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Microbial flora and antibiotic resistance in odontogenic abscesses in Upstate New York

January 14, 2018  |  Ann W. Plum, MD; Anthony J. Mortelliti, MD; Ronald E. Walsh, NP

Abstract

Abscesses in the head and neck frequently have odontogenic sources. As bacterial pathogens and antibiotic resistance patterns may change over time and based on location, we describe the current common bacteria found in odontogenic abscesses, the prevalence of antibiotic...

Intracranial abscess formation following sphenoid sinus occlusion with nasoseptal flap skull base reconstruction: A cautionary tale

December 12, 2017  |  George S. Tarasidis, MD; Jeremiah A. Alt, MD, PhD; Richard R. Orlandi, MD

Abstract

The formation of an intracranial abscess secondary to sphenoid sinus occlusion after nasoseptal flap skull base reconstruction has not been previously described. We report such a case that occurred at our institution in a 23-year-old man who underwent flap reconstruction for a...

CT and MRI features in adult patients with orbital subperiosteal abscess secondary to paranasal sinus mucocele

July 18, 2017  |  Chang-Wei Ding, MD; Qiu-Shi Wang, MS; Qi-Yong Guo, MD; Jun Zhang, MD; Zhen-Hai Wang, MD

Abstract

Orbital subperiosteal abscess (OSPA) secondary to paranasal sinus mucocele (PSM) is rare, and it may be misdiagnosed as PSM with orbital invasion or even as a malignant neoplasm. The present study explored the computed tomography (CT) and magnetic resonance imaging (MRI)...

Retropharyngeal and parapharyngeal abscesses: Factors in medical management failure

January 25, 2017  |  James Kosko, MD; Justin Casey, MD

Abstract

Retropharyngeal and parapharyngeal abscesses are the most common deep neck infections in the pediatric population. How best to treat these patients, be it intravenous antibiotics or immediate surgical incision and drainage, has long been debated. The purpose of this study was...

The rare fourth branchial cleft anomaly

April 30, 2016  |  Jonathan A. Harounian, MD; David Goldenberg, MD; Jason G. May, MD

The treatment for fourth branchial anomalies is complete surgical excision because of the risk of infection and life-threatening abscesses.

Bezold abscess

June 5, 2015  |  Yu-Hsuan Lin, MD; Ming-Yee Lin, MD

In some circumstances, the only sign or symptom of Bezold abscess is an unnoticed neck lump.

Minimally invasive drainage of a posterior mediastinal abscess through the retropharyngeal space: A report of 2 cases

March 2, 2015  |  Dan Lu, MD; Yu Zhao, MD, PhD

Abstract

Foreign-body ingestion is a common cause of esophageal perforation, which can lead to a fatal posterior mediastinal abscess. Routine treatments include the drainage of pus through the esophageal perforation, thoracotomy, and videothoracoscopic drainage. We present 2 cases of...

Septic arthritis: A unique complication of nasal septal abscess

March 2, 2015  |  Steven M. Olsen, MD; Cody A. Koch, MD, PhD; Dale C. Ekbom, MD

Abstract

Nasal septal abscesses (NSAs) occur between the muco-perichondrium and the nasal septum. They most often arise when an untreated septal hematoma becomes infected. The most commonly reported sequela is a loss of septal cartilage support, which can result in a nasal deformity....

Group A beta streptococcal infections in children after oral or dental trauma: A case series of 5 patients

January 19, 2015  |  Brittany E. Goldberg, MD; Cecile G. Sulman, MD; Michael J. Chusid, MD

Abstract

Group A streptococcus (GAS) produces a variety of disease processes in children. Severe invasive diseases such as necrotizing fasciitis can result. Traumatic dental injuries are common in the pediatric population, although the role of dental injuries in invasive GAS disease is...

Fusobacterium necrophorum in a pediatric retropharyngeal abscess: A case report and review of the literature

December 19, 2014  |  Jeffrey Cheng, MD; Andrew J. Kleinberger, MD; Andrew Sikora, MD, PhD

We present the case of a 17-year-old boy who developed a deep space neck infection following cervical trauma. He was initially managed conservatively with broad-spectrum antibiotics, but when he failed to improve clinically, he required surgical drainage. Wound cultures grew Fusobacterium...

Lingual tonsil abscess with parapharyngeal extension: A case report

September 18, 2014  |  Andrew M. Coughlin, MD; Reginald F. Baugh, MD; Harold S. Pine, MD

Abstract

Lingual tonsil abscess is a rare disorder previously reported only once in the English literature. Because of their similar structure to that of the palatine tonsils, the lingual tonsils have the propensity to develop infection in the same way. The progression of infection,...

Bilateral mastoid subperiosteal abscesses in an infant

January 24, 2013  |  Hernan Goldsztien, MD; Kevin D. Pereira, MD

The finding of bilateral acute mastoiditis in an infant should prompt a search for underlying predisposing causes.

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