ABSTRACT
Raoultella ornithinolytica is a rare encapsulated Gram-negative aerobic and facultative anaerobic rod belonging to the Enterobacteriaceae family. It tends to inhabit water and soil environments and can be found on insects, fish, ticks, and termites, but can also found in the hospital environment.1 , 2 R ornithinolytica has been documented in respiratory, urinary, gastrointestinal, and biliary tract infections as well as bacteraemia and systemic infections but has rarely been documented in soft tissue infections.2 This case study describes a recurrent paronychia infection secondary to R ornithinolytica in a young woman not responding to antibiotics and successfully treated with surgical management.
ABSTRACT
We present two immediate breast reconstruction cases utilising deep inferior epigastric perforator (DIEP) flaps in the presence of upper transverse abdominal scars and their outcomes. The available evidence in relation to its impact on abdominal skin perfusion and published clinical experience is reviewed.
Subject(s)
Cicatrix/physiopathology , Mammaplasty/methods , Perforator Flap/blood supply , Skin/blood supply , Abdomen/surgery , Epigastric Arteries/transplantation , Female , Humans , Middle AgedABSTRACT
We present a case of a deep full thickness burn from topical formic acid. Our patient developed a burn over her proximal interphalangeal joint (PIPJ) of her finger, secondary to inappropriate application of an anti-wart treatment. The burn required extensive deridement, and the resultant defect was reconstructed using a subcutaneous flap from the adjacent finger (a reverse cross finger flap). She was reviewed six months post-surgery, and overall she has a sub-optimal result. This incident was referred to the Irish Medicine's Board who have since reviewed the case and ordered the manufacturer to alter their usage instructions.
Subject(s)
Burns, Chemical/etiology , Dermatologic Agents/adverse effects , Finger Injuries/etiology , Formates/adverse effects , Warts/drug therapy , Administration, Cutaneous , Adult , Burns, Chemical/surgery , Debridement , Dermatologic Agents/administration & dosage , Female , Finger Injuries/surgery , Formates/administration & dosage , Humans , Nonprescription Drugs/administration & dosage , Nonprescription Drugs/adverse effects , Surgical FlapsABSTRACT
INTRODUCTION: The repair of thoracic aortic pathology by open techniques is associated with high morbidity and mortality. METHODS: We describe the first case of hybrid thoracic aortic repair performed in Ireland for a symptomatic thoracic intramural haematoma. CONCLUSION: Hybrid repair with extra-anatomical aortic visceral revascularisation and subsequent thoracic endograft exclusion offers an attractive alternative method of repair for thoracic aortic pathology.
Subject(s)
Aorta, Thoracic/surgery , Aortic Diseases/surgery , Hematoma/surgery , Aged , Female , Humans , Polyethylene Terephthalates , Vascular GraftingABSTRACT
The epidemic of injecting cathinone derivatives, marketed as "bath salts", by intravenous drug users among inner city Dubliners led to an associated rise in soft tissue complications. The spectrum of the cases encountered, ranging from self-limiting cellulitis to extensive abscess formation, at a single institution is described.
