Subject(s)
Esophageal Diseases/pathology , Esophagus/pathology , Hematemesis/etiology , Melena/etiology , Necrosis/pathology , Acute Disease , Comorbidity , Diabetes Mellitus, Type 2/complications , Esophageal Diseases/complications , Humans , Hypertension/complications , Male , Middle Aged , Necrosis/etiologyABSTRACT
Acute pancreatitis occasionally presents as pancreatic abscess with complications like pleural effusion and ascites. There are several pre-disposing factors, the most common being cholelithiaisis, alcohol abuse, infective causes, trauma, and metabolic causes such as diabetic ketoacidosis, while some cases are idiopathic. Here, we report a rare case of acute necrotizing pancreatitis in a 40-year-old male who presented with pain in the abdomen, ascites and left basal pleural effusion. A computerized tomography (CT) scan showed findings suggestive of pancreatic necrosis, with abscess formation and free-fluid surrounding area. The aspirated pus sample was processed for Gram staining and culture, which yielded growth of Prevotella species in an anaerobic culture. Exploratory laparotomy was performed and intra-abdominal collection drained. Necrosectomy of the distal tail and body of the pancreas was performed. The patient was started on antibiotics and along with supportive treatment, responded well.
Subject(s)
Abscess/complications , Bacteroidaceae Infections/diagnosis , Pancreas/pathology , Pancreatitis, Acute Necrotizing/complications , Prevotella/isolation & purification , Abscess/drug therapy , Abscess/surgery , Adult , Anti-Bacterial Agents/therapeutic use , Bacteroidaceae Infections/drug therapy , Bacteroidaceae Infections/microbiology , Bacteroidaceae Infections/surgery , Drainage , Humans , Laparotomy , Male , Pancreas/microbiology , Pancreatitis, Acute Necrotizing/drug therapy , Pancreatitis, Acute Necrotizing/surgery , Radiography, Abdominal , Tomography , Treatment OutcomeABSTRACT
Although ventriculoperitoneal (VP) shunt infection is a common complication of shunt procedures, fungal infection is considered to be rare. In the present study, we performed retrospective analysis of six cases in which candida infection occurred. In all these six cases, VP shunt was performed in children for hydrocephalus and the onset of symptoms varied between seven days to one month after the surgical procedure was performed. The commonest clinical signs and symptoms were fever (100%), vomiting (100%), and altered sensorium (50%). The commonest isolate was Candida albicans (66.66%) followed by Candida parapsilosis and Candida glabrata in one case each. All the patients were successfully treated with Amphotericin B and there was no mortality recorded.
