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A mini case report: Klebsiella pneumoniae-induced metastatic neck abscess following laparoscopic appendectomy.
Jin, Cancan; Hu, Jiangnan; Wang, Linshu; Hu, Sizhe; Wang, Kangyi; Fu, Liangbin; Zhao, Xiaokang; Qian, Feng; Shentu, Hui.
Afiliação
  • Jin C; Department of Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
  • Hu J; Department of Surgery and Stanford Cancer Institute, Stanford University, Stanford, CA, 94305, USA.
  • Wang L; Department of NeuroSurgery, Stanford University, Stanford, CA, 94305, USA.
  • Hu S; Department of Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
  • Wang K; Department of Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
  • Fu L; Department of Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
  • Zhao X; Department of Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
  • Qian F; Department of Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
  • Shentu H; Department of Oncology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, 322100, China.
Heliyon ; 10(10): e31062, 2024 May 30.
Article em En | MEDLINE | ID: mdl-38803894
ABSTRACT
Common complications following laparoscopic appendectomy include wound infection, bleeding, intra-abdominal abscess, small bowel obstruction, stump leakage, and stump appendicitis. Here, we presented a case reporting detailing a rare complication following laparoscopic appendectomy the development of a metastatic neck abscess induced by Klebsiella pneumoniae(K. pneumoniae). A 49-year-old male underwent emergency laparoscopic surgery with prophylactic antibiotic administration for acute appendicitis. Subsequently, he experienced persistent neck pain and fever postoperatively, prompting further investigation. Pus and blood cultures revealed K. pneumoniae, with magnetic resonance imaging confirming the presence of a neck abscess. Antibiotic therapy was adjusted, and surgical drainage of the abscess was performed after multidisciplinary consultation. The patient was discharged without complications. While rare, metastatic abscesses following appendectomy warrant consideration, particularly in K. pneumoniae infections. Comprehensive clinical assessment, imaging, and laboratory evaluation are crucial for timely diagnosis and management of such complications.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article