The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Galia Grisarusoen - One of the best experts on this subject based on the ideXlab platform.
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cat scratch disease with cervical vertebral osteomyelitis and spinal Epidural Abscess
Pediatric Infectious Disease Journal, 2009Co-Authors: Diana Tasher, Erez Armarnik, Avram Mizrahi, Ben Sira Liat, Shlomi Constantini, Galia GrisarusoenAbstract:Cat scratch disease has variable clinical presentations and should be considered in the differential diagnosis of vertebral osteomyelitis and Epidural Abscess if there is a history of contact with cats. We report a 5-year-old boy with cat scratch disease who presented with painful torticollis and osteomyelitis of the cervical spine associated with an Epidural Abscess.
Cherieann O Nathan - One of the best experts on this subject based on the ideXlab platform.
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pott s puffy tumor and Epidural Abscess arising from dental sepsis a case report
Laryngoscope, 2001Co-Authors: Binoy Chandy, John R Todd, Fred J Stucker, Cherieann O NathanAbstract:Objective To present an unusual case of two uncommon cranial complications of frontal sinusitis: Pott's puffy tumor and Epidural Abscess arising from frontal sinusitis of dental origin, and also two systemic complications of sinusitis: septicemia and empyema, all occurring in an immunocompetent patient. Study Design A 21-year-old man presented with a scalp swelling and Epidural Abscess. Magnetic resonance imaging and computed tomographic scans revealed unilateral opacification of the frontal sinus and an Epidural Abscess with a direct connection to the scalp Abscess. Further history revealed that his symptoms occurred coincidentally with a tooth extraction 2 months before, and he was hospitalized soon after the tooth extraction for sepsis and a lung Abscess. Methods A combined neurosurgical and otolaryngologic approach was required to treat the sinusitis and the associated Epidural and scalp Abscess. Results Cultures returned as Streptococcus intermedius from all three sites. The patient was free of disease at the 3-month follow-up. Conclusions Odontogenic maxillary sinusitis is well documented; however, there is little reported of frontal sinusitis arising from dental disease. The prevalence of sinusitis of dental origin will be reviewed, including the microbiology of this particularly virulent organism that persisted despite earlier treatment with ampicillin. Also, the current thoughts on management of these cases will be discussed with particular reference to local therapy for sinusitis in addition to systemic treatment with antibiotics.
Elmo Mannarino - One of the best experts on this subject based on the ideXlab platform.
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cervical spondylodiscitis with spinal Epidural Abscess caused by aggregatibacter aphrophilus
Journal of Medical Microbiology, 2008Co-Authors: Leonella Pasqualini, Antonella Mencacci, A M Scarponi, Christian Leli, Gianluigi Fabbriciani, Laura Callarelli, Giuseppe Schillaci, Francesco Bistoni, Elmo MannarinoAbstract:Spondylodiscitis caused by Aggregatibacter aphrophilus, formerly known as Haemophilus paraphrophilus, is an unusual condition and can be very difficult to diagnose. We report a case of cervical spondylodiscitis complicated by spinal Epidural Abscess in a 63-year-old woman, without underlying predisposing conditions. The source of infection was identified as a periodontal infection. The patient was successfully treated with systemic antibiotics.
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case report cervical spondylodiscitis with spinal Epidural Abscess caused by aggregatibacter aphrophilus
2008Co-Authors: Leonella Pasqualini, Antonella Mencacci, A M Scarponi, Christian Leli, Gianluigi Fabbriciani, Laura Callarelli, Giuseppe Schillaci, Francesco Bistoni, Elmo MannarinoAbstract:Spondylodiscitis caused by Aggregatibacter aphrophilus, formerly known as Haemophilus paraphrophilus, is an unusual condition and can be very difficult to diagnose. We report a case of cervical spondylodiscitis complicated by spinal Epidural Abscess in a 63-year-old woman, without underlying predisposing conditions. The source of infection was identified as a periodontal infection. The patient was successfully treated with systemic antibiotics.
Shanchwen Chang - One of the best experts on this subject based on the ideXlab platform.
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spinal Epidural Abscess due to staphylococcus aureus clinical manifestations and outcomes
Journal of Microbiology Immunology and Infection, 2008Co-Authors: Wanchin Chen, Jiunling Wang, Janntay Wang, Yeechun Chen, Shanchwen ChangAbstract:Background and purpose Despite advances in diagnosis and treatment, spinal Epidural Abscess due to Staphylococcus aureus remains a challenge to clinicians. In this study, we describe the clinical features and outcomes of patients with spinal Epidural Abscess due to S. aureus. Methods Thirty one cases of spinal Epidural Abscess due to S. aureus treated at the National Taiwan University Hospital from January 2001 to December 2006 were retrospectively reviewed, using a standardized case collection form. Spinal Epidural Abscess was diagnosed by computed tomography or magnetic resonance imaging of the spine. Results The median age of subjects was 55 years (range, 20 to 90 years) and the male-to-female ratio was 4.2. All patients had spine pain and 18 (58.1%) had fever. Lumbar or lumbosacral region was the most frequently involved site of spinal Epidural Abscess (61.3%), and 83.9% of the patients also had vertebral osteomyelitis. Sixteen patients (51.6%) were treated successfully with antibiotics alone for a median duration of 70 days (range, 23 to 274 days), whereas the median duration of antibiotic therapy in patients undergoing surgical intervention was 102 days (range, 40 to 227 days). Renal failure, malignancy or underlying comorbid illness estimated by Charlson score was predictive of a poor prognosis with treatment failure or mortality. Conclusion Although medical treatment alone might benefit selected patients with spinal Epidural Abscess due to S. aureus and minimal neurologic sequelae, close monitoring of the evolution of neurologic deficits with radiographic imaging follow-up is necessary, since the rate of progression of neurologic impairment is difficult to predict.
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candida albicans spinal Epidural Abscess secondary to prosthetic valve endocarditis
Diagnostic Microbiology and Infectious Disease, 2001Co-Authors: Jader Liang, Yeechun Chen, Shanchwen Chang, Chitai Fang, Kwentay LuhAbstract:A 56-year-old woman, with underlying rheumatic heart disease status post mitral valve replacement, presented with fever, low back pain radiating to right leg, and congestive heart failure. Magnetic resonance imaging detected an L5-S1 spinal Epidural Abscess. A vegetation on prosthetic mitral valve was found by transesophageal echocardiography. Cultures of Epidural aspirate, surgical specimen, and blood all grew Candida albicans. She received surgical drainage of the spinal Epidural Abscess and i.v. amphotericin B 1 mg/kg/day for eight weeks. Clinical symptoms improved gradually and she was discharged without neurologic sequelae. She remained well and continued to lead an active life two years after discharge.
Diana Tasher - One of the best experts on this subject based on the ideXlab platform.
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cat scratch disease with cervical vertebral osteomyelitis and spinal Epidural Abscess
Pediatric Infectious Disease Journal, 2009Co-Authors: Diana Tasher, Erez Armarnik, Avram Mizrahi, Ben Sira Liat, Shlomi Constantini, Galia GrisarusoenAbstract:Cat scratch disease has variable clinical presentations and should be considered in the differential diagnosis of vertebral osteomyelitis and Epidural Abscess if there is a history of contact with cats. We report a 5-year-old boy with cat scratch disease who presented with painful torticollis and osteomyelitis of the cervical spine associated with an Epidural Abscess.