Aseptic Abscess Syndrome with Severe Skin Involvement: Case Report

Agirgol, Senay; Ustaoglu, Eda; Demir, Filiz Topaloğlu; Akbulut, Tuğba Özkök; Türkoğlu, Zafer; Kaya, Hasan; Pehlivanoğlu, Filiz

doi:10.4103/ijd.ijd_259_18

Cited by 4 publications

(7 citation statements)

References 5 publications

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“…The diagnosis is established by excluding other diseases in different ialdiagnosis[ 4 ]. AA can arise in many parts of the body, including the abdominal cavity[ 5 ], liver[ 6 ], spleen[ 6 ], brain[ 7 ], lung[ 8 ], and extremities[ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Pain is the most common symptom in patients with AA[ 13 ]. Symptoms vary among the organs involved[ 8 , 9 ]. Weight loss, abdominal pain, nausea, and fatigue suggest involvement of the digestive system[ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms vary among the organs involved[ 8 , 9 ]. Weight loss, abdominal pain, nausea, and fatigue suggest involvement of the digestive system[ 9 ]. In patients with MGUS, the prevalence of symptomatic neuropathy is 8% to 36%[ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Both MGUS and diabetes can cause neuropathy, which might explain why the AA was painless in our patient. Multiple lesions in the spleen, liver, and skin are present in IBD and prone to relapse[ 6 , 9 ]. Anti-tumor drugs can cause multiple[ 10 ] or single[ 7 ] AAs.…”

Section: Discussionmentioning

confidence: 99%

“…AA does not respond to antibiotic therapy[ 9 ]; however, its response to steroids is excellent[ 8 ]. In some cases, AA completely resolves with the combination of cyclophosphamide and prednisone or anti-tumor necrosis factor-alpha therapy in patients with IBD[ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Aseptic abscess in the abdominal wall accompanied by monoclonal gammopathy simulating the local recurrence of rectal cancer: A case report

Yu¹,

Feng²,

Zhang³

et al. 2022

WJCC

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BACKGROUND Infectious abscesses in the abdominal wall can be secondary to retained foreign bodies ( e.g., stones, use of artificial mesh, use of silk yarn in surgical suture), inflammatory diseases ( e.g ., acute appendicitis), and perforated malignancies of the digestive tract (particularly the colon). Aseptic abscesses (AAs) are relatively rare. To the best of our knowledge, this is the first report of an AA in the abdominal wall accompanied by monoclonal gammopathy of undetermined significance (MGUS) at 5 years after laparoscopic proctectomy. CASE SUMMARY A 72-year-old female patient presented with an enlarged painless mass in the lower abdomen for 1 year. She had a history of obesity, diabetes, and MGUS. Her surgical history was laparoscopic resection for rectal cancer 6 years prior, followed by chemotherapy. She was afebrile. Abdominal examination revealed a smooth abdomen with a clinically palpable solid mass under a laparotomy scar in the left lower quadrant. No obvious tenderness or skin redness was spotted. Laboratory data were not remarkable. Computed tomography scan revealed a low-density mass of 4.8 cm in diameter in the lower abdominal wall, which showed high uptake on positron emission tomography. The preoperative diagnosis was an abscess or tumor, and surgical resection was recommended. The mass was confirmed to be an AA by microbiological and pathological examinations. The patient recovered well after surgery. There was no evidence of recurrence 2 years later. CONCLUSION It is important to consider underlying conditions (diabetes, chemotherapy, MGUS) which may contribute to AA formation in the surgical wound.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Aseptic abscess in the abdominal wall accompanied by monoclonal gammopathy simulating the local recurrence of rectal cancer: A case report

Yu¹,

Feng²,

Zhang³

et al. 2022

WJCC

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Characterization and Management of Amicrobial Pustulosis of the Folds, Aseptic Abscess Syndrome, Behçet Disease, Neutrophilic Eccrine Hidradenitis, and Pyostomatitis Vegetans−Pyodermatitis Vegetans

Nguyen,

Camilleri,

Wetter

2024

Dermatologic Clinics

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Aseptic pyomyositis in rheumatoid arthritis treated with corticosteroid and DMARDs

Karmacharya,

Shrestha,

Nakarmi

et al. 2024

Oxford Medical Case Reports

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Pyomyositis is a purulent infection of skeletal muscle that is mostly observed in tropical countries. Aseptic pyomyositis is a rare, potentially life-threatening disorder characterized by the formation of sterile pus in muscle. We present a case of 53-years old female, diagnosed case of seropositive rheumatoid arthritis, presented with pain and swelling of the right calf muscle for 2 weeks. There was no history of fever, cough, skin erythema, no history of prolonged standing or immobility, or fetal loss. The diagnosis was made as rheumatoid arthritis with autoimmune pyomyositis, and the patient was treated with oral prednisolone 1mg/kg body weight in tapering dose, cs DMARDS, (methotrexate 25 mg once a week, and leflunomide 20mg daily hydroxychloroquine 200 mg daily orally) and another supportive treatment along with surgical drainage of pus was done. There was complete resolution of the initial lesion and remission of the primary disease in 3 months.

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Aseptic Abscess Syndrome with Severe Skin Involvement: Case Report

Cited by 4 publications

References 5 publications

Aseptic abscess in the abdominal wall accompanied by monoclonal gammopathy simulating the local recurrence of rectal cancer: A case report

Aseptic abscess in the abdominal wall accompanied by monoclonal gammopathy simulating the local recurrence of rectal cancer: A case report

Characterization and Management of Amicrobial Pustulosis of the Folds, Aseptic Abscess Syndrome, Behçet Disease, Neutrophilic Eccrine Hidradenitis, and Pyostomatitis Vegetans−Pyodermatitis Vegetans

Aseptic pyomyositis in rheumatoid arthritis treated with corticosteroid and DMARDs

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