 19, Tartu, 50411, Estonia
- Competence Center on Health Technologies, Tartu, Estonia
- Laboratory of Clinical Microbiology, United Laboratories, Tartu University Hospital, Tartu, Estonia
| | - Epp Sepp
- Department of Microbiology, Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, Ravila 19, Tartu, 50411, Estonia
- Competence Center on Health Technologies, Tartu, Estonia
| | - Madis Jaagura
- Institute of Genomics, University of Tartu, Tartu, Estonia
| | - Andres Salumets
- Competence Center on Health Technologies, Tartu, Estonia
- Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
- Department of Obstetrics and Gynaecology, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia
| | - Jelena Štšepetova
- Department of Microbiology, Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, Ravila 19, Tartu, 50411, Estonia
- Competence Center on Health Technologies, Tartu, Estonia
| | - Reet Mändar
- Department of Microbiology, Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, Ravila 19, Tartu, 50411, Estonia.
- Competence Center on Health Technologies, Tartu, Estonia.
| |
Collapse
|
3
|
Naruo E, Hayama M, Sano T, Yamamoto Y, Masumura C. Buccal Abscess Caused by Toothbrush Trauma: A Case Report of a Two-Year-Old. Cureus 2023; 15:e41055. [PMID: 37519531 PMCID: PMC10374434 DOI: 10.7759/cureus.41055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/27/2023] [Indexed: 08/01/2023] Open
Abstract
Children often experience impalement trauma when they fall while holding objects in their mouths. While most cases heal without complications, here we report a case of buccal abscess formation after toothbrush trauma. A two-year-old boy fell while running with a toothbrush in his mouth, which punctured his right buccal mucosa. The following day, he presented to a pediatrician with a fever and buccal swelling and was treated with oral antibiotics. However, the buccal swelling did not improve, and the patient was referred to our department. Four days after the visit, the buccal swelling and fever worsened, requiring hospitalization, intravenous antibiotics, and drainage. The inflammation quickly disappeared following treatment, with no recurrence. Prophylactic antibiotic administration for oral impalement trauma is controversial. Our results suggest that prophylactic antibiotics covering both anaerobic and aerobic bacteria are necessary in cases of toothbrush-related oral trauma, where multiple bacterial infections may occur.
Collapse
Affiliation(s)
- Eiji Naruo
- Otolaryngology, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, JPN
| | - Masaki Hayama
- Otolaryngology, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, JPN
| | - Tsutomu Sano
- Otolaryngology, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, JPN
| | - Yuka Yamamoto
- Otolaryngology, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, JPN
| | - Chisako Masumura
- Otolaryngology, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, JPN
| |
Collapse
|
4
|
Muacevic A, Adler JR, Rometti M, Wei G, Morrison D, Geria R, Mccoy JV. Impact of Bedside Ultrasound on Emergency Department Length of Stay and Admission in Patients With a Suspected Peritonsillar Abscess. Cureus 2022; 14:e32207. [PMID: 36620852 PMCID: PMC9812542 DOI: 10.7759/cureus.32207] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2022] [Indexed: 12/12/2022] Open
Abstract
Introduction Patients presenting to the Emergency Department (ED) with a suspected peritonsillar abscess (PTA) often pose a diagnostic dilemma, as clinical impression is often unreliable and traditional diagnostic methods have multiple downsides. Bedside ultrasonography has been cited as a modality to improve the diagnosis and management of PTA. We aimed to determine the impact bedside ultrasound (US) could have in suspected PTA on ED length of stay (LOS) and hospital admission rates. Methods We performed a retrospective chart review on patients who presented to the ED with suspected ''peritonsillar abscess''. Results From a sample of 58 charts, seven had documented bedside US performed. The average ED length of stay for these seven cases was 160 minutes (range: 52 to 270 minutes). The ED length of stay for all other cases utilizing other diagnostic methods during the same time period was 293 minutes (range: 34 to 780 minutes). None of the patients who were diagnosed with US were admitted to the hospital, whereas 36.4% of patients where US was not used were admitted. Conclusion The use of bedside US in seven cases of suspected PTA had reduced LOS in the ED and none required hospital admission.
Collapse
|