exudates and Rupture--Spontaneous

Phaeohyphomycosis consists of a group of mycotic infections characterized by the presence of dematiaceous (dark walled) septate hyphae. Splenic abscess and spontaneous rupture is an infrequent complication in children with haematological malignancies and can be life threatening. To the best of our knowledge this is the first report of a case of splenic rupture following the development of multiple abscesses secondary to infestation by this rare fungal species.

Topics: Abscess; Child, Preschool; Female; Fungi; Humans; Malaysia; Rupture, Spontaneous; Splenic Rupture

A 1 year review of 529 cases of acute appendicitis, treated at the University Hospital in 1990, was performed. Perforation rate was 23.7% and delay in diagnosis was found to be significant. Patients above 50 years of age were particularly at risk. Diagnostic error was 19.3% and it was a problem not only in young women but also in children. Temperature and rectal examinations were not found to be helpful in the diagnosis in contrast to leukocytosis. Waiting time for operation was long (median 7 hours), be it for a perforated or a nonperforated appendicitis.

Topics: Acute Disease; Adult; Aged; Appendicitis; Body Temperature; Child; Child, Preschool; Diagnostic Errors; Hospitals, University; Humans; Intestinal Perforation; Malaysia; Middle Aged; Physical Examination; Rectum; Risk Factors; Rupture, Spontaneous; Time Factors