Abstract Pleural empyema necessitatis caused by Actinomyces meyeri is a rare but severe infection. A. species predominantly A. meyeri and A. israelii represent the second most common pathogen for empyema necessitans after mycobacteria. The incidence is reported in the literature to be 1:300,000. Men are thrice more likely to be affected than women. Pathogenetically, an infection can be triggered by aspiration in immunocompromised individuals which leads to an atelectasis with pneumonitis. In two cases, a 38-year-old construction worker and a 61-year-old woman with ulcerative breast carcinoma, who presented to the local emergency department with a painful swelling of the left chest, diagnostic workup revealed a pleural empyema necessitatis of the left chest. An antibiotic treatment was initiated with piperacillin/tazobactam and sulbactam/ampicillin, respectively. Temporally vacuum-dressing therapy was initiated after surgical debridement. In the course of the procedure, a reconstruction of tissue damage was feasible. The patients were recovered completely and discharged with an oral antibiotic treatment (amoxicillin) for 6 and 12 months, respectively. Thoracic actinomycosis is a relatively uncommon and traditionally chronic, indolent infection secondary to pulmonary infection with A. species. Surgical treatment is generally reserved for cases failing to resolve with antibiotic therapy. Early diagnosis, prompt debridement, and narrow spectrum β-lactam antibiotics can result in complete resolution of infection and good prognosis.
{"title":"Actinomyces Meyeri Empyema Necessitatis—A Case Report and Review of the Literature","authors":"D. Ellebrecht, M. Pross, S. Schierholz, E. Palade","doi":"10.1055/s-0039-1693653","DOIUrl":"https://doi.org/10.1055/s-0039-1693653","url":null,"abstract":"Abstract Pleural empyema necessitatis caused by Actinomyces meyeri is a rare but severe infection. A. species predominantly A. meyeri and A. israelii represent the second most common pathogen for empyema necessitans after mycobacteria. The incidence is reported in the literature to be 1:300,000. Men are thrice more likely to be affected than women. Pathogenetically, an infection can be triggered by aspiration in immunocompromised individuals which leads to an atelectasis with pneumonitis. In two cases, a 38-year-old construction worker and a 61-year-old woman with ulcerative breast carcinoma, who presented to the local emergency department with a painful swelling of the left chest, diagnostic workup revealed a pleural empyema necessitatis of the left chest. An antibiotic treatment was initiated with piperacillin/tazobactam and sulbactam/ampicillin, respectively. Temporally vacuum-dressing therapy was initiated after surgical debridement. In the course of the procedure, a reconstruction of tissue damage was feasible. The patients were recovered completely and discharged with an oral antibiotic treatment (amoxicillin) for 6 and 12 months, respectively. Thoracic actinomycosis is a relatively uncommon and traditionally chronic, indolent infection secondary to pulmonary infection with A. species. Surgical treatment is generally reserved for cases failing to resolve with antibiotic therapy. Early diagnosis, prompt debridement, and narrow spectrum β-lactam antibiotics can result in complete resolution of infection and good prognosis.","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"5 1","pages":"e57 - e61"},"PeriodicalIF":0.9,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1693653","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45347323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonathan Ruben Caballero Martel, Sara Estévez Sarmiento
Abstract Hoffa's fat pad can be affected by a variety of tumors. Schwannomas are benign and typically solitary neoplasms of the peripheral nerve sheath; they are made up of the neoplastic Schwann cells and are usually located eccentrically. Malignant schwannomas are extremely uncommon. Here we report a case of an intra-articular schwannoma of the knee. A 54-year-old man presented with a painful lump in the medial aspect of the knee. Magnetic resonance imaging revealed a well-circumscribed intra-articular mass, which was later diagnosed as an intra-articular schwannoma based on biopsy findings.
{"title":"Schwannoma: A Rare Hoffa's Fat Pad Tumor","authors":"Jonathan Ruben Caballero Martel, Sara Estévez Sarmiento","doi":"10.1055/s-0039-1692996","DOIUrl":"https://doi.org/10.1055/s-0039-1692996","url":null,"abstract":"Abstract Hoffa's fat pad can be affected by a variety of tumors. Schwannomas are benign and typically solitary neoplasms of the peripheral nerve sheath; they are made up of the neoplastic Schwann cells and are usually located eccentrically. Malignant schwannomas are extremely uncommon. Here we report a case of an intra-articular schwannoma of the knee. A 54-year-old man presented with a painful lump in the medial aspect of the knee. Magnetic resonance imaging revealed a well-circumscribed intra-articular mass, which was later diagnosed as an intra-articular schwannoma based on biopsy findings.","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"410 1","pages":"e62 - e64"},"PeriodicalIF":0.9,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1692996","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58112341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-02-01DOI: 10.3923/SJOUR.2011.18.20
A. Aydın, Vahit Yıldız, O. Yildirim, F. Kalali, M. Kılıç, A. Dostbil
{"title":"Quantitative Evaluation of Arthroscopic Subacromial Decompression via MRI and its Consistency with Clinical Status in Patients","authors":"A. Aydın, Vahit Yıldız, O. Yildirim, F. Kalali, M. Kılıç, A. Dostbil","doi":"10.3923/SJOUR.2011.18.20","DOIUrl":"https://doi.org/10.3923/SJOUR.2011.18.20","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"53 1","pages":"18-20"},"PeriodicalIF":0.9,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86043277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-02-01DOI: 10.3923/SJOUR.2011.21.25
M. Hosseini, A. Heidari
{"title":"Evaluation of Prophylactic Antibiotic Prescription in Post-Operative Infection in Patients Undergone Inguinal Herniorraphy Surgery with Prolene Mesh: A Randomized Double Blind Study","authors":"M. Hosseini, A. Heidari","doi":"10.3923/SJOUR.2011.21.25","DOIUrl":"https://doi.org/10.3923/SJOUR.2011.21.25","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"15 1","pages":"21-25"},"PeriodicalIF":0.9,"publicationDate":"2011-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77096902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.3923/SJOUR.2011.13.17
L. Zouloumis, I. Tilaveridis, D. Koutsonikolas, N. Lazaridis
{"title":"Bloodless Removal of a Primary Posterior Wall Oropharyngeal Carcinoma by Transoral Approach with the Ligasure Instrument, Case Report","authors":"L. Zouloumis, I. Tilaveridis, D. Koutsonikolas, N. Lazaridis","doi":"10.3923/SJOUR.2011.13.17","DOIUrl":"https://doi.org/10.3923/SJOUR.2011.13.17","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"2 1","pages":"13-17"},"PeriodicalIF":0.9,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79945549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Adewale, P. Adeniyi, Lasisi Akeem, A. Oladeji, O. Ayodele
{"title":"Day Case Thyroidectomy under Local/Regional Block in a Tropical Sub-Urban Teaching Hospital in a Developing Country-Preliminary Report","authors":"M. Adewale, P. Adeniyi, Lasisi Akeem, A. Oladeji, O. Ayodele","doi":"10.3923/SJOUR.2011.7.12","DOIUrl":"https://doi.org/10.3923/SJOUR.2011.7.12","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"53 1","pages":"7-12"},"PeriodicalIF":0.9,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80131049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quantitative Evaluation of Arthroscopic Subacromial Decompression via MRI and its Consistency with Clinical Status in Patients with Chronic Impingement","authors":"O. Yildirim","doi":"10.3923/SJOUR.2011.4.6","DOIUrl":"https://doi.org/10.3923/SJOUR.2011.4.6","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"8 1","pages":"4-6"},"PeriodicalIF":0.9,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75478341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-03-01DOI: 10.3923/SJOUR.2010.31.35
S. Farke, R. Bouchard, Claus Blumberg, R. Keller, U. Roblick, H. Bruch, F. Fischer
{"title":"Mobilization of the Splenic Flexure: A Standard in Laparoscopic Left Colon and Rectum Resections!","authors":"S. Farke, R. Bouchard, Claus Blumberg, R. Keller, U. Roblick, H. Bruch, F. Fischer","doi":"10.3923/SJOUR.2010.31.35","DOIUrl":"https://doi.org/10.3923/SJOUR.2010.31.35","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"37 1","pages":"31-35"},"PeriodicalIF":0.9,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73664963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-03-01DOI: 10.3923/SJOUR.2010.36.39
Pankaj Gupta, S. Guleria, S. Mathur, V. Ahuja
{"title":"Gastroduodenal Tuberculosis: A Rare Cause of Gastric Outlet Obstruction","authors":"Pankaj Gupta, S. Guleria, S. Mathur, V. Ahuja","doi":"10.3923/SJOUR.2010.36.39","DOIUrl":"https://doi.org/10.3923/SJOUR.2010.36.39","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"78 1","pages":"36-39"},"PeriodicalIF":0.9,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78793544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-03-01DOI: 10.3923/SJOUR.2010.22.30
J. Bekkers, L. M. Klieverik, G. B. Raap, J. Takkenberg, A. Bogers
{"title":"Aortic Root Replacement after Aortic Valve or Ascending Aorta Surgery","authors":"J. Bekkers, L. M. Klieverik, G. B. Raap, J. Takkenberg, A. Bogers","doi":"10.3923/SJOUR.2010.22.30","DOIUrl":"https://doi.org/10.3923/SJOUR.2010.22.30","url":null,"abstract":"","PeriodicalId":44614,"journal":{"name":"Surgery Journal","volume":"51 6 1","pages":"22-30"},"PeriodicalIF":0.9,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79534498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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