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31.
前列腺脓肿2例报告及近10年国内文献复习 总被引:2,自引:0,他引:2
目的:结合2例前列腺脓肿病例及文献复习,评估我国前列腺脓肿的新特点。方法:报告2例前列腺脓肿病例,以前列腺脓肿作为关键词或篇名检索中国期刊全文数据库及万方数据数字化期刊全文数据库1997~2006年的资料,进行荟萃分析。结果:2病例既往均无糖尿病史但均有血糖升高,1例发病前曾行下尿路器械检查。2例均表现为显著排便困难,会阴疼痛伴有高热,外周血白细胞均不高,尿常规检查无感染表现。病例1通过MRI确诊,脓肿破溃至尿道经用抗生素痊愈;病例2通过经直肠B超及CT确诊,经直肠B超穿刺引流后治愈。荟萃分析结果表明,糖尿病、留置尿管或尿道器械操作是前列腺脓肿的主要致病因素,致病菌主要是金黄色葡萄球菌和大肠埃希菌,临床表现主要是膀胱刺激症状、排尿困难及会阴疼痛,多数患者经B超确诊,需行穿刺引流或开放手术引流。结论:现阶段前列腺脓肿表现不典型、可疑病例应及时行经直肠B超或CT检查确诊,B超引导下脓肿穿刺引流简便有效。 相似文献
32.
R. Magdeburg R. Grobholz G. Dornschneider S. Post D. Bussen 《Techniques in coloproctology》2007,11(4):372-374
Most cases of anal abscess are caused by anal fistula and invasion of the surrounding tissues by a mixed colonic flora. Treatment
consists of excision of the abscess and, in case of fistula, fistulectomy. Primary anorectal and perianal forms of actinomycosis
are very rare and caused by actinomyces, as ubiquitous anaerobics bacterium. We report a case of perianal actinomycosis. The
patient had a short history of painless perineal induration without fever and leukocytosis with normal results at routine
blood examination. After excision, sulfur granules drained from the cavity and pathological investigations indicated perianal
actinomycosis. Appropriate surgery and antibiotic treatment healed the perianal infection. After exclusion of possible diagnoses
such as Crohn’s disease, tuberculosis and malignant growths, the rare case of perianal actinomycosis should be considered
in the differential diagnosis of painless perianal masses. 相似文献
33.
34.
目的探讨经皮穿刺肝脓肿引流术的临床应用。方法对13例肝脓肿行经皮穿刺引流术,13例均放置引流管持续引流。结果13例手术均获得成功,成功率100%(13/13)。随访15~45天,症状明显好转,病灶缩小或消失。无一例发生并发症。结论经皮穿刺肝脓肿引流术,可缩短病程,手术成功率高,并发症少,值得推广应用。 相似文献
35.
本文对44例牙源性脓肿(尖周脓肿24例,牙周脓肿12例,冠周脓肿8例)脓液标本中的产黑色素类杆菌群菌株进行分离、培养、鉴定。其中38例存在产黑菌群,以中间型类杆菌阳性率最高。牙龈类杆菌在牙周脓肿中检出率最高。24例尖周脓肿可分离出6株牙髓类杆菌而其它两种牙源性脓肿则无牙髓类杆菌,推测该菌与牙髓尖周感染的病理过程有关。 相似文献
36.
37.
Epidural abscess is a well-recognised but rare complication of epidural catheter placement. We have found only five previous reports of epidural abscess from noncatheter-related administration of steroids and/or local anaesthetic. We describe a further case which led to critical illness and emphasise the association between diabetes mellitus and epidural infection. 相似文献
38.
Masakazu Yamagata Kimiko Kumano Masato Ueda 《Journal of the European Academy of Dermatology and Venereology》1997,9(3):256-258
Pyoderma gangrenosum is a rare, chronic, inflammatory ulcerative skin disease of unknown etiology and pathogenesis. It is often associated with systemic disease. We describe a patient with pyoderma gangrenosum associated with ulcerative colitis and aseptic abscesses of the subcutis and spleen, which have been rarely reported previously. These manifestations were cleared by combined therapy with minocycline hydrochloride and diaphenylsulfone. 相似文献
39.
C. A. Gogos J. K. Starakis H. P. Bassaris A. T. Skoutelis 《Clinical microbiology and infection》2003,9(6):540-542
Abscess formation at the injection site is an unusual infectious complication of interferon- α (IFN- α ) treatment of chronic hepatitis C virus (HCV) infection, but remote abscess formation during IFN- α therapy is very rare. In the present communication, we report three cases of remote abscess formation detected among 68 patients with chronic viral hepatitis treated with IFN- α , and review the pertinent English literature. We believe that, as fever and constitutional symptoms are common side effects of IFN- α treatment, a high index of suspicion is indicated to exclude abscess formation in cases of unexplained fever during IFN- α therapy. 相似文献
40.
A. J. Varghese V. N. Chaturvedi 《Indian journal of otolaryngology and head and neck surgery》2007,59(3):233-236
Objective To find out the usability and advantage with regard to the advent of new and more costly antibiotics. In the treatment of
Peritonsillar abscess the demonstration of, both aerobic and anaerobic organisms has raised the question of possible need
to treat with antibiotics effective against anaerobes.
It was in this very context that this study was planned to find out if we still have an economically and easily available
antibiotic to treat Peritonsillar abscess.
Conclusions Injectable penicillin is the drug of choice in PTA as GABHS and staphylococcus aureus coagulase positive are the most common
organism associated with this condition. Even where penicillin resistant organism is present, effective management of the
abscess is possible if it is drained well and weak hydrogen peroxide gargles are used along with injectable penicillin. 相似文献