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Related Concept Videos

Acute Pharyngitis01:30

Acute Pharyngitis

792
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
792
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

296
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
296
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

15
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...
15
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

452
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
452
Tonsillitis II: Management01:26

Tonsillitis II: Management

131
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
131
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

20
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
20

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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Spinal Epidural Abscess and Strep Pharyngitis.

Phoebe Greenwald1, Andrew K Chan1

  • 1Department of Neurological Surgery, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.

World Neurosurgery
|September 23, 2023
PubMed
Summary
This summary is machine-generated.

A rare spinal epidural abscess (SEA) caused by Fusobacterium necrophorum, an oral anaerobe, occurred in a healthy student following strep pharyngitis. Prompt diagnosis and treatment led to full neurologic recovery.

Keywords:
Fusobacterium necrophorumMagnetic resonance imagingSpinal epidural abscessStrep pharyngitis

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Microbiology

Background:

  • Spinal epidural abscesses (SEA) demand urgent diagnosis to prevent severe outcomes.
  • Common symptoms include neck pain, fever, and neurological deficits.

Observation:

  • A healthy 20-year-old student with recent strep pharyngitis presented with SEA symptoms.
  • MRI revealed an epidural collection with cord compression and osteomyelitis.
  • Surgical cultures identified Fusobacterium necrophorum, an atypical pathogen for SEA.

Findings:

  • Fusobacterium necrophorum, an oral anaerobe, translocated from the pharynx to the epidural space.
  • The patient underwent successful surgical abscess evacuation and received a 6-week antibiotic course (ceftriaxone).

Implications:

  • This case highlights that SEA can occur in healthy individuals without apparent risk factors.
  • Clinicians should consider unusual pathogens like Fusobacterium necrophorum in SEA, especially after pharyngitis.
  • Early recognition and treatment are crucial for favorable neurologic outcomes in SEA.