MyMedR

Editorial Comment from Dr Goh to Usefulness of sonourethrography for penile abscess as a result of xanthogranulomatous granuloma in the corpus cavernosum of an adult: A case report

Goh EH

Int J Urol, 2015 Aug;22(8):792-3.

PMID: 26010227 DOI: 10.1111/iju.12825

Matched MeSH terms: Abscess/radiography*; Abscess/surgery*

Fulltext Gas-containing liver abscesses: assessment by ultrasound (US) and computed tomography (CT)

Samad SA, Zulfiqar MA, Maimunah A

Med J Malaysia, 1993 Mar;48(1):33-9.

PMID: 8341170

Single gas-containing pyogenic liver abscesses in 11 patients were studied by ultrasound and computed tomography (CT). On ultrasound, all abscesses were predominantly echogenic compared to the normal liver parenchyma. The gas collections appeared as hyperreflective areas arranged in clusters associated with acoustic shadowing and ring-down artifacts. Ten abscesses (90%) had ill-defined margins on ultrasound, causing underestimation of their sizes in these patients. All abscesses were shown to be multiloculated and had clearly defined borders on CT, not appreciated or mistaken for multiplicity of abscesses on ultrasound. Ultrasound may be inadequate in the evaluation of gas-containing liver abscesses, as they have complex echotexture in addition to ring-down artifacts, acoustic shadows and poorly-defined margins; leading to underestimation of abscess size, difficulty in identifying loculations and erroneous interpretation of multiplicity of abscess cavities.

Matched MeSH terms: Liver Abscess/radiography*; Liver Abscess/ultrasonography*

Tuberculous liver abscess

Goh KL, Pathmanathan R, Chang KW, Wong NW

J Trop Med Hyg, 1987 Oct;90(5):255-7.

PMID: 3669128

Tuberculous liver abscess is uncommonly seen in our experience. We report a case of a 17-year-old boy who presented with typical clinical features of liver abscess, where a diagnosis of tuberculous liver abscess was made on laparotomy and biopsy of the abscess wall.

Matched MeSH terms: Liver Abscess/diagnosis*; Liver Abscess/pathology

The diagnosis and current treatment of liver abscess

Vijendran M

Med J Malaysia, 1977 Dec;32(2):133-8.

PMID: 614479

Matched MeSH terms: Liver Abscess/diagnosis*; Liver Abscess/therapy

Liver abscess due to Fusobacterium species detected on ultrasonography: a case report

Subramaniyam V, Saito A, Tokushige K

J Med Ultrason (2001), 2018 Oct;45(4):623-627.

PMID: 29616359 DOI: 10.1007/s10396-018-0875-0

An oral infection harboring Fusobacterium species can gain entrance to the liver via hematogenous spread in the form of septic embolus, and can thereby cause abscesses. Such spread, described as Lemierre syndrome, is life threatening. We present such a case history of a man in his mid-40s, who presented with infection and Fusobacterium liver abscess with an acute fulminant disease course. The initial diagnosis was arrived at by ultrasound imaging and blood investigations. He was treated with antibiotics, ultrasound-guided liver abscess drainage, and extraction of the infected molar tooth. He was discharged 6 weeks after admission. To date, there have been no reports describing the ultrasound images of a Fusobacterium liver abscess in detail. Hence, we herein present the ultrasound images of a Fusobacterium liver abscess.

Matched MeSH terms: Liver Abscess/etiology*; Liver Abscess/therapy

Fulltext Burkholderia Pseudomallei As The Predominant Cause Of Splenic Abscess In Kapit, Sarawak, Malaysian Borneo

Chang CY

J Ayub Med Coll Abbottabad, 2023;35(2):348-350.

PMID: 37422837 DOI: 10.55519/JAMC-02-11390

BACKGROUND: Splenic abscess is an uncommon condition, with autopsy studies estimating an incidence rate of 0.14-0.70%. Causative organisms can be extremely diverse. Burkholderia pseudomallei is the most common cause of splenic abscess in melioidosis-endemic areas.

METHODS: We reviewed 39 cases of splenic abscesses in a district hospital in Kapit, Sarawak, from January 2017 to December 2018. The demographics, clinical characteristics, underlying diseases, causative organisms, therapeutic methods, and mortality rates were investigated.

RESULTS: There were 21 males and 18 females (mean age, 33.7±2.7 years). Almost all patients (97.4%) had a history of pyrexia. Diabetes mellitus was present in 8 patients (20.5%). Splenic abscesses were diagnosed using ultrasonography and were multiple in all 39 cases. Positive blood cultures were obtained in 20 patients (51.3%), and all yielded B. pseudomallei. Melioidosis serology was positive in 9 of 19 patients (47.4%) with negative blood cultures. All patients were treated for melioidosis with antibiotics without the need for surgical intervention. All splenic abscesses resolved after anti-melioidosis treatment was completed. One patient died (2.6%) as a result of B. pseudomallei septicaemia with multiorgan failure.

CONCLUSIONS: Ultrasonography is a valuable tool for diagnosing splenic abscesses in resource-limited settings. B. pseudomallei was the most common etiological agent of splenic abscesses in our study.

Matched MeSH terms: Abscess/complications; Abscess/therapy

Fulltext A Fatal Case Of Persistent Burkholderia Pseudomallei Bacteraemia With Severe Pneumonia And Splenic Abscess

Chang CY, Lee HL

J Ayub Med Coll Abbottabad, 2023;35(2):331-333.

PMID: 37422833 DOI: 10.55519/JAMC-02-11131

Burkholderia pseudomallei is a Gram-negative bacterium that causes melioidosis. Melioidosis is a potentially fatal disease that is endemic in Southeast Asia and Northern Australia and is being increasingly recognized in other regions worldwide. Melioidosis can affect any organ system and present with a wide range of clinical manifestations including pneumonia, bone, skin/soft tissue, or central nervous system infections. In this report, we describe a diabetic farmer who succumbed to persistent B. pseudomallei bacteraemia with multiorgan involvement despite treatment with meropenem and ceftazidime.

Matched MeSH terms: Abscess/complications; Abscess/microbiology

Fulltext Amebic Liver abscess Complicated by Inferior Vena Cava Thrombosis: A Case Report

Ray S, Khanra D, Saha M, Talukdar A

Med J Malaysia, 2012 Oct;67(5):524-5.

PMID: 23770872

Amebic liver abscess is the most common extraintestinal manifestation of infection with Entamoeba histolytica. It is a common disease, especially in endemic areas, but it is a rare cause of inferior vena cava (IVC) obstruction, with only a few cases appearing in the literature. The authors describe a case of amebic liver abscess in a patient who developed a rare vascular complication of inferior vena cava thrombosis. The case responded to conservative treatment and radiological intervention.

Matched MeSH terms: Liver Abscess, Amebic*

Liver abscess caused by tuberculosis and melioidosis

Azali HY, Norly S, Wong LM, Tan KS, Safian NM

Asian J Surg, 2007 Apr;30(2):138-40.

PMID: 17475585

We report an unusual co-existence of Burkholderia pseudomallei and acid fast bacilli in a young Malay gentleman with liver abscess. He was treated with antibiotics and surgical drainage. This phenomenon has not been reported in previous literature and the dilemma of its management is discussed.

Matched MeSH terms: Liver Abscess/microbiology*

Fulltext Scrotal abscess: an unusual complication of perforated appendix

Shahrudin MD

Med J Malaysia, 1994 Jun;49(2):172-3.

PMID: 8090098

Acute scrotal pain and swelling in children is commonly attributed to torsion of the testis or of the testicular appendage. However, following suppurative appendicitis, scrotal abscess secondary to a patent processus vaginalis must be considered.

Matched MeSH terms: Abscess/etiology*

Fulltext Mediastinal abscess and pericarditis complicating retropharyngeal abscess--a case report

Elango S, Edward R, Purohit GN

Med J Malaysia, 1989 Dec;44(4):348-50.

PMID: 2520047

A case of retropharyngeal abscess complicated is reported and its management is outlined. Key words: Retropharyngeal abscess,Complication, Pericardities, Mediastinal abscess

Matched MeSH terms: Abscess/complications*

Fulltext Ultrasound in the diagnosis of splenic abscess. Case report

Sivalingam S

Med J Malaysia, 1988 Dec;43(4):338-9.

PMID: 3071730

Matched MeSH terms: Abscess/diagnosis*

Fulltext Ultrasonographic findings of liver abscess

Sakijan AS

Med J Malaysia, 1988 Dec;43(4):332-7.

PMID: 3071729

Matched MeSH terms: Liver Abscess/diagnosis*

Fulltext Clinical parameters of periodontal abscess: a case series of 14 abscesses

Chan, Y.K., Tien, W.S.

Malaysian Dental Journal, 2010;31(1):6-7.

MyJurnal

The prevalence of periodontal abscesses in emergency dental clinics was found to be between 8%-14%. The purpose of this study was to study the clinical features of periodontal abscesses seen in a specialist periodontal unit. There were 14 patients with equal distribution of gender. The mean age was 39.6 years. Twelve upper teeth (86%) were found to be involved as compared to two lower teeth (14%). There were more posterior teeth involved, a total of nine teeth (64%) as compared to five anterior teeth (36%). The mean pocket depth associated with the abscesses was found to be 7.4mm. There were ten buccal sites (71%) as compared to four palatal sites (29%). Average temperature of patients was 36.9° C. Only one patient was found to have cervical lympadenopathy (7%). The teeth involved were found to be mostly mobile with mobility of grade I to III (71%).

Matched MeSH terms: Abscess; Periodontal Abscess

Another periauricular abscess from Sarawak, probably caused by a trematode of the genus Poikilorchis, Fain and Vandepitte

Wong Soon Kai, Lie Kian Joe

Med J Malaya, 1965 Mar;19(3):229-30.

PMID: 4220517

Matched MeSH terms: Abscess/etiology*

The modern treatment of Bartholin cyst and abscess

Ng KH

Med J Malaya, 1970 Dec;25(2):120-2.

PMID: 4251132

Matched MeSH terms: Abscess/surgery

Fulltext Branchial-Cleft Sinus Manifesting as Recurrent Neck Abscess

Lau CY, Wong HT

N Engl J Med, 2018 Feb 08;378(6):e9.

PMID: 29414266 DOI: 10.1056/NEJMicm1710539

Matched MeSH terms: Abscess/etiology

Fulltext Atrial flutter and pericarditis--a rare complication of right lobe amoebic liver abscess

Murali A, Balu K, Paari V, Rajendiran G

Med J Malaysia, 2011 Dec;66(5):499-500.

PMID: 22390111

A 38 year old gentleman presented with fever and right hypochondrial pain. On further evaluation he was detected to have an amoebic liver abscess (ALA) in the right lobe of the liver. The abscess yielded anchovy sauce pus on percutaneous drainage. Following the percutaneous drainage the patient developed tachycardia. Electrocardiogram revealed atrial flutter with rapid ventricular rate and ST elevation in all leads suggestive of pericarditis. The atrial flutter was reverted to sinus rhythm by cardioversion. The patient then had an uncomplicated convalescence. Amoebic pericarditis, though rare, is a serious complication of amoebic liver abscess. Pericardial complications are usually seen with left lobe liver abscess due to its proximity. Both pericarditis and cardiac arrhythmias due to amoebic liver abscess especially from right lobe are very rare.

Matched MeSH terms: Liver Abscess, Amebic/complications*; Liver Abscess, Amebic/diagnosis; Liver Abscess, Amebic/therapy

Fulltext Congenital cholesteatoma presenting with Luc's abscess

Santhi K, Tang IP, Nordin A, Prepageran N

J Surg Case Rep, 2012 Dec 11;2012(12).

PMID: 24968423 DOI: 10.1093/jscr/rjs026

Congenital cholesteatoma (CC) rarely presents with Luc's abscess. As a result of widespread usage of antimicrobial agents, Luc's abscess is hardly encountered in current clinical practice. Herein, we report a case of Luc's abscess as the first presenting symptom in a 5-year-old boy with underlying CC. Patient's clinical findings, radiological investigations and treatment were also discussed.

Matched MeSH terms: Abscess

Fulltext Nasal septal abscess with uncontrolled diabetes mellitus: case reports

Dinesh R, Avatar S, Haron A, Suhana, Azwarizan

Med J Malaysia, 2011 Aug;66(3):253-4.

PMID: 22111451

Nasal septum abscesses caused by uncontrolled diabetes mellitus are rare. We report 3 cases. Very few cases have been published concerning non-traumatic nasal septum abscesses. The development of the condition, possible complications, and treatment are discussed.

Matched MeSH terms: Abscess/diagnosis; Abscess/etiology*; Abscess/therapy

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