ABSTRACT
Cystic abdominal tumours are encountered quite often and are diagnosed more frequently due to the availability of better imaging possibilities. Presentation of huge cysts has become rare as most of them are diagnosed and treated early. But we still have patients with enlarged abdominal cysts; majority with cases of serous cystadenomas of the ovary. Absolute diagnosis is only possible with laparotomy and histopathological findings. In this report, seven patients with enlarged gynaecological or mesenteric cystic masses and gastroenterological symptoms are reported. Four of these cases were serous cystadenoma, two were mucinous cystadenoma and one was a paratubal cyst. Gynaecological tumours and mesenteric cysts should not be missed in female patients showing gastrointestinal symptoms.
Subject(s)
Abdominal Cavity , Abdominal Pain/diagnosis , Genital Neoplasms, Female/diagnosis , Gynecologic Surgical Procedures/methods , Mesenteric Cyst , Ovarian Cysts , Abdominal Cavity/diagnostic imaging , Abdominal Cavity/pathology , Adult , Asymptomatic Diseases , Diagnosis, Differential , Female , Humans , Magnetic Resonance Imaging/methods , Mesenteric Cyst/diagnosis , Mesenteric Cyst/physiopathology , Middle Aged , Ovarian Cysts/diagnosis , Ovarian Cysts/physiopathology , Treatment Outcome , Tumor Burden , Ultrasonography/methodsABSTRACT
BACKGROUND: The aim of this study was to investigate the presence of Haemophilus influenzae in abscesses in adults and to determine their antibiotic resistance patterns. METHODS: H. influenzae strains isolated from abscesses during an eleven-year period were determined retrospectively and the stored strains were tested for ampicillin, amoxicillin/calvulanic acid, cefuroxime, cefotaxime, ceftriaxone, ciprofloxacin, azithromycin, tetracycline, and imipenem resistance by broth microdilution method. The production of ß-lactamase was detected using the nitrocefin disc test and real-time PCR. RESULTS: A total of 26 H. influenzae isolated strains were found. According to ampicillin resistance and ß-lactamase production, 2 strains were determined as BLPAR, 1 strain BLNAR, 1 strain BLPACR, and 22 strains as BLNAS. Cefuroxime resistance was detected in 4 strains, tetracycline resistance was detected in 4 strains, and no resistance to cefotaxime, ceftriaxone, imipenem, azithromycin and levofloxacin was detected. CONCLUSIONS: H. influenzae should be taken into account for the proper management of abscesses.
Subject(s)
Abscess/microbiology , Haemophilus Infections/microbiology , Haemophilus influenzae/isolation & purification , Abscess/diagnosis , Abscess/drug therapy , Anti-Bacterial Agents/therapeutic use , DNA, Bacterial/genetics , Disk Diffusion Antimicrobial Tests , Drug Resistance, Multiple, Bacterial/genetics , Genotype , Haemophilus Infections/diagnosis , Haemophilus Infections/drug therapy , Haemophilus influenzae/drug effects , Haemophilus influenzae/enzymology , Haemophilus influenzae/genetics , Humans , Phenotype , Real-Time Polymerase Chain Reaction , Retrospective Studies , beta-Lactam Resistance/genetics , beta-Lactamases/geneticsABSTRACT
This study was conducted to measure the antibiotic susceptibilities, corresponding gene contents, and the enterotoxin gene bft, in 50 Bacteroides fragilis group isolates, 25 of which were clinical and 25 intestinal. The resistance rates to amoxicillin/clavulanic acid, imipenem and metronidazole were low; ampicillin and tetracyclin resistance was high; clindamycin resistance and ermF gene presence was also high. Regarding phenotypical bacterial resistance and the presence of resistance genes, there was not statistically significant difference between clinical and intestinal isolates and bft positive and negative isolates.
