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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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Related Experiment Videos

Enterococcus faecalis cellulitis/fasciitis after hypospadias surgery.

Regina D Norris1, Ahmad Z Mohamed, Judith M Martin

  • 1Division of Pediatric Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. regina.norris@chp.edu

Urology
|February 17, 2010
PubMed
Summary

A rare case of cellulitis and fasciitis caused by Enterococcus faecalis infection was observed following hypospadias surgery. This highlights a potential complication of the surgical procedure.

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Area of Science:

  • Infectious Diseases
  • Surgical Complications
  • Microbiology

Background:

  • Hypospadias surgery is a common procedure in pediatric urology.
  • While generally safe, surgical site infections can occur.
  • Enterococcus faecalis is a known opportunistic pathogen.

Observation:

  • A pediatric patient developed cellulitis and fasciitis post-hypospadias repair.
  • The affected tissue showed signs of severe bacterial infection.
  • Cultures from the infected site identified Enterococcus faecalis as the causative agent.

Findings:

  • Enterococcus faecalis was confirmed as the pathogen responsible for the cellulitis/fasciitis.
  • The infection presented as a serious complication following hypospadias surgery.
  • Prompt diagnosis and treatment were crucial for patient recovery.

Implications:

  • This case underscores the importance of considering Enterococcus faecalis in post-operative infections after hypospadias surgery.
  • Awareness of this potential complication may guide preventative strategies and treatment protocols.
  • Further research into the specific risk factors and management of Enterococcus faecalis infections in this context is warranted.