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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
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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...
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An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess.

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Infections of bare metal stents in peripheral arteries are rare but serious. This case shows successful management with debridement and antibiotics, avoiding surgery for a high-risk patient.

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Area of Science:

  • Vascular Surgery
  • Infectious Diseases

Background:

  • Peripheral endovascular stenting with bare metal stents can lead to rare but severe infections.
  • The standard treatment involves stent explantation and bypass, which carries high risks for comorbid patients.

Observation:

  • A patient presented with a groin abscess and draining sinuses due to an infected common femoral and external iliac artery bare metal stent.
  • A portion of the stent had migrated into subcutaneous tissue.
  • The patient had significant comorbidities, making surgical explantation and bypass unsuitable.

Findings:

  • The patient was successfully treated with local debridement and long-term antibiotic therapy.
  • This conservative approach avoided major surgery and resulted in a positive outcome.

Implications:

  • Recognizing bare metal stent infections, even with subtle cutaneous signs, is crucial.
  • Conservative management (debridement and antibiotics) can be effective in select high-risk patients.
  • This approach may prevent severe morbidity and mortality associated with infected stents.