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Palatopharyngeal and lower extremity soft tissue loss in an infant secondary to Pseudomonas gangrenous cellulitis.

Ecthyma gangrenosum, the rapidly fulminating tissue infarction of Pseudomonas sepsis, presents as one of the more spectacular disease processes. A case involving sloughing of the soft palate, pharyngeal walls, and 40% of one extremity in an infant is presented. Fever and diarrhea are the usual nondescript precursors. The lesions are impressive for their lack of visible inflammatory response or granulation tissue. Early debridement is mandatory for resolution of the toxic condition.

Anti-Bacterial Agents↗

[Medical treatment of veno-lymphatic cellulitis].

The aim of the treatment if to remove the consequences of a rupture of the vasculo-tissular balance in a varicose of post-phlebitic limb: these consequences consist of inflammatory phenomena which develop towards a hypodermic sclerosis more, or less, serious. The authors review the therapeutic possibilities of resting in the declivous position, which is sometimes indicated, the different procedures and ways of using compression, which is always indicated, antibiotics which may sometimes be used, anti-sclerosants and crenotherapy. The bibliography refers to this question.

Administration, Topical↗

[Perinephritic cellulitis. Apropos of 75 cases].

In spite of the contribution of the new techniques of radiology and the use of new antibiotics, the diagnosis of perinephric abscess remains difficult and late and is at the origin of high morbidity and mortality. 75 cases of perinephric abscess collected during 15 years are reviewed. We studied the etiopathogenic, diagnostic, bacteriologic and therapeutic characteristics of this affection. Urinary signs are found in 26.7% of patients, diabetes in 17% and extra urinary origin is found in 11% of patients. Diagnostic delay is over one month in 75% of patients. Ultrasonography is carried out in 55 patients showing evocative images of perinephric abscess in 96% of cases. Computed tomography seems more performant than ultrasonography. Gram negative bacillus and staphylococcus are the germs which are the most frequently found. Surgical drainage associated to antibiotherapy is realized in all patients with collected perinephric abscess (73 cases). Evolution is often favourable in spite of the expanse of the abscedation. Literature data about pathogenesis, bacteriology, diagnosis and treatment of this affection are discussed.

Abscess↗

[Cellulitis].

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Anus Diseases↗

[Cellulitis].

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Anus Diseases↗