RESUMO
Since the beginning of the 20th century, bacteriophages (phages), i.e., viruses that infect bacteria, have been used as antimicrobial agents for treating various infections. Phage preparations targeting a number of bacterial pathogens are still in use in the post-Soviet states and are experiencing a revival in the Western world. However, phages have never been used to treat diseases caused by Bacteroides fragilis, the leading agent cultured in anaerobic abscesses and postoperative peritonitis. Enterotoxin-producing strains of B. fragilis have been associated with the development of inflammatory diarrhea and colorectal carcinoma. In this study, we evaluated the molecular biosafety and antimicrobial properties of novel phage species vB_BfrS_VA7 (VA7) lysate, as well as its impact on cytokine IL-8 production in an enterotoxigenic B. fragilis (ETBF)-infected colonic epithelial cell (CEC) culture model. Compared to untreated infected cells, the addition of phage VA7 to ETBF-infected CECs led to significantly reduced bacterial counts and IL-8 levels. This in vitro study confirms the potential of phage VA7 as an antibacterial agent for use in prophylaxis or in the treatment of B. fragilis infections and associated colorectal carcinoma.
Assuntos
Bacteriófagos , Infecções por Bacteroides/terapia , Bacteroides fragilis/virologia , Terapia por Fagos , Bacteriófagos/isolamento & purificação , Bacteriófagos/ultraestrutura , Colo/patologia , Neoplasias Colorretais , Diarreia , Células Epiteliais , HumanosRESUMO
OBJECTIVE: Children are at high risk of injuries and wounds. The application of medical grade honey is a promising approach to improving the healing of wounds of various origin and severity. However, the use of medical grade honey in young paediatric patients remains limited. The aim of this study is to show the safety, efficacy and usefulness of medical grade honey in abdominal wounds, of different causes, in paediatric patients. METHOD: This was a prospective, observational case series evaluating five young infants with abdominal wounds at the General Hospital in Thessaloniki. All wounds were treated in the same manner with daily medical grade honey applied to the wound area and closely monitored. RESULTS: All treated wounds rapidly presented granulation tissue formation and underwent re-epithelialisation. Peripheral oedema and inflammation decreased upon initial application. Necrotic tissue was effectively debrided when present. Slough was removed and no signs of infection were detected, irrespective of initial wound presentations. Scar formation was minimal and the full range of motion was preserved in all cases. CONCLUSION: Based on this case study, medical grade honey is safe and effective in treating different abdominal wounds, including infected or dehisced wounds as well as burns. The easy application and broad applicability make medical grade honey recommendable as a first-line treatment in paediatric patients.
Assuntos
Traumatismos Abdominais/terapia , Apiterapia/métodos , Queimaduras/terapia , Mel , Reepitelização , Deiscência da Ferida Operatória/terapia , Infecção da Ferida Cirúrgica/terapia , Apendicectomia , Apendicite/cirurgia , Ácido Ascórbico/uso terapêutico , Infecções por Bacteroides/terapia , Queimaduras Químicas/terapia , Criança , Pré-Escolar , Fármacos Dermatológicos/uso terapêutico , Farmacorresistência Bacteriana Múltipla , Edema , Feminino , Gastrostomia , Grécia , Humanos , Lactente , Recém-Nascido , Inflamação , Infecções por Klebsiella/terapia , Lanolina/uso terapêutico , Masculino , Neuroblastoma/cirurgia , Óleos Voláteis/uso terapêutico , Pomadas , Estudos Prospectivos , Neoplasias Retroperitoneais/cirurgia , Vitamina E/uso terapêutico , Vitaminas/uso terapêutico , Óxido de Zinco/uso terapêuticoAssuntos
Antibacterianos/uso terapêutico , Anticoagulantes/uso terapêutico , Síndrome de Lemierre/diagnóstico , Síndrome de Lemierre/terapia , Adolescente , Adulto , Idoso , Infecções por Bacteroides/diagnóstico , Infecções por Bacteroides/terapia , Criança , Drenagem/métodos , Feminino , Infecções por Fusobacterium/diagnóstico , Infecções por Fusobacterium/terapia , Humanos , Síndrome de Lemierre/microbiologia , Tempo de Internação/estatística & dados numéricos , Masculino , Staphylococcus aureus Resistente à Meticilina , Michigan , Pessoa de Meia-Idade , Mortalidade , Faringite , Estudos Retrospectivos , Infecções Estafilocócicas/diagnóstico , Infecções Estafilocócicas/terapia , Infecções Estreptocócicas/diagnóstico , Infecções Estreptocócicas/terapia , Adulto JovemRESUMO
OBJECTIVE: The aim of this report was to describe the occurrence of a bacterial brain abscess in a healthy individual, without any predisposing condition. CASE REPORT: A thirteen-year old boy was admitted to the Department of Neurosurgery after the onset of vomiting, headache and dizziness. A neurological deficit was detected during the physical examination so urgent magnetic resonance imaging of the brain was performed, revealing an intrahemispheric, right positioned solitary expansive mass with ring enhancement. Purulent material was obtained during osteoplastic craniotomy with total extirpation of the brain abscess. Aggregatibacter aphrophilus and Bacteroides uniformis were isolated. The patient's general condition improved and the neurological deficit subsided as a result of the prompt recognition and treatment of this life threatening condition. CONCLUSION: To achieve a favourable clinical outcome, prompt recognition and surgical treatment of a brain abscess are of primary importance,followed by administration of appropriate antimicrobial therapy. To our best knowledge, this is the first report of this combination of microorganisms as the cause of a brain abscess.
Assuntos
Infecções por Bacteroides/diagnóstico , Abscesso Encefálico/diagnóstico , Infecções por Pasteurellaceae/diagnóstico , Adolescente , Aggregatibacter aphrophilus/isolamento & purificação , Antibacterianos/uso terapêutico , Bacteroides/isolamento & purificação , Infecções por Bacteroides/microbiologia , Infecções por Bacteroides/terapia , Abscesso Encefálico/microbiologia , Abscesso Encefálico/terapia , Cefixima/uso terapêutico , Ceftriaxona/uso terapêutico , Coinfecção , Craniotomia , Drenagem , Humanos , Imageamento por Ressonância Magnética , Masculino , Metronidazol/uso terapêutico , Infecções por Pasteurellaceae/microbiologia , Infecções por Pasteurellaceae/terapiaRESUMO
Bacteroides fragilis is an uncommon cause of endocarditis and its occurrence in Crohn's disease has never been reported. We present a case of a B fragilis bacteraemia and endocarditis caused by seeding of left ventricular thrombus formed secondary to severe left ventricular dysfunction. A 44-years-old man with a history of persistent bloody diarrhoea for many years presented with 1-month duration of generalised weakness, malaise, fever and chills. The patient also developed right foot pain associated with cyanotic discolouration. On examination, he was cachectic and his right foot was pulseless, cold and blue in colour. Echocardiogram showed three intraventricular echo densities. Colonoscopy revealed multiple fistulous openings and blood cultures grew B fragilis. He was treated with intravenous metronidazole and underwent a proctocolectomy with ileostomy. Biopsy of the specimen confirmed Crohn's disease. This case emphasises the importance of identifying anaerobic bacteria as an uncommon but important cause of endocarditis and recognise likely source.
Assuntos
Infecções por Bacteroides/diagnóstico , Infecções por Bacteroides/microbiologia , Bacteroides fragilis/isolamento & purificação , Doença de Crohn/complicações , Doença de Crohn/diagnóstico , Endocardite/diagnóstico , Endocardite/microbiologia , Adulto , Infecções por Bacteroides/terapia , Colonoscopia , Doença de Crohn/terapia , Diagnóstico Diferencial , Ecocardiografia , Eletrocardiografia , Endocardite/terapia , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
Necrotizing fasciitis (NF) of the face is a rare but extremely dangerous complication of dental infection associated with a nearly 30% mortality rate. This infection spreads rapidly along the superficial fascial planes of the head and neck and can lead to severe disfigurement. Reports in the literature of cases of NF of the face caused by dental infection are few. We report such a case in a 36-year-old woman and review the current standards of diagnosis and management. The patient initially presented with pain and severe swelling in the left side of her face subsequent to a dental infection. The symptoms had progressed quickly and had not improved with administration of oral antibiotics in the outpatient setting. The patient had no palpable crepitus despite its classic association with NF. The infection also took a rare, ascending route of spread with involvement of the temporalis muscle. Cultures taken during debridement grew Streptococcus anginosus and Bacteroides. Biopsies of involved muscle showed histologic evidence of necrosis. Through early surgical intervention including aggressive debridement, and the adjunctive use of appropriate antibiotics, the patient recovered with minimal loss of facial mass and no skin loss. Although NF of the face is rare, the surgeon must maintain a high index of suspicion with any patient presenting after a dental infection with rapid progression of swelling and a disproportionate amount of pain that is unresponsive to antibiotics.
Assuntos
Fasciite Necrosante/etiologia , Fasciite Necrosante/microbiologia , Fasciite Necrosante/terapia , Infecção Focal Dentária/complicações , Infecção Focal Dentária/microbiologia , Infecção Focal Dentária/terapia , Adulto , Bacteroides/isolamento & purificação , Infecções por Bacteroides/microbiologia , Infecções por Bacteroides/terapia , Terapia Combinada , Diagnóstico Diferencial , Feminino , Humanos , Infecções Estreptocócicas/microbiologia , Infecções Estreptocócicas/terapia , Streptococcus anginosus/isolamento & purificaçãoRESUMO
Bacteroides fragilis is a rare cause of pyomyositis or septic arthritis. We present the case of a 74-year-old otherwise healthy male who presented with fever and right hip pain ten days after a course of intramuscular injections. Magnetic resonance imaging (MRI) showed septic arthritis of the right hip joint and pyomyositis of the right gluteus minimus muscle. Blood cultures and pus aspirated from the muscle grew Bacteroides fragilis. The patient was treated successfully with surgical debridement and metronidazole, administered for six weeks intravenously and five weeks orally. Simultaneous pyomyositis and hip septic arthritis due to Bacteroides fragilis is rare, but should be considered possible after intramuscular injections.
Assuntos
Artrite Infecciosa/patologia , Infecções por Bacteroides/patologia , Bacteroides fragilis/isolamento & purificação , Piomiosite/patologia , Idoso , Antibacterianos/uso terapêutico , Artrite Infecciosa/microbiologia , Artrite Infecciosa/terapia , Infecções por Bacteroides/complicações , Infecções por Bacteroides/terapia , Bacteroides fragilis/fisiologia , Desbridamento , Articulação do Quadril/cirurgia , Humanos , Injeções Intravenosas , Imageamento por Ressonância Magnética , Masculino , Metronidazol/uso terapêutico , Dor/diagnóstico , Piomiosite/microbiologia , Piomiosite/terapia , Resultado do TratamentoRESUMO
OBJECTIVES: To investigate the short-term effects of nonsurgical therapy (scaling and root planing, SRP) on the subgingival microbiota in chronic (CP) and aggressive (AP) periodontal disease. METHOD AND MATERIALS: Ninety-seven CP and AP subjects underwent full-mouth SRP on 2 consecutive days. AP patients were randomly assigned to either receive systemic metronidazole plus amoxicillin (AP+AB) or were treated mechanically alone (AP). Pathogens were identified with 16S rRNA oligodeoxynucleotide probes and dot-blot hybridization before and at days 2, 3, 4, 7, 10, and 21 of healing. CP subjects were treated by scaling and root planing along with placebo tablets. RESULTS: Initially, AP cell counts were 69.9- (Porphyromonas gingivalis), 10.2- (Aggregatibacter actinomycetemcomitans), 5.7- (Tannerella forsythia), and 3.3-fold (Prevotella intermedia) enhanced compared to CP cell counts. Following SRP, immediate elimination occurred in single individuals of all three treatment groups at day 2. After SRP plus antibiotic therapy (AP+AB), the prevalence scores dropped beyond the levels of AP and CP, beginning at day 7, and remained low until day 21 (P =or< .05). Clinical healing statistically benefited from SRP with no differences among the three treatment groups. CONCLUSION: Nonsurgical therapy resulted in both a suppression and early elimination of single taxa immediately after completion of active treatment. Systemic antibiotics significantly accelerate the suppression of the periodontal microflora, but have limited effect on the elimination of target isolates during healing.
Assuntos
Periodontite Agressiva/terapia , Amoxicilina/uso terapêutico , Antibacterianos/uso terapêutico , Anti-Infecciosos/uso terapêutico , Periodontite Crônica/terapia , Raspagem Dentária , Metronidazol/uso terapêutico , Aplainamento Radicular , Infecções por Actinobacillus/terapia , Adulto , Aggregatibacter actinomycetemcomitans/isolamento & purificação , Periodontite Agressiva/microbiologia , Infecções por Bacteroidaceae/terapia , Bacteroides/classificação , Infecções por Bacteroides/terapia , Periodontite Crônica/microbiologia , Contagem de Colônia Microbiana , Terapia Combinada , Combinação de Medicamentos , Seguimentos , Humanos , Pessoa de Meia-Idade , Perda da Inserção Periodontal/microbiologia , Perda da Inserção Periodontal/terapia , Índice Periodontal , Bolsa Periodontal/microbiologia , Bolsa Periodontal/terapia , Placebos , Porphyromonas gingivalis/isolamento & purificação , Prevotella intermedia/isolamento & purificaçãoAssuntos
Infecções por Bacteroides/complicações , Tamponamento Cardíaco/etiologia , Derrame Pericárdico/complicações , Infecções Estreptocócicas/complicações , Supuração/complicações , Antibacterianos/uso terapêutico , Bacteroides/isolamento & purificação , Infecções por Bacteroides/diagnóstico , Infecções por Bacteroides/terapia , Tamponamento Cardíaco/diagnóstico , Tamponamento Cardíaco/terapia , Diagnóstico Diferencial , Drenagem/métodos , Feminino , Humanos , Pessoa de Meia-Idade , Derrame Pericárdico/diagnóstico , Derrame Pericárdico/terapia , Radiografia Torácica , Infecções Estreptocócicas/diagnóstico , Infecções Estreptocócicas/terapia , Streptococcus milleri (Grupo)/isolamento & purificação , Supuração/diagnóstico , Supuração/terapiaAssuntos
Infecções por Bacteroides/diagnóstico , Fasciite Necrosante/diagnóstico , Traumatismos do Pé/complicações , Infecções Estreptocócicas/diagnóstico , Streptococcus agalactiae , Ferimentos Penetrantes/complicações , Animais , Infecções por Bacteroides/etiologia , Infecções por Bacteroides/terapia , Osso e Ossos , Fasciite Necrosante/etiologia , Fasciite Necrosante/terapia , Peixes , Traumatismos do Pé/patologia , Traumatismos do Pé/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Infecções Estreptocócicas/etiologia , Infecções Estreptocócicas/terapia , Ferimentos Penetrantes/patologia , Ferimentos Penetrantes/terapiaRESUMO
We present a case of 58-year-old woman with underlying diabetes mellitus, hepatitis C virus-related liver cirrhosis, and total hysterectomy for uterine myoma 11 moths ago, who was diagnosed ruptured aortic arch mycotic pseudoaneurysm after a certain period of survey for her unknown fever cause. After emergent surgery with prosthetic graft interposition, all her blood cultures and tissue cultures revealed pathogen with Bacteroides fragilis. Although mycotic aneurysms have been well described in literatures, an aneurysm infected solely with Bacteroides fragilis is unusual, with only eight similar cases in the literature. Here we reported the only female case with her specific clinical and management course and summarized all reported cases of mycotic aneurysm caused by Bacteroides fragilis to clarify their conditions and treatments, alert the difficulty in diagnosis, and importance of highly suspicious.
Assuntos
Falso Aneurisma/microbiologia , Aneurisma Infectado/microbiologia , Aneurisma da Aorta Torácica/microbiologia , Infecções por Bacteroides/microbiologia , Bacteroides fragilis/isolamento & purificação , Falso Aneurisma/diagnóstico , Falso Aneurisma/terapia , Aneurisma Infectado/diagnóstico , Aneurisma Infectado/terapia , Antibacterianos/uso terapêutico , Aneurisma da Aorta Torácica/diagnóstico , Aneurisma da Aorta Torácica/terapia , Infecções por Bacteroides/diagnóstico , Infecções por Bacteroides/terapia , Implante de Prótese Vascular/métodos , Diagnóstico Diferencial , Ecocardiografia , Evolução Fatal , Feminino , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
Dental infections are associated with a range of serious complications. The orofacial region provides potential spaces in the tissue that infections of dental origin can occupy. We describe the subtemporal extension of a dental infection, the late development of cranial osteomyelitis, and its surgical management.
Assuntos
Abscesso/etiologia , Infecção Focal Dentária/complicações , Osteomielite/etiologia , Abscesso/microbiologia , Abscesso/terapia , Antibacterianos/uso terapêutico , Infecções por Bacteroides/etiologia , Infecções por Bacteroides/terapia , Bacteroides fragilis/isolamento & purificação , Cefradina/uso terapêutico , Drenagem , Feminino , Humanos , Pessoa de Meia-Idade , Osteomielite/terapia , Rifampina/uso terapêutico , Osso TemporalRESUMO
Psoas abscess is an infrequent clinical entity which poses diagnostic and therapeutic challenges. Few cases have been reported in chronic hemodialysis patients. We describe a case of psoas abscess in a dialysis patient with dialysis-related amyloidosis, successfully treated with percutaneous drainage and parenteral antibiotics.
Assuntos
Amiloidose/etiologia , Abscesso do Psoas/etiologia , Diálise Renal/efeitos adversos , Idoso , Infecções por Bacteroides/tratamento farmacológico , Infecções por Bacteroides/terapia , Bacteroides fragilis , Drenagem , Feminino , Humanos , Abscesso do Psoas/diagnóstico por imagem , Abscesso do Psoas/microbiologia , Abscesso do Psoas/terapia , Pielonefrite/etiologia , Tomografia Computadorizada por Raios XAssuntos
Infecções Bacterianas/etiologia , Infecções Bacterianas/terapia , Larva , Exenteração Orbitária/efeitos adversos , Neoplasias Orbitárias/cirurgia , Idoso de 80 Anos ou mais , Animais , Infecções por Bacteroides/etiologia , Infecções por Bacteroides/terapia , Enterococcus , Infecções por Bactérias Gram-Positivas/etiologia , Infecções por Bactérias Gram-Positivas/terapia , Humanos , Masculino , Neoplasias Orbitárias/patologiaRESUMO
The first publication on Lemierre Syndrome appears in 1936 by Lemierre. It is defined as an "oropharynx bacterial infection characterized by the thrombophlebitis in the internal jugular vein, derived in a systemic septic embolism". In 81% of the cases, the Fusobacterium necrophorum is the most frequent etiologic agent. Fever is the most common symptom, but it can depending on the primary infection, tonsillitis, mastoiditis or odontogenic infection. According to the literature the mortality is very low, but with a significant morbidity, that is why the diagnosis and early treatment is very important. The diagnosis it's clinical, even though the CT scan and other diagnosis methods (echography, MRI) help to determine the extent of the infection. It's necessary to administer the antibiotics endovenous at high dose, (keeping in mind that the most frequent micro organism is anaerobic), and vital support measures if necessary. We present a case report of Lemierre Syndrome associated to an odonthogenic infection caused by the 4.8 molar.
Assuntos
Infecções por Bacteroides , Bacteroides fragilis , Veias Jugulares , Infecções Estreptocócicas , Streptococcus intermedius , Tromboflebite/microbiologia , Doenças Dentárias/complicações , Doenças Dentárias/microbiologia , Adulto , Infecções por Bacteroides/diagnóstico por imagem , Infecções por Bacteroides/terapia , Humanos , Masculino , Radiografia , Infecções Estreptocócicas/diagnóstico por imagem , Infecções Estreptocócicas/terapia , Síndrome , Tromboflebite/diagnóstico por imagem , Tromboflebite/terapiaRESUMO
The patient was a 78-year-old man who had liver and lung abscesses. Percutaneous drainage was performed for the lung abscess. While the drainage was successful for both abscesses, a drainage tube injured the peripheral pulmonary artery, causing hemorrhage and hemosputum. An occlusion technique for the pulmonary basal artery using a wedged barman catheter stopped the bleeding, resulting in a successful outcome.
Assuntos
Drenagem/efeitos adversos , Abscesso Pulmonar/terapia , Artéria Pulmonar/lesões , Artéria Pulmonar/cirurgia , Idoso , Infecções por Bacteroides/terapia , Cateterismo , Infecções por Escherichia coli/terapia , Hemorragia/etiologia , Hemorragia/cirurgia , Humanos , Abscesso Hepático/terapia , Masculino , ToracotomiaRESUMO
Pylephlebitis, also called septic thrombophlebitis of the portal vein, is a life-threatening complication of intra-abdominal infection. Although rare, it remains a less recognized entity with a high rate of mortality. We present a 66-year-old man with acute infected choledocholithiasis complicated with Bacteroides fragilis bacteremia. The contrast-enhanced computed tomography scan of the abdomen showed nearly total thrombotic occlusion of the left portal vein. The comprehensive studies for hypercoagulation disorders all yielded negative results. After endoscopic extraction of bile duct stones and broad-spectrum antibiotic therapy, the patient recuperated with complete recanalization of the occluded portal vein. To our knowledge, pylephlebitis associated with acute infected choledocholithiasis has never been reported. This report details the clinical features, radiographic findings, pathogenesis, and treatment of this distinctly unusual manifestation. Early identification of pylephlebitis and underlying intra-abdominal infection can be achieved by exquisite imaging studies with raised awareness in the clinical setting. Eradication of infectious foci and judicious administration of antimicrobials are essential to reduce the catastrophic morbidity and mortality of pylephlebitis.
Assuntos
Bacteriemia , Infecções por Bacteroides , Coledocolitíase , Veia Porta , Tromboflebite , Cavidade Abdominal/diagnóstico por imagem , Cavidade Abdominal/microbiologia , Idoso , Antibacterianos/administração & dosagem , Bacteriemia/complicações , Bacteriemia/diagnóstico por imagem , Bacteriemia/terapia , Infecções por Bacteroides/complicações , Infecções por Bacteroides/diagnóstico por imagem , Infecções por Bacteroides/terapia , Bacteroides fragilis , Colangiopancreatografia Retrógrada Endoscópica/métodos , Coledocolitíase/complicações , Coledocolitíase/diagnóstico por imagem , Coledocolitíase/microbiologia , Coledocolitíase/terapia , Humanos , Masculino , Veia Porta/diagnóstico por imagem , Veia Porta/microbiologia , Indução de Remissão , Tromboflebite/complicações , Tromboflebite/diagnóstico por imagem , Tromboflebite/microbiologia , Tromboflebite/terapia , Tomografia Computadorizada por Raios X/métodosRESUMO
OBJECT: The use of percutaneous suction aspiration has recently become viewed as an effective management strategy for pyogenic spondylitis unresponsive to conservative treatment. What remains unclear is whether it can be effective for severe pyogenic spondylitis in which abscess formation or marked bone destruction is present. The authors undertook a study to clarify answers to this question. METHODS: The authors evaluated clinical and radiographic/neuroimaging data obtained in five patients with severe pyogenic spondylitis, extensive abscesses, and marked bone destruction. These patients had undergone percutaneous drainage and continuous irrigation because open surgery was considered contraindicated in light of their poor general health. The mean period during which continuous irrigation was applied was 9 days (range 7-11 days), and the mean period during which the drainage tube was in place was 19 days (range 13-38 days). All patients suffered from back pain, which was relieved by the percutaneous technique in four patients after a mean of 8 days. The abscesses and inflammation resolved in all patients. Progressive osseous destruction was not observed, and open surgery was performed in only one patient in whom back pain persisted as a result of spinal instability. CONCLUSIONS: After an unsuccessful course of conservative treatment, severe pyogenic spondylitis with abscess formation or marked bone destruction was successfully treated using percutaneous drainage and continuous irrigation. Based on their results, the authors believe that this procedure can be used in patients with severe pyogenic spondylitis that was unresponsive to conservative treatment, particularly in those whose general health is poor.
Assuntos
Infecções Bacterianas/terapia , Abscesso Epidural/terapia , Vértebras Lombares , Espondilite/terapia , Espondilólise/terapia , Idoso , Idoso de 80 Anos ou mais , Infecções Bacterianas/diagnóstico , Infecções por Bacteroides/diagnóstico , Infecções por Bacteroides/terapia , Bacteroides fragilis , Abscesso Epidural/diagnóstico , Seguimentos , Humanos , Masculino , Resistência a Meticilina , Infecções por Pseudomonas/diagnóstico , Infecções por Pseudomonas/terapia , Abscesso do Psoas/diagnóstico , Abscesso do Psoas/terapia , Espondilite/diagnóstico , Espondilólise/diagnóstico , Infecções Estafilocócicas/diagnóstico , Infecções Estafilocócicas/terapia , Sucção , Irrigação Terapêutica , Resultado do TratamentoRESUMO
Pylephlebitis is extremely rare and associated with high mortality, even in this modern era. It usually occurs secondary to infection in the region drained by the portal systems or in the structure contiguous to the portal vein. We report a case of septic thrombophlebitis of the portal and superior mesenteric veins (SMV) with multiple liver abscesses caused by acute appendicitis with an abscess of the mesoappendix. We performed appendectomy and successfully removed the thrombi using a Fogarty catheter. Postoperative histopathological examination confirmed a diagnosis of appendicitis and septic thrombophlebitis of the portal vein and SMV. The patient recovered completely with appropriate medical and surgical treatment.