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7 "Abscess"
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Original article
Orbital complications of acute rhinosinusitis in adults: a 21-year experience
Yung Jin Jeon, Woohyen Jin, Yeon-Hee Joo, Hyun-Jin Cho, Sang-Wook Kim
Kosin Med J. 2024;39(2):120-126.   Published online June 4, 2024
DOI: https://doi.org/10.7180/kmj.24.111
  • 1,675 View
  • 40 Download
Abstract PDFPubReader   ePub   
Background
Orbital complications arising from acute rhinosinusitis (ARS) are a major concern for clinicians and serve as important warning indicators of ARS. Prompt recognition and appropriate management are crucial for preventing potential vision-threatening sequelae. Orbital complications of rhinosinusitis are markedly more common in children than in adults. The aim of this study was to investigate the clinical characteristics and treatment outcomes of orbital complications of ARS in adult patients.
Methods
This retrospective observational cohort study analyzed the medical records of 176 patients admitted for orbital cellulitis/abscess (ICD code: H050) who underwent orbit or paranasal computed tomography from January 2001 to February 2022 at a tertiary hospital.
Results
Eighteen adults with a mean age of 53.2±18.9 years were diagnosed with orbital complications due to ARS: five (27.8%) had preseptal cellulitis, eight (44.4%) had orbital cellulitis, and five (27.8%) had subperiosteal orbital abscess. None of the patients had an orbital abscess or cavernous sinus thrombosis. All patients had unilateral orbital complications (7 right and 11 left) and were managed with intravenous antibiotics for an average of 10.3±6.6 days. Five patients with subperiosteal orbital abscesses underwent intranasal endoscopic drainage at an average of 1.4±1.9 days after admission, while two patients required additional external drainage. Complete recovery was observed in all patients.
Conclusions
Conservative antimicrobial therapy can be effective for treating orbital complications from ARS, and not all adult patients require immediate surgical intervention for subperiosteal abscesses. Nonetheless, careful monitoring is essential, and an ophthalmologist must check patients’ visual acuity to prevent irreversible blindness.
Case reports
Klebsiella pneumoniae-induced Liver Abscess Complicated with Septic Pulmonary Embolism in a Non-diabetic Adult
Byung Hun Lim, Song-I Lee
Kosin Med J. 2020;35(1):69-75.   Published online June 30, 2020
DOI: https://doi.org/10.7180/kmj.2020.35.1.69
  • 2,018 View
  • 15 Download
Abstract PDFPubReader   ePub   

A 72-year-old non-diabetic man was admitted to the intensive care unit because of liver abscess, cholecystitis, and septic shock. He underwent percutaneous catheter drainage and received intravenous antibiotics. Shock was improved, and the patient’s fever subsided. Klebsiella pneumoniae was isolated in blood and bile cultures. However, he suddenly developed dyspnea and oxygen desaturation. Chest computed tomography scan revealed multifocal ground-glass opacities with consolidation with peripheral preponderance. Appropriate antibiotic therapy was provided for 2 weeks. The patient recovered fully, and cholecystectomy was then performed. Herein, we report a case of K. pneumoniae-induced liver abscess complicated with septic pulmonary embolism in a non-diabetic patient.

A case of intra-abdominal abscess caused by unconsciously ingestion of fish bone in elderly patient
Bo Ra Kim, Hong Jun Kim, Jong Ryeal Hahm, Chang Yoon Ha, Woon Tae Jung, Ok Jae Lee
Kosin Med J. 2018;33(3):415-421.   Published online December 31, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.3.415
  • 1,755 View
  • 1 Download
  • 2 Citations
Abstract PDFPubReader   

Cases showing complications such as esophageal injury, deep neck infection, and mediastinitis caused by accidental ingestion of fish bone are common. But ingestion of fish bone rarely causes perforation of the gastrointestinal tract or an intra-abdominal abscess.

We report herein a case of a 78-year-old man with a periumbilical mesenteric abscess caused by fish bone which was ingested unconsciously. The fish bone was found in the terminal ileum and it was removed by colonoscopy. The patient improved and he was discharged after systemic antibiotic therapy. Occasionally, when patients swallow fish bone without a foreign body sensation, clinicians should suspect perforation caused by fish bone in case of an intra-abdominal abscess of unknown cause.

Citations

Citations to this article as recorded by  
  • Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature
    Sumaya A. Alkhulaifi, Mohannad K. Saffaf, Abdullah S. Aldarwish, Sami Alhawassi
    Dr. Sulaiman Al Habib Medical Journal.2024; 6(2): 76.     CrossRef
  • Unforeseen consequences: A case report of misdiagnosis in pediatric ingestion of a fish bone
    Abubakr Bajaber, Safa Shariff, Muhammad Azhar, Mariam Ayashi, Mohammed Moawed, Omar Bajaber
    Radiology Case Reports.2024; 19(11): 4741.     CrossRef
Complication of Amebic Liver Abscess: Biliary Fistula
Han Wook Chung, Song Ee Park, Hyun Jeong Park, Jae-Cheol Kwon, Hyung Joon Kim
Kosin Med J. 2015;30(2):175-180.   Published online January 20, 2015
DOI: https://doi.org/10.7180/kmj.2015.30.2.175
  • 1,707 View
  • 32 Download
  • 1 Citations
Abstract PDFPubReader   ePub   
Abstract

In amebic liver abscess, communication between liver abscess and intrahepatic bile ducts is an uncommon cause of bile leak. This condition can be treated surgically or endoscopically. However, these treatment modalities are related with high morbidity and mortality. A 49-year-old man was diagnosed with amebic liver abscess. Percutaneous drainage was performed due to poor medical response and for the purpose of preventing abscess rupture. Liver abscess-biliary communication was found at follow-up imaging study. He was treated successfully with medical therapy and supportive care without further interventions.

Citations

Citations to this article as recorded by  
  • A case report and treatment considerations for pyogenic liver abscess with biliary fistula
    Abdirahman Ahmed Omar Alasso, Ismail Gedi Ibrahim, Ismail Ahmed Ali, Mohamed Rage Ahmed
    International Journal of Surgery Case Reports.2024; 116: 109343.     CrossRef
Lemierre Syndrome Associated with Septic Pulmonary Embolism - A Case Report -
Kyung Soon Jeong, Mi Hee Jung
Kosin Med J. 2009;24(1):193-196.   Published online June 30, 2009
  • 339 View
  • 1 Download
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A Case of Fishbone Perforation of the Small Bowel with Intraabdominal Abscess
Sung Soo Moon, Soo Hyoung Lee, Eun Ah Lee, Sung Han Park, Jun Sik Lee, Hyun Jin Hong, Eun Kyung Shin, Kyu Jon g Kim
Kosin Med J. 2007;22(1):262-265.   Published online June 30, 2007
  • 365 View
  • 0 Download
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A case of Thyroid Abscess by Streptococcus intermedius
Jae Hyun Kim, Young Sik Choi, Yo Han Park, Jung Hun Kim
Kosin Med J. 2007;22(1):279-282.   Published online June 30, 2007
  • 302 View
  • 0 Download
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KMJ : Kosin Medical Journal
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