Tuberculous Septic Arthritis of the Hip Following the Incision and Drainage of a Groin Abscess: A Case Report.

Tuberculosis of the hip is a relatively rare type of septic arthritis that is seldom seen in the developed world today. While pyogenic septic arthritis may present with clear features that help in early diagnosis and treatment, many of these features are absent or overlap significantly with tuberculous arthritis, making the diagnosis a clinical challenge. Here, we present a case of tuberculous septic arthritis seen in our clinic following the surgical incision and drainage of a groin abscess with minimal hip symptoms. We discuss the therapeutic approach for the patient and briefly review other reported cases of tuberculous septic arthritis in the literature.

Absceso frío estafilocócico en un neonato / Staphylococcal cold abscess in a neonate

El absceso frío estafilocócico neonatal es una patología infecciosa localizada que ocurre en periodo neonatal con evolución benigna y de la cual hay pocas referencias en la bibliografía. Se presenta un caso para dar a conocer esta patología (AU)

Neonatal staphylococcal cold abscess refers to a local manifestation of infectious disease that occurs in the neonatal period and has favourable outcomes, on which there is currently a dearth of evidence. We present one case to contribute to the knowledge of this pathology. (AU)

[Treatment strategies and outcomes for injection-associated inguinal perivascular abscesses in intravenous drug addicts]. / Behandlungsstrategien und Ergebnisse bei injektionsassoziierten inguinalen perivaskulären Abszessen bei intravenös Drogenabhängigen.

BACKGROUND: Long-term drug users regularly present with deep inguinal vascular-associated abscesses due to continued drug injections utilizing superficial veins. The treatment of these complications continues to be a major medical challenge. So far no uniform treatment regimens have been described in the literature. OBJECTIVE: What are the treatment strategies and outcomes of injection-associated inguinal perivascular abscesses in drug addicts? MATERIAL AND METHODS: All drug users treated at the Augsburg University Hospital in the period between 1 January 2004 and 31 May 2019 were retrospectively reviewed and compared with the currently available literature. RESULTS: In this study 37 cases (male = 25, female = 12) could be included in the data collection after implementation of the inclusion criteria. The median age in the investigated patient population was 34.3 years. The 30-day mortality was 2.7% (1/37). The amputation rate was 2.8%. In the investigated collective 13 patients had arterial involvement, in 5 cases a ligature of arteries was primarily used and in another 5 cases a reconstruction using an autologous conduit graft was primarily performed. In another 3 cases an obturator bypass (1/3) was placed and a patch plasty (2/3). The patency rate after arterial reconstruction was 87.5% with a mean follow-up of 421 days. The overall complication rate was 51.4%. CONCLUSION: For vascular involvement an approach appropriate for the situation is meaningful. In addition to the elimination of complicated septic venous thromboses, the correction of arterial hemorrhages using autologous reconstruction measures seems promising.

Appendiceal perforation, necrotizing groin infection and spermatic cord necrosis in a case of Amyand's hernia.

INTRODUCTION: Inguinal hernias containing the appendix are described as Amyand's hernias. The surgical approach to these types of hernias is dependent on the type present and associated intra-operative findings. PRESENTATION OF CASE: We present a case of complicated type IV Amyand's hernia, which was managed though combined abdominal and inguinal approach. Though the patient had a prolonged post-operative course due to pulmonary embolism, he progressed to full recovery. DISCUSSION: The different grades of Amyand's hernia are repaired in varying ways, including laparoscopic and open approaches with or without mesh. The type of repair must be tailored to the patient and disease process. CONCLUSION: Primary repair of a perforated Amyand's hernia provides adequate strength with decreased risk of infection due to synthetic material.