Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ABSCESS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 37 records · Page 2Linked to original sources
PubMed1999

The role of percutaneous transhepatic abscess drainage for liver abscess.

To evaluate the efficacy of percutaneous transhepatic abscess drainage (PTAD) as an initial choice of treatment for liver abscess, the medical records of 28 patients with liver abscess were retrospectively analyzed. The patients were predominantly men (23 of 28) with a mean age of 59 years (range, 19-86 years). Their chief complaints were fever (86%), right hypochondralgia (32%), and jaundice (11%). Fifteen of the 28 patients (54%) had hepatobiliary and pancreatic carcinoma, and 31% had postoperative liver abscess. PTAD was performed in 23 patients and surgical drainage in 5. The overall success rate for PTAD was 83%. The success rate for PTAD for patients with multiple abscesses was 83% (5 of 6), compared with a success rate of 82% (14 of 17) for patients with solitary abscess. The prognostic factors for survival were cancer and sepsis and the mortality rate for patients with cancer was 40% (6 of 15) while the mortality rate for patients with sepsis was 56% (5 of 9). As a complication of drainage, 1 patient (4%) in the PTAD group had pleural abscess due to the transpleural puncture. Our findings support the use of PTAD as the primary treatment for liver abscess, as it is safe and effective irrespective of the number of abscesses and the patient's condition.

Adult↗
PubMed1997

[Development of an experimental rat model of intraabdominal abscess by Escherichia coli alone. II. Interactions between an intraabdominal abscess and a host].

It has been demonstrated that an intraabdominal abscess by Escherichia coli alone can be developed without fail although anaerobes or barium sulfate are not used. We investigated the properties and the influence of this abscess on the host. We took the method of bacterial implantation by insertion of a double gelatin capsules containing Escherichia coli suspension of which concentration was adjusted to five grades into the peritoneal cavity of Wister rats. Abscesses were developed in the survived rats on which live bacteria had been inoculated. Only Escherichia coli were found in these abscesses by culture whereas no death was occurred and no abscess was developed in the rats on which no bacterium or heat-killed ones had been inoculated. As for non-survivors at the 7th postoperative day, all of them died of panperitonitis and no abscess was developed. An abscess was developed without fail when live bacteria of which number within the order of 10(7) colony forming units were inoculated. Blood endotoxin concentration 24 hours after inoculation increased exponentially according to the inoculum size. However, that at the 7th postoperative day returned to the levels at zero time. Microscopic examination revealed a thick abscess wall, poor infiltration of inflammatory cells, and poor neovascularsis into the wall. These findings suggest that endotoxin is prevented from release into the blood stream since abscess contents are isolated by thick wall.

Abdominal Abscess↗
PubMed1999

Perivalvular abscesses associated with endocarditis; clinical features and prognostic factors of overall survival in a series of 233 cases. Perivalvular Abscesses French Multicentre Study.

AIMS: The purposes of this study were to determine the clinical features and to identify prognostic factors of abscesses associated with infective endocarditis. METHODS AND RESULTS: During a 5-year period from January 1989, 233 patients with perivalvular abscesses associated with infective endocarditis were enrolled in a retrospective multicentre study. Of the patients, 213 received medical surgical therapy and 20 medical therapy alone. No causative microorganism could be identified in 31% of cases. Sensitivity for the detection of abscesses was 36 and 80%, respectively using transthoracic and transoesophageal echocardiography. Surgical treatment consisted of primary suture of the abscess (38%), insertion of a felt aortic or mitral ring using Teflon or pericardium (42%), or debridment of the abscess cavity (20%). The 1 month operative mortality was 16%. Actuarial rates for overall survival at 3 and 27 months in operated patients were 75 +/- 10% and 59 +/- 11%, respectively. Increasing patient age, staphylococcal infection, and fistulization of the abscess were found to be independent risk factors in both 1 month and overall operative mortality. Renal failure was a risk factor predictive of operative mortality at 1 month, whereas uncontrolled infection and circumferential abscess were regarded as risk factors predictive of overall operative mortality. CONCLUSION: The data determined prognostic factors of abscesses associated with infective endocarditis.

Abscess↗
PubMed1985

[Mechanism of 67Ga uptake by an experimental abscess--permeability of plasma from blood vessels in abscessed tissue].

In the previous paper, we reported that 67Ga was accumulated in abscess and uptake rate of 67Ga in abscess increased with time after the injection of 67Ga-citrate. The present study was undertaken to elucidate the influence of blood flow on the accumulation of 67Ga in abscess. Five days after subcutaneous injection of 0.2 ml of turpentine to the rats, 131I-human serum albumin (HSA) was injected intravenously to the rats. At an appropriate time after the injection (10 min to 6 days), uptake rates of 131I-HSA in abscess and normal tissues were measured. Similarly, 51Cr-red blood cells (RBC) were injected intravenously to the above rats and the uptake rates of 51Cr-RBC were also measured. One, three, and 24 hours after injection of 131I-HSA, the uptake rates of 131I-HSA in abscess were 1.32 %dose/g, 1.84 %dose/g, and 0.82 %dose/g, respectively. However, the uptake rates of 51Cr-RBC in abscess was very small, and the value was 0.14 %dose/g at 24 hours after the injection. In the case of abscess, blood in the tissue fluid was very little, but the permeability of 131I-HSA from the blood vessel in the tissue was much larger than that of normal tissues. From these facts, it was deduced that the accelerated permeability caused the abscess accumulation of 67Ga.

Abscess↗
PubMed1975

[Abscess of the brain (2nd report)--special reference to surgical indication of extracapsular excision of brain abscess (author's transl)].

Brain abscess persists as a serious diagnostic problem and critical therapeutic challenge since pre-antibiotic era. After antibiotic agents has been introduced, abscess of the brain seems to be a surgical curable intracranial suppurative disease, although surgical mortality and morbidity due to brain abscess are still distressingly high. Recently, the incidence of brain abscess are gradually increasing. In this present situation, it is necessary to reevaluate the previous method and surgical results of brain abscess. Even with new surgical techniques and antibiotics, the mortality rate and number of neurological deficits remain high, as previously methods, it is most important how to eliminate these problems. It was undertaken to determine the significant factors affecting the clinical management of patients with this serious problem. The general outlines of our neurosurgical treatment are given, with emphasis on our surgical schedule of brain abscess, especially brain abscess in congenital heart disease. In this paper, a review of the current status of the surgical methods, operative mortality and morbidity, diagnostic methods and the therapy of brain abscess has been discussed.

Adolescent↗
PubMed2003

[Septic shock associated with pyogenic liver abscess rescued with percutaneous transhepatic abscess drainage].

We report a case of septic shock associated with pyogenic liver abscess rescued with percutaneous transhepatic abscess drainage (PTAD). A 70-year-old male patient was admitted to our outpatient department of internal medicine with general fatigue, dullness of bilateral shoulders and extremities, appetite loss, weight loss, headache, and vertigo. Laboratory tests showed severe inflammatory indications, anemia, and high values of hepatobiliary enzymes and blood sugar. Abdominal ultrasonography and enhanced CT showed a pyogenic liver abscess of 10 cm in diameter at S 6-7 in the right hepatic lobe. The patient's condition deteriorated suddenly that night. From the results of abdominal ultrasonography and enhanced CT, we made diagnosis of septic shock associated with pyogenic liver abscess. Emergency abdominal ultrasound-guided PTAD was performed under local anesthetic. Postoperatively, the antibiotic was infused daily through a PTAD tube into the liver abscess space. He recovered and his laboratory tests improved gradually. On abdominal ultrasonography and enhanced CT, the liver abscess disappeared by 19th postoperative day, and PTAD tube was removed. There was no complication during PTAD treatment. We conclude that patients in septic shock should undergo further examinations immediately and treatment of the infected tissue should be started as soon as possible. PTAD may be an additional effective procedure for pyogenic liver abscess in septic shock. Furthermore, local antibiotic lavage through a PTAD tube into the liver abscess space may be an important supplementary method in the management of the illness.

Aged↗
PubMed1983

Intra-abdominal abscess formation in mice: quantitative studies on bacteria and abscess-potentiating agents.

A model of intra-abdominal (IA) abscess formation has been developed in mice. Intraperitoneal (i.p.) injection of a mixture of a potentiating agent (autoclaved colonic and caecal contents (ACC), 0.2 mg dry wt/mouse or sterile bran, 1 mg dry wt/mouse), Escherichia coli (1 X 10(6) colony forming units (cfu)/mouse) and Bacteroides fragilis (5 X 10(8) cfu/mouse) induced abscesses in 98% of mice inoculated. The abscesses persisted for at least 4 weeks in 60% of inoculated animals, and for 10 weeks in 36%. From 1 to 5 abscesses per mouse were found. Abscess formation was quantified by weighing the dissected abscesses and by culturing bacteria from them. Histologically, the abscesses were characterized by a central region of polymorphonuclear leucocytes, often with a thin mononuclear phagocyte infiltrate surrounding it, and an outer wall of vascularized connective tissue. Fluorescent antibody studies demonstrated that antigens from both bacterial species were distributed throughout the abscess. At the concentrations used, neither ACC nor sterile bran induced formation in the absence of viable bacteria.

Abdomen↗
PubMed1995

[A case of gas-producing brain abscess with subdural empyema: timing of the operation for brain abscess].

A case of gas-producing brain abscess with subdural abscess was reported. An 18-year-old boy was admitted with a five-day history of vomiting and high grade pyrexia. Plain skull roentgenograms demonstrated left frontal multiple gas bubbles. CT scan and MRI showed that both brain and subdural abscesses contained gas in the left frontal area. Antibiotics and glyceol were intravenously administrated. In serial CT scans, subdural abscess was not recognized, while brain abscess was enhanced in a ring. Seven days after admission, milky white pus with a fecal odor was aspirated using CT guided stereotactic apparatus, and the catheter was left in the abscess cavity. Culture of the pus grew peptostreptococcus. On the 22nd hospital day, repeated aspiration and drainage were performed for the residual brain abscess. The patient gradually improved after the aspiration with continuous administration of antibiotics, and he was discharged on the 59th hospital day with no neurological deficits. Based on our experience and a review of the literature, the treatment of choice is aspiration in the late cerebritis stage of brain abscess.

Adolescent↗
PubMed1994

[Experience in surgical management for active aortic valve endocarditis with periannular abscess--outcome of abscess cavity after patch closure].

Two patients with active aortic valve endocarditis and periannular abscess underwent surgical management. Both patients had bicuspid aortic valves. Involvement of the aortic annulus with the formation of the periannular abscess was found at one third circumference in the aortic annulus and extended to the sinuses of Valsalva. In one patient the periannular abscess ranged from the right side of the ostia of a left coronary artery to the right commissural region, and in another patient it existed at the left commissural region. the ostia of coronary arteries were separated from the inflammatory and necrotic tissue in both patients. The wall of periannular abscess could not be totally excised. Instead, debridement and transaortic patch closure of the abscess cavity were performed. In the former patient, partial resection of the aneurysmal wall of the abscess was performed and the remaining aortic wall was approximated with extra-luminal sutures supported by Teflon felt pledgets. However, in the latter patient, the plication of the abscess wall could not be performed. Prosthetic mechanical valve was implanted at the paraannular position by utilizing the patch. In the former patient it took a month and a half until the disappearance of the inflammatory reaction, and the echo free space could not be detected at the same place of the abscess cavity by the two-dimensional echocardiogram since early postoperative period. However, in the latter patient it took three months until the disappearance, and the echo free space had been existing at the same place for thirteen months after the operation.(ABSTRACT TRUNCATED AT 250 WORDS)

Abscess↗
PubMed2004

Development of epidural abscess following surgical drainage of perianal abscess: report of a case.

PURPOSE: A case of epidural abscess originating from a perianal abscess is reported. METHODS: The history of the patient, erythrocyte sedimentation rate, magnetic resonance imaging, and bacteriological tests were used to reach a diagnosis and the possible mechanism. RESULTS: Epidural abscess was suspected because the patient had a fever and intense low back pain following drainage of a perianal abscess. Magnetic resonance imaging was used to correctly diagnose the epidural abscess and bacteriologic studies disclosed the pathophysiologic mechanism. CONCLUSIONS: Epidural abscess is an extremely rare complication of perianal abscess. It should always be suspected in a patient with acute onset of back pain, fever, history of recent infection, and an elevated erythrocyte sedimentation rate, because delay in diagnosis can cause neurologic compromise and even death.

Abscess↗
PubMed1993

Peritonsillar abscess, retropharyngeal abscess, mediastinitis, and nonclostridial anaerobic myonecrosis: a case report.

Peritonsillar abscess is a potentially life-threatening complication of acute tonsillitis. On occasion, peritonsillar abscess can extend to neck spaces and/or to the mediastinum. We describe a case of a patient with a peritonsillar abscess that extended to the neck, producing bilateral retropharyngeal abscesses and myonecrosis of the strap muscles. Culture of a specimen of the necrotic muscle yielded Prevotella intermedia, Prevotella buccae, Lactobacillus catenaforme, another Lactobacillus species, Peptostreptococcus anaerobius, and some nonanaerobes. Culture of the peritonsillar abscess yielded P. intermedia and P. buccae plus P. anaerobius, Peptostreptococcus asaccharolyticus, Bifidobacterium dentium, viridans and group F streptococci, and Citrobacter diversus. Culture of the retropharyngeal abscess yielded Fusobacterium nucleatum and Actinomyces odontolyticus in addition to most of the aforementioned organisms. The patient underwent repeated drainage and debridement procedures and was treated with various antimicrobial agents and ultimately recovered. This case highlights the polymicrobial nature of peritonsillar abscess and the serious complications that this infection may lead to.

Abscess↗
PubMed1989

Resolution of liver abscesses: comparison of pyogenic and amebic liver abscesses.

To examine the resolution of liver abscesses, a prospective ultrasonographic follow-up study was conducted in 51 patients, each with a solitary abscess (26 pyogenic and 25 amebic) which had been treated successfully by non-surgical measures. The rate of complete abscess resolution for each of the initial 6 months was 0%, 5%, 10%, 23%, 30%, and 30% in the amebic group; and 20%, 54%, 77%, 89%, 94%, and 94% in the pyogenic group. The absorption volume of the pyogenic group in the first month was also greater than that of the amebic group (3.0 +/- 5.0 ml/day vs. 1.1 +/- 0.8 ml/day, P less than 0.05). The resolution ratio of pyogenic and amebic liver abscesses in the first month was 74% +/- 38% and 36% +/- 23%, respectively. In 3 patients in the amebic group, the abscess was still detectable 2 years after treatment. These results suggest that pyogenic liver abscesses resolve more rapidly than amebic abscesses. These findings should be considered in the differential diagnosis of asymptomatic space-taking lesion in the liver.

Actuarial Analysis↗
PubMed1998

Amebic liver abscess complicated with cardiac tamponade and mediastinal abscess.

Amebic pericarditis is an extremely rare complication of liver abscess and an uncommon etiology of sterile pericardial effusion with cardiac tamponade. The association of mediastinal abscess in this clinical setting has not been reported in the literature. Herein, we describe a case of amebic liver abscess complicated with mediastinal abscess and amebic pericarditis with cardiac tamponade. A 44-year-old man was admitted to our hospital because of shortness of breath for the previous 2 days. Cardiac tamponade was diagnosed and emergency pericardiectomy was performed. Chocolate-like pus was found in the pericardial sac and mediastinal space during surgery. Abdominal computed tomography revealed an ill-defined hypodense lesion over the left lobe of the liver, suggesting a liver abscess. Amebic liver abscess and pericarditis were diagnosed on the basis of a high serum titer of amebic antibodies on hemagglutination test. The patient was treated with metronidazole for 2 weeks and discharged in good condition. This case should alert clinicians to the possibility of amebic pericarditis in patients with cardiac tamponade associated with chocolate-like sterile pus in the pericardium and mediastinum. To establish the diagnosis of amebic pericarditis, one should investigate the presence of a liver abscess, a high serum titer of amebic hemagglutination antibodies, and the presence of Entamoeba histolytica trophozoites in the pericardium or pericardial aspirate.

Abscess↗
PubMed2003

Microbiology of liver abscesses and the predictive value of abscess gram stain and associated blood cultures.

Although rare, pyogenic liver abscesses are potentially fatal. We evaluated the predictive value of Gram stain of liver abscess aspirates and temporally associated blood cultures. Gram stains detected bacteria in 79% of the liver abscesses tested. The sensitivity and specificity of Gram stain of the liver abscesses were 90% and 100% for Gram-positive cocci (GPC) and 52% and 94% for Gram-negative bacilli (GNB). The sensitivities of the blood cultures for any GPC and GNB present in the liver abscess were 30% and 39%, respectively. Although, Gram stains and blood cultures offer incomplete detection of the microbial contents of pyogenic liver abscesses, both tests should always accompany liver abscess cultures.

Bacteriological Techniques↗
PubMed1985

In-vivo bactericidal activity of Sch 34343 in Bacteroides fragilis abscesses and in Bacteroides fragilis-Escherichia coli abscesses.

Bacteroides fragilis pure-culture abscesses and Bact. fragilis-Escherichia coli mixed-culture abscesses were initiated subcutaneously in mice and intraperitoneally in rats. Within 1 h after injection of Sch 34343, the drug was present in higher concentrations in the abscesses than in the blood of infected animals. After five days of Sch 34343 therapy with either 100 or 400 mg/kg administered five times a day to mice with subcutaneous abscesses, the numbers of Bact. fragilis in pus decreased approximately three log-fold, reflecting a killing of 99.99% of the viable Bact. fragilis, while the numbers of E. coli decreased approximately 0.5 log-fold, reflecting a killing of 50% of the viable E. coli. After five days of therapy with either 50 or 150 mg/kg administered five times a day to rats with intraperitoneal fibrin clot abscesses, the viable Bact. fragilis again decreased three log-fold; the viable E. coli decreased one log-fold in rats given the higher dosages of the drug. Sch 34343 is a promising agent for the treatment of anaerobic infections because it can penetrate into anaerobic abscesses and can kill large numbers of bacteria within abscesses.

Abscess↗
PubMed1997

[Development of an experimental rat model of intraabdominal abscess by Escherichia coli alone. I. Materials for abscess formation].

To develop a new animal model of intraabdominal abscess by Escherichia coli alone, we reevaluated anaerobes and other additions which had been believed necessary to produce an intraabdominal abscess. We took the method of bacterial implantation by insertion of a double gelatin capsules containing microbes and the additions into the peritoneal cavity of male Wister rats. We examined the requirement of causative bacteria for an abscess including both aerobes and anaerobes, sterilized feces, and barium sulfate. It has been proven that a simple and well reproducible intraabdominal abscess can be developed without fail at the seventh day after inoculation although anaerobic bacteria, sterilized feces, and barium sulfate are not used. However, we have failed to produce an abscess without sterilized gauze fiber which should be a core of an abscess and is used instead of sterilized feces. This animal model will contribute to a major simplification of the original one heretofore in use, and is expected to serve as an aid to elucidate the mechanisms of abscess formation.

Abdominal Abscess↗