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Skin Abscess

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121. Improving Management of Hospitalized Adults With Uncomplicated Cellulitis or Cutaneous Abscess (PubMed)

Improving Management of Hospitalized Adults With Uncomplicated Cellulitis or Cutaneous Abscess Implementation of a guideline for the management of hospitalized adults with uncomplicated skin and soft-tissue infections may decrease unnecessary antibiotic use. For cellulitis, treatment with vancomycin and broad-spectrum antibiotics decreased significantly. For cutaneous abscess, treatment with broad-spectrum antibiotics decreased significantly. There were no differences in rates of treatment

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2017 Open forum infectious diseases

122. Modified drainage of submasseteric space abscess (PubMed)

Modified drainage of submasseteric space abscess Once a submasseteric space infection is diagnosed, the key to resolving the infection is via surgical intervention to evacuate the pus. Although it is possible and occasionally practical to drain the submasseteric space via an intraoral approach, an extraoral approach may sometimes be required. Surgeons have encountered complications such as facial nerve damage during extraoral incision and drainage procedures, and they have felt that extraoral (...) dissection was very difficult. As such, an easier and simpler technique is needed. Our department recently modified various drainage techniques for submasseteric space abscesses. Damage to the marginal branch of the facial nerve did not occur, and this technique was very simple and rapid, such that a novice physician could perform this procedure. This modified technique was possible with trismus and under local anesthesia. After intraorally checking the position of the drain, the intraoral wound

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2017 Journal of the Korean Association of Oral and Maxillofacial Surgeons

123. Concurrent Acute Glomerulonephritis and Retropharyngeal Abscess in 10 Year Boy: A Case Report (PubMed)

Concurrent Acute Glomerulonephritis and Retropharyngeal Abscess in 10 Year Boy: A Case Report Postinfectious Glomerulonephritis (PIGN) usually follows 1-2 weeks after respiratory tract infection and 4-6 weeks after skin infection. Acute Glomerulonephritis (AGN) is uncommon with simultaneous severe throat infections. We describe a 10-year-old boy who was presented with high grade fever, dysphagia and tender swelling over left side of neck. Examination also revealed enlarged multiple cervical (...) lymph nodes on the same side of neck. Magnetic Resonance Imaging (MRI) of soft tissue of neck revealed evidence of retropharyngeal abscess. The next day, he subsequently developed haematuria and oliguria with borderline raised blood pressure. His corresponding blood urea and serum antistreptolysin O (ASO) levels were raised with low C3 levels. He had a remarkable improvement on injectable broad spectrum antibiotics with complete resolution of fever and neck symptoms. At eight weeks follow up

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2017 Journal of clinical and diagnostic research : JCDR

124. Baerveldt Scleral Patch Graft Abscess Secondary to Coagulase-Negative Staphylococcus (PubMed)

was discovered by an outside physician and oral cephalexin was initiated. Despite antibiotic treatment, the conjunctival erosion progressed, and tube revision was required. Culture of the abscess revealed coagulase-negative Staphylococcus. As alluded to above, the patient also had multiple abscesses on the skin that cultured positive for Staphylococcus aureus. To our knowledge, this is the first case in the literature of coagulase-negative Staphylococcus causing an early postoperative abscess of the scleral (...) Baerveldt Scleral Patch Graft Abscess Secondary to Coagulase-Negative Staphylococcus We report the case of a 69-year-old female who underwent a Baerveldt implant placement for severe-stage primary open-angle glaucoma and developed a bacterial infection of the conjunctiva and abscess of the scleral patch graft with subsequent tube exposure. The infection was identified 3 weeks postoperatively and a topical antibiotic was immediately initiated. A concurrent systemic staphylococcal infection

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2017 Case reports in ophthalmology

125. Skin involvement in systemic sclerosis: rituximab

outcomes n=15 n=15 Skin involvement in systemic sclerosis: rituximab (ES7) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 47 of 63Number of serious adverse events 1 prostate cancer (thought to be unrelated to study medication) Adverse events reported 7 infusion reactions 2 mild hypotension 1 each of flushing, fatigue, nausea and abdominal cramping, rigors and hand tingling 1 UTI 1 dental abscess a The minimum (...) Skin involvement in systemic sclerosis: rituximab Skin in Skin inv volv olvement in systemic sclerosis: rituximab ement in systemic sclerosis: rituximab Evidence summary Published: 7 March 2017 nice.org.uk/guidance/es7 pathways K Ke ey points y points The content of this evidence summary was up-to-date in March 2017. See summaries of product characteristics (SPC), British national formulary (BNF) or the MHRA or NICE websites for up-to-date information. Regulatory status: Regulatory status

2017 National Institute for Health and Clinical Excellence - Advice

126. NASPGHAN Clinical Report on the Evaluation and Treatment of Pediatric Patients With Internal Penetrating Crohn Disease: Intraabdominal Abscess With and Without Fistula

abscesses in the pelvis will likelyrequireCTguidanceoratransrectalapproachcombinedwith US and fluoroscopic guidance. A standard Seldinger technique is commonly used in which the fluid collection is punctured with an 18-gauge needle using image guidance. A fluid sample is obtained followedbyinsertionofa0.035-inchguidewire.Aftertractdilation, a pigtail locking drain (6F–12F) is inserted. The drain is flushed, secured to the skin with suture, and connected to gravity drainage. Daily irrigation with normal (...) NASPGHAN Clinical Report on the Evaluation and Treatment of Pediatric Patients With Internal Penetrating Crohn Disease: Intraabdominal Abscess With and Without Fistula Copyright 2013 by ESPGHAN and NASPGHAN. Unauthorized reproduction of this article is prohibited. NASPGHAN Clinical Report on the Evaluation and Treatment of Pediatric Patients With Internal Penetrating Crohn Disease: Intraabdominal Abscess With and Without Fistula Marian D. Pfefferkorn, y Francis E. Marshalleck, z Shehzad

2013 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

127. Fungal skin infection - scalp

Fungal skin infection - scalp Fungal skin infection - scalp - NICE CKS Share Fungal skin infection - scalp: Summary Fungal infection of the scalp is also known as 'tinea capitis' or 'scalp ringworm', and it describes infection of scalp hair follicles and the surrounding skin caused by dermatophytes. In UK cities, infection is usually caused by Trichophyton tonsurans. In Europe and rural parts of the UK, infection is usually caused by Microsporum canis. It predominantly affects prepubertal Afro (...) -Caribbean children. The clinical features of fungal scalp infection vary depending on the degree of inflammatory response, and include: Scaling and itch of the scalp, patches of hair loss. Skin erythema, pustules, crusting, and lymphadenopathy. Painful, pustular boggy masses, which may have a thick crust (kerion). Associated fungal infection at other sites. Assessment of suspected fungal scalp infection should include skin and hair sampling for fungal microscopy and culture, to confirm the diagnosis

2018 NICE Clinical Knowledge Summaries

128. Palliative care - malignant skin ulcer

Palliative care - malignant skin ulcer Palliative care - malignant skin ulcer - NICE CKS Share Palliative care - malignant skin ulcer: Summary A malignant ulcer is a proliferative or cavitating primary or secondary cancer in the skin. It may appear as a crater-like wound, a nodular 'fungus', or a 'cauliflower' lesion. Most malignant ulcers develop from a breast, head and neck, or skin cancer. Malignant ulcers are most likely to develop in people older than 70 years of age with metastatic cancer (...) and a life expectancy of 6 months or less. Primary care management of a malignant skin ulcer includes: Assessment of the malignant skin ulcer including the type, site and size of the ulcer, the presence of necrotic tissue, condition of the surrounding skin, and the presence of complications. Discussing with the person their concerns, treatment priorities, and advising that healing is unlikely to be a realistic goal, but that the aim is to maintain the person’s quality of life as much as possible

2018 NICE Clinical Knowledge Summaries

129. Factors associated with readmission and mortality in adult patients with skin and soft tissue infections. (PubMed)

Factors associated with readmission and mortality in adult patients with skin and soft tissue infections. Skin and soft tissue infections (SSTIs) are a common cause of consultation, and complicated cases require hospitalization. We describe factors that are related to readmission and/or mortality of hospitalized patients diagnosed with SSTIs.Retrospective review of hospital-admitted patients with a diagnosis of cellulitis, abscess, hidradenitis, fasciitis, and Fournier's gangrene. Cases from

2019 International Journal of Dermatology

130. Effect of Initial Bedside Ultrasonography on Emergency Department Skin and Soft Tissue Infection Management. (PubMed)

Effect of Initial Bedside Ultrasonography on Emergency Department Skin and Soft Tissue Infection Management. We examine the utility of emergency department (ED) ultrasonography in treatment of skin and soft tissue infections.We enrolled ED patients with skin and soft tissue infections and surveyed clinicians in regard to their pre-ultrasonography certainty about the presence or absence of an abscess, their planned management, post-ultrasonography findings, and actual management. We determined (...) sensitivity and specificity of ultrasonography and clinical evaluation, and assessed appropriateness of management changes based on initial clinical assessment and outcomes through 1-week follow-up.Among 1,216 patients, clinicians were uncertain of abscess presence in 105 cases (8.6%) and certain for 1,111 cases (91.4%). Based on surgical exploration and follow-up through 1 week, sensitivity and specificity for abscess detection by clinical evaluation were 90.3% and 97.7%, and by ultrasonography were 94.0

2019 Annals of Emergency Medicine

131. Hemorrhoidectomy and Excision of Skin Tags in IBD: Harbinger of Doom or Simply a Disease Running Its Course? (PubMed)

hemorrhoid). Thirty-day complications were observed in 5 patients (n = 4 urinary retention, 1 perianal abscess). Five patients with Crohn's disease eventually required proctectomy at a median of 7 years after skin tag excision (range, 6 months to 10 years), but none were secondary to impaired wound healing. Two patients with ulcerative colitis who had previously undergone IPAA were subsequently diagnosed with Crohn's disease of the pouch after skin tag excision. No other long-term complications were seen (...) Hemorrhoidectomy and Excision of Skin Tags in IBD: Harbinger of Doom or Simply a Disease Running Its Course? Controversy in performing hemorrhoidectomy and anal skin tag excision in patients with IBD stems from dated reports of nonhealing wounds resulting in proctectomy.This study aimed to determine the safety of interventional management of hemorrhoids or anal skin tags in patients with Crohn's disease or ulcerative colitis.This study is a retrospective review of patient records from 2000

2019 Diseases of the Colon & Rectum

132. Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections in Children, Known or Suspected to be Caused by Susceptible Gram-positive Organisms, Including MRSA

be removed from study treatment and receive appropriate antibiotic(s) to treat the Gram-negative bacteremia. Patients whose skin infection is the result of having sustained full or partial thickness burns. Patients with uncomplicated skin infections such as superficial/simple cellulitis/erysipelas, impetiginous lesion, furuncle, or simple abscess that only requires surgical drainage for cure. Concomitant condition requiring any antibiotic therapy that would interfere with the assessment of study drug (...) Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections in Children, Known or Suspected to be Caused by Susceptible Gram-positive Organisms, Including MRSA Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections in Children, Known or Suspected to be Caused by Susceptible Gram-positive Organisms, Including MRSA - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration

2016 Clinical Trials

133. Sivextro in Acute Bacterial Skin and Skin Structure Infection (ABSSSI) in Hospitalized Patients. A Global Observational Study

Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Hospitalized patients Criteria Inclusion Criteria: Adult female and male in-patients with clinical diagnosis compatible with ABSSSI (cellulitis/erysipelas, major skin abscess or wound infections) with a clinical suspicion of infection by Gram positive bacteria (with or without laboratory confirmation). Patients for whom the decision to initiate treatment with tedizolid phosphate or linezolid (...) Numbers: 18299 SX1601 ( Other Identifier: Company Internal ) First Posted: December 13, 2016 Last Update Posted: October 29, 2018 Last Verified: October 2018 Keywords provided by Bayer: Acute bacterial skin infection Acute Bacterial Skin and Skin Structure Infection (ABSSSI) Abscess Cellulitis Erysipelas Wound infection Methicillin resistant Staphylococcus aureus (MRSA) Additional relevant MeSH terms: Layout table for MeSH terms Infection Communicable Diseases Wound Infection Abscess Cellulitis Skin

2016 Clinical Trials

134. Acute bacterial skin and skin structure infections in internal medicine wards: old and new drugs. (PubMed)

Acute bacterial skin and skin structure infections in internal medicine wards: old and new drugs. Skin and soft tissue infections (SSTIs) are a common cause of hospital admission among elderly patients, and traditionally have been divided into complicated and uncomplicated SSTIs. In 2010, the FDA provided a new classification of these infections, and a new category of disease, named acute bacterial skin and skin structure infections (ABSSSIs), has been proposed as an independent clinical entity (...) . ABSSSIs include three entities: cellulitis and erysipelas, wound infections, and major cutaneous abscesses This paper revises the epidemiology of SSTIs and ABSSSIs with regard to etiologies, diagnostic techniques, and clinical presentation in the hospital settings. Particular attention is owed to frail patients with multiple comorbidities and underlying significant disease states, hospitalized on internal medicine wards or residing in nursing homes, who appear to be at increased risk of infection due

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2016 Internal and emergency medicine

135. Current and future trends in antibiotic therapy of acute bacterial skin and skin-structure infections. (PubMed)

Current and future trends in antibiotic therapy of acute bacterial skin and skin-structure infections. In 2013 the US Food and Drug Administration (FDA) issued recommendations and guidance on developing drugs for treatment of skin infection using a new definition of acute bacterial skin and skin-structure infection (ABSSSI). The new classification includes cellulitis, erysipelas, major skin abscesses and wound infection with a considerable extension of skin involvement, clearly referring (...) to a severe subset of skin infections. The main goal of the FDA was to better identify specific infections where the advantages of a new antibiotic could be precisely estimated through quantifiable parameters, such as improvement of the lesion size and of systemic signs of infection. Before the spread and diffusion of methicillin-resistant Staphylococcus aureus (MRSA) in skin infections, antibiotic therapy was relatively straightforward. Using an empiric approach, a β-lactam was the preferred therapy

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2016 Clinical Microbiology and Infection

136. Management of Perianal Abscess and Fistula in Ano

. A disease-specific history and physical examina- tionshouldbeperformed,emphasizingsymptoms,risk factors,location,andpresenceofsecondarycellulitisor fistula-in-ano. Grade of Recommendation: Strong rec- ommendationbasedonlow-qualityevidence1C The diagnosis of anorectal abscess is usually made based on the patient’s history and physical examination. It is important to distinguish anorectal abscess from other perianal suppurative processes such as hidradenitis suppu- rativa, infected skin furuncles (...) , and infectious processes in- cluding herpes simplex virus, HIV, tuberculosis, syphilis, and actinomycosis. 12 In addition, features suggestive of Crohn’s disease, including large skin tags or multiple fistu- las, require a more detailed workup and potentially addi- tional medical therapy. 13 On examination, a tender, fluctuant mass is almost always present with perianal and ischiorectal abscesses. Pa- tients with intersphincteric or supralevator abscesses may have a paucity of external findings, with only

2011 American Society of Colon and Rectal Surgeons

137. Case of the Month: Vertebral Osteomyelitis and Psoas Abscess with Acinetobacter Baumanii: Report of an Unusual Case

Case of the Month: Vertebral Osteomyelitis and Psoas Abscess with Acinetobacter Baumanii: Report of an Unusual Case Case of the Month: Vertebral Osteomyelitis and Psoas Abscess with Acinetobacter Baumanii: Report of an Unusual Case – Clinical Correlations Search Case of the Month: Vertebral Osteomyelitis and Psoas Abscess with Acinetobacter Baumanii: Report of an Unusual Case April 6, 2011 6 min read By Michael C. Brabeck, MD, Adam Davis, MD, and Shaun Rodgers, MD Faculty Peer Reviewed Case (...) of the lumbar spine on HD 1 demonstrated multilevel discitis; vertebral osteomyelitis involving L1-3, subsequently confirmed by MR (Figure); and an adjacent discrete left psoas fluid collection at L-3, assumed to be a psoas abscess. Vancomycin and piperacillin/tazobactam were begun. Culture of percutaneous bone biopsy of the L-3 vertebral body done at that time yielded pansensitive E coli . At surgery for debridement and spinal fixation six days after admission, a left psoas abscess was confirmed. The L2-3

2011 Clinical Correlations

138. Lactational mastitis and breast abscess. Diagnosis and management in general practice

, which may be tense or fluctuant. The mass may have overlying skin necrosis suggesting that the abscess is ‘pointing’ (abscess is sitting close to the surface of the skin). Less frequently, breast abscess presents as a non- tender lump without erythema (‘cold abscess’). Examination of the infant and attachment to the breast The infant should be examined to ensure adequate growth and hydration. Examination of the baby’ s mouth can exclude candida infection (white film adherent to the buccal mucosa), 2 (...) (such as when fluid is aspirated from an abscess). 14 As S. aureus is the common causative organism, antibiotic therapy of choice at least 5 days of flucloxacillin or dicloxacillin in a dose of 500 mg four times per day. 15 Due to antibiotic packaging in Australia this may require two consecutive 6 day courses of antibiotics. For patients allergic to penicillin, Figure 3. Inflammatory breast cancer may mimic mastitis. Classically it presents with a poorly defined clinical mass with erythema, skin thickening

2011 Clinical Practice Guidelines Portal

139. Identification and molecular characterization of Corynebacterium xerosis isolated from a sheep cutaneous abscess: first case report in Mexico (PubMed)

Identification and molecular characterization of Corynebacterium xerosis isolated from a sheep cutaneous abscess: first case report in Mexico Corynebacterium xerosis is a commensal organism found in skin and mucous membranes of humans. It is considered an unusual pathogen, and it is rarely found in human and animal clinical samples. Here we describe the isolation of C. xerosis from a 4-months-old Pelifolk lamb located in Tesistán, central western Mexico. This microorganism should be considered (...) the need for differential diagnosis of this pathogen in ovine skin abscesses, as well as epidemiological and control studies of this pathogen in sheep farms.

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2016 BMC research notes

140. Vulvar Abscess Caused by Methicillin-resistant Staphylococcus Aureus (MRSA) in a Postmenopausal Woman (PubMed)

Vulvar Abscess Caused by Methicillin-resistant Staphylococcus Aureus (MRSA) in a Postmenopausal Woman Infections of the vulva can present a complex differential to the gynecologist, ranging from superficial skin infections to lifethreatening necrotizing fasciitis. Recognition and timely treatment remain universal to skin and soft-tissue infections as the subcutaneous anatomy of the vulva can facilitate rapid spread to other tissues with significant morbidity and mortality. Employing (...) a multidisciplinary team approach to care for vulvar cellulitis and abscess can guide treatment from antibiotic therapies to more aggressive surgical debridement. In this report, we describe a case of vulvar abscess caused by Methicillin-resistant staphylococcus aureus (MRSA) in a postmenopausal woman with underlying diseases of bronchiectasis and atelectasis.

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2016 Journal of Menopausal Medicine

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