1/2. Piriformis pyomyositis mimicking epidural abscess in a parturient.A case is presented of a patient who developed fever, leukocytosis, severe back pain, local overlying spinal tenderness, and left leg weakness on the fifth day postpartum. The patient had epidural anaesthesia for ten hours duration, before and during a forceps delivery. Computerized axial tomography (CT) and magnetic resonance imaging (MRI) of the pelvis and lumbar spine revealed swelling of the left iliacus and piriformis muscles, but no epidural abscess. A diagnosis of isolated piriformis pyomyositis with secondary sciatic nerve irritation was made, and the patient was treated with intravenous antibiotics, non-steroidal anti-inflammatory agents, and morphine analgesia. She made a full, uneventful recovery within 50 days, and was discharged requiring no medications.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/2. An unusual dental cause of nasal discharge: a case report.A case is reported of an unusual cause of localized nasal discharge. A 6-year-old girl presented complaining of pain and discharge from the left nostril. Clinical and radiological evaluation revealed the cause of the symptoms to be a previously asymptomatic intruded primary incisor on the floor of the nasal cavity. The tooth was removed under general anaesthesia and healing occurred without complication.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |