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Usually, no treatment is used if the pyogenic granuloma occurs during pregnancy, since the lesion may heal spontaneously. Recurrent bleeding in either oral or nasal lesions may necessitate excision and cauterization sooner, however. If aesthetics are a concern, then treatment may be prioritized.
Causes (listed in order of decreasing frequency) include: endometritis, urinary tract infection, pneumonia/atelectasis, wound infection, and septic pelvic thrombophlebitis. Septic risk factors for each condition are listed in order of the postpartum day (PPD) on which the condition generally occurs.
Endometritis is inflammation of the inner lining of the uterus (endometrium). [6] Symptoms may include fever, lower abdominal pain, and abnormal vaginal bleeding or discharge. [1] [4] It is the most common cause of infection after childbirth.
An abscess is a localized collection of pus (purulent inflammatory tissue) caused by suppuration buried in a tissue, an organ, or a confined space, lined by the pyogenic membrane. [28] Ultrasound imaging can help in a diagnosis. [29]
Specimens obtained from wounds and subcutaneous tissue infections and abscesses in the rectal area (perirectal abscess, decubitus ulcer) or that are of gut flora origin(i.e. diabetic foot infection) often to yield colonic flora organisms. [40] These are generally B. fragilis group, Clostridium spp., Enterobacteriaceae and Enterococcus spp. On ...
Treatment is typically to avoid the ulcer getting infected, remove any excess discharge, maintain a moist wound environment, control the edema, and ease pain caused by nerve and tissue damage. Topical antibiotics are normally used to prevent the ulcer getting infected, and the wound or ulcer is usually kept clear of dead tissue through surgical ...
Often it is associated with focal bacterial or fungal infections, and can also manifest as one of the symptoms of an internal chemical burn. [2] In liquefactive necrosis, the affected cell is completely digested by hydrolytic enzymes , resulting in a soft, circumscribed lesion consisting of pus and the fluid remains of necrotic tissue.
The evidence for elective treatment of pilonidal sinus disease is poor. [17] The most commonly performed surgery is for the pilonidal sinus complex to be surgically excised with the wound often left open to heal. Post-surgical wound packing may be necessary, and packing typically must be replaced daily for four to eight weeks.