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Introduction : Les cellulites cervico-faciales graves sont des infections redoutables de par leur extension locorégionale et à distance mais aussi de par le pronostic vital qu'elles peuvent engager. L'objectif de cette étude était d'étudier la morbi-mortalité des cellulites cervico-faciales graves. Méthode : Il s'est agi d'une étude transversale descriptive concernant tous les patients admis du 1er Janvier 2008 au 31 Décembre 2017 dans le service de Stomatologie/ Chirurgie Maxillo-Faciale du Centre Hospitalier Universitaire /Yalgado Ouédraogo pour cellulite cervico-faciale grave. Les variables étudiées étaient sociodémographiques, cliniques, paracliniques, thérapeutiques et évolutives. L'analysées a été faite grâce au logiciel Epi-Info 7. Résultats : La fréquence hospitalière annuelle était de 15 cas avec une moyenne d'âge de 36,9 ans et une prédominance masculine. Les facteurs favorisants étaient surtout la prise d'anti-inflammatoire non stéroïdien en monothérapie (65,3%). La tuméfaction concernait la région sous mentale dans 85,3% des cas. Des signes de compressions des voies aérodigestives supérieures étaient notés dans 22% des cas. La tomodensitométrie avait noté une diffusion cranioencéphalique chez 5,3% des patients. Le traitement a été médico-chirurgical avec une évolution clinique favorable. Il existait une corrélation entre le décès et le siège de la lésion, le sexe et le recours au traitement traditionnel. Conclusion : Les cellulites graves sont une urgence médico-chirurgicale et leur prise en charge est complexe et pluridisciplinaire. La prévention et le diagnostic précoce peuvent contribuer à réduire la morbi-mortalité.
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A 10-year-old boy admitted for high-grade fever and pneumonia developed left preseptal and early orbital cellulitis, unresponsive to higher intravenous antibiotics. He received oseltamivir, on testing positive for H1N1 virus on the nasopharyngeal and throat swabs. There was dramatic improvement with resolution of orbital cellulitis within 24 h of starting oseltamivir. We report a very rare presentation of pediatric orbital cellulitis secondary to systemic H1N1 infection. Prompt investigations and timely treatment with oseltamivir aided in complete resolution, avoiding vision and life-threatening complications.
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Objective:To analyze clinical data of 41 patients with severe mouth floor cellulitis.Methods:Patient's gender,age, epidemiological characteristics,origin of inflammation,symptoms of the disease,primary diagnosis,concomitant diseases,complica-tions,clinical diagnosis,the use of antibiotics (type and course),operation and outcomes were reviewed.Results:The male-fe-male ratio of the patients was 2.4∶1 .Age distribution was 1 0 -93 years old(with the mean of 46.23).The cases from urban-rural area was 3∶1 ,1 4.6% of the patients'primary diagnosis was not accurate.Only 31 % of the patients went to doctors in the first 5 days from the beginning of the disease.82.9% of the mouth floor cellulites were odontogenic.35% of the cases were diagnosed to be in-fectious diffusion to parapharyngeal,pterygomandibular spaces or to be complicating with neck infection at first examination.Infec-tion of 7.5% of the cases were spread to mediastinum.All the patients were administered with antibiotics and completed the surgical drainage as early as possible,except 2 transfered to respiratory medicine for mediastinum serious mediastinal and pulmonary infection and 1 to urinary surgery for renal failure.Conclusion:Odontogenic infection is most common for mouth floor cellulitis.Accurate di-agnose,maintenance of airway and initiate suitable antibiotics are rery important for the treatment of severe cellulitis of mouth floor. Prompt surgical drainage and comprehensive treatments are also essential to prevent patients from severe complications.
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Orbital cellulitis is a serious, yet uncommon infection in neonates. It can result in significant sight and life threatening complications. Most commonly, it occurs secondarily as the result of a spread of infection from the sinuses. Orbital cellulitis, secondary to dental infection is rare. We hereby report a case of orbital cellulitis secondary to dental infection in a 15‑day‑old neonate without any systemic features.
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Este estudo objetivou identificar as principais causas de condenações de frangos abatidos sob o Serviço de Inspeção Federal. Foram utilizados dados do Serviço de Inspeção Federal de um abatedouro de aves localizado na região noroeste do Paraná, no período compreendido entre janeiro de 2011 a outubro de 2012. Foram inspecionadas 16.684.646 aves, procedentes de municípios localizados na região. Dessas, 1.344.473 tiveram algum tipo de condenação post mortem. As principais causas de condenação (total e parcial) foram agrupadas segundo o maior número das condenações. Dentre o número total de condenações post mortem em 2011, 97,93% foram devido às condenações parciais, e 2,07%, devido às condenações totais, já, em 2012, as condenações post mortem obtiveram o resultado de 97,91%, devido às condenações parciais e 2,09% devido às condenações totais. As causas de condenação total mais frequentes foram aspecto repugnante (47,33%) e sangria inadequada (23,09%), já as causas de condenação parcial mais frequentes se deveram devido à contusão/fratura (54,38%), seguida de celulite (13,66%).
This study aimed to identify the main reasons for condemnation of broilers slaughtered under the Federal Inspection Service. Data from the Federal Inspection Service from a poultry slaughterhouse located in the northwest of Parana, in the period from January 2011 to October 2012, were used. A total of 16,684,646 birds coming from municipalities located in the region were inspected. From these, 1,344,473 animals had some sort of post-mortem condemnation. The main causes for condemnation (total and partial) were grouped according to the largest number of condemnations. Among the total number of post-mortem condemnations in 2011, 97.93% was due to partial condemnation, and 2.07% due to total condemnation. In 2012, the percentage of post-mortem condemnations due to partial condemnation was 97.91%, and 2.09% due to total condemnations. The most frequent causes of total condemnation were repugnant aspect (47.33%) and inadequate bleeding (23.09%). On the other hand, the most frequent causes of partial condemnation were due to contusion/fracture (54.38%), followed by cellulites (13.66%).
Esta investigación buscó identificar las principales causas de condenas en pollos sacrificados bajo el Servicio de Inspección Federal. Se utilizó datos del Servicio de Inspección Federal de un matadero de aves ubicado en la región noroeste de Paraná, en el período entre enero de 2011 a octubre de 2012. Fueron inspeccionadas 16.684.646 aves, procedentes de municipios localizados en la región. De estas, 1.344.473 tuvieron algún tipo de condena post mortem. Las principales causas de condena (total y parcial) fueron agrupadas segundo el mayor número de condenas. Entre el número total de condenas post mortem en 2011, 97,93% se debió a las condenas parciales y 2,07% debido a las condenas totales, ya en 2012 las condenas post mortem obtuvieron el resultado de 97,91% debido a las condenas parciales y 2,09% debido a las condenas totales. Las causas de condena total más frecuentes fueron: aspecto repugnante (47,33%) y sangría inadecuada (23,09%), ya las causas de condena parcial más frecuentes fueron debido a contusión/fractura (54,38%), seguida de celulitis (13,66%).
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A ultra-sonografia é um método eficaz na avaliação de afecções agudas acometendo o sistema músculo-esquelético, constituindo importante arma propedêutica nos serviços de atendimento de urgência. O ultra-som permite a avaliação de ampla variedade de lesões de origem não-traumática,tais como lesões infecciosas articulares ou extra-articulares, e a avaliação de lesões não-infecciosas, tais como doenças bursais e tendíneas agudas ou agudizadas. Será apresentada breve revisão das principais indicações do exame ultra-sonográfico, ilustrada com casos típicos provenientes de arquivo digital, sendo discutidos os achados fundamentais para a caracterização e o diagnóstico das afecções não-traumáticas mais freqüentes. Todos os casos apresentados procuraram o serviço de pronto-atendimento do nosso hospital devido a queixas agudas relacionadas ao sistema músculo-esquelético.
Ultrasonography is accurate in the evaluation of acute musculoskeletal injuries and became an important diagnostic method in the urgency department. Ultrasonography allows evaluation of diverse non-traumatic lesions, as infectious articular or extra-articular lesions, and non-infectious diseases, as acute tendon or bursaldiseases. This article review the role of sonographic assessment in the acute musculoskeletal setting, illustrated with cases from soft copy archives, discussing the main aspects of the mostcommon musculoskeletal complains in the urgency department.
Subject(s)
Humans , Emergencies , Musculoskeletal System/injuries , Musculoskeletal System , Arthritis, Infectious , Bursitis , Cellulite , TendinopathyABSTRACT
El término "fascitis necrotizante" es ampliamente utilizado para designar en forma genérica las infecciones necrotizantes o gangrenosas, de etiología típicamente poli-bacteriana, es una infección poco común de la partes blandas, usualmente causada por bacterias virulentas que producen toxinas y que se caracterizan por afectar a la fascia superficial, tejido subcutáneo, grasa subcutánea con nervios, arterias y venas y fascia profunda. Se acompaña de dolor local, fiebre y toxicidad sistémica. Se realiza una revisión actualizada del tema y la presentación de un caso diagnosticado en nuestro servicio con una celulitisfacial Odontógena posquirúrgica del 38, que evolucionó hacia una fascitis necrotizante de la porción inferior del cuello y región pectoral.
The term Necrotizing fasciitis is widely utilised to generically design gangrenous or necrotizing infections of a probable multibacterial ethiology. It is an uncommon soft tissue infection caused by violent bacteria which produce toxins and are capable of affecting the superficial fascia, subcutaneous tissue, subcutaneous adipose tissue with nerves, arteries and veins and the profound fascia. It is accompanied by local pain, fever and systemic toxicity. We review the topic and present the case diagnosed in our service as a post surgical Facial Odontogenic Cellulites of the 38 that evolved to a necrotizing fasciitis of the neck and pectoral area.
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