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For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing. The dressing should be changed and the wound irrigated with normal saline at least twice each day. [4]
The infection can spread through the blood or lymphatic system, causing abscesses to form in other lymph nodes or internal organs throughout the body. Most commonly affected organs are the liver, lungs, kidneys and lymph nodes associated these organs. Abscesses grow gradually over time, and if they are located close to the skin, rupture is common.
An abscess is a collection of pus that has built up within the tissue of the body, usually caused by bacterial infection. [6] [7] Signs and symptoms of abscesses include redness, pain, warmth, and swelling. [1] The swelling may feel fluid-filled when pressed. [1] The area of redness often extends beyond the swelling. [8]
Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
The omenta can help control the spread of infection; however without treatment, the infection will spread throughout the cavity. An abscess may also form as a secondary reaction to an infection. Antibiotics have become an important tool in fighting abscesses; however, external drainage is usually required also. [1]
Amoebic abscesses of the liver produce brownish pus, which is described as looking like "anchovy paste". Pus from anaerobic infections can more often have a foul odor. [8] In almost all cases when there is a collection of pus in the body, a clinician will try to create an opening to drain it.
On the other hand, antibiotics are not recommended in patients with pancreatitis, unless the presence of an infected abscess has been proved. Although there have been reported cases of patients who were given medical treatment and survived, primary drainage of the abscess is the main treatment used to cure this condition. Drainage usually ...
Psoas abscess is a collection of pus in the iliopsoas muscle compartment. [ 1 ] [ 2 ] It can be classified into primary psoas abscess (caused by hematogenous or lymphatic spread of a pathogen ) and secondary psoas abscess (resulting from contiguous spread from an adjacent infectious focus).