Hyperbaric oxygen therapy in a case of cervical abscess extending to anterior mediastinum, with isolation of<i>Prevotella corporis</i>

Ciodaro, Francesco; Gazia, Francesco; Galletti, Bruno; Galletti, Francesco

doi:10.1136/bcr-2019-229873

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…This patient was treated successfully with surgical drainage, antibiotics, and subsequent hyperbaric oxygen therapy. Aggressive treatment is needed because the mortality rate of a cervical abscess secondary to odontogenic infection and complicated by mediastinitis varies from 10% to 40% [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Large Recurrent Mediastinal Abscess Presenting With Cardiopulmonary Collapse

Kalivoda¹,

Lackey²,

Mainali³

et al. 2021

Cureus

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Section: Discussionmentioning

confidence: 99%

Large Recurrent Mediastinal Abscess Presenting With Cardiopulmonary Collapse

Kalivoda¹,

Lackey²,

Mainali³

et al. 2021

Cureus

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“…HBOT has been reported to be effective for the treatment of abscesses [26][27][28][29]. In addition, HBOT is also reported to be effective for the treatment of RT side effects [30][31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

The use of hyperbaric oxygen to treat actinic rectal fistula after SpaceOAR use and radiotherapy for prostate cancer: a case report

Kashihara

Inaba

Komiyama³

et al. 2020

BMC Urol

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Background In definitive radiation therapy for prostate cancer, the SpaceOAR® System, a hydrogel spacer, is widely used to decrease the irradiated dose and toxicity of rectum. On the other hand, periprostatic abscesses formation and rectal perforation are known as rare adverse effects of SpaceOAR. Nevertheless, there is a lack of reports clarifying the association between aggravation of abscesses and radiation therapy, and hyperbaric oxygen therapy (HBOT) is effective for a peri-SpaceOAR abscess and rectal perforation. Case presentation We report a case of a 78-year-old high-risk prostate cancer patient. After SpaceOAR insertion into the correct space, he started to receive external beam radiation therapy (EBRT). He developed a fever, perineal pain and frequent urination after the completion of EBRT, and the magnetic resonance imaging (MRI) revealed a peri-SpaceOAR abscess. Scheduled brachytherapy was postponed, administration of antibiotics and opioid via intravenous drip was commenced, and transperineal drainage was performed. After the alleviation of the abscess, additional EBRT instead of brachytherapy was performed with MRI-guided radiation therapy (MRgRT). On the last day of the MRgRT, perineal pain reoccurred, and MRI and colonoscopy detected the rectal perforation. He received an intravenous antibiotics drip and HBOT, and fully recovered from the rectal perforation. Conclusions Our report indicates that EBRT can lead to a severe rectum complication by causing inflammation for patients with a peri-SpaceOAR abscess. Furthermore, HBOT was effective for the peri-SpaceOAR abscess and rectal perforation associated with EBRT.

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“…HBOT has been reported to be effective for the treatment of an abscess [26][27][28][29]. Additionally, HBOT is also reported to be effective for the treatment of the side effects of radiation therapy [30][31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

Rectal Perforation Associated with Magnetic Resonance-Guided Radiation Therapy (MRgRT) after Peri-SpaceOAR Abscess Formation: A Case Report.

Kashihara¹,

Inaba²,

Komiyama³

et al. 2020

Preprint

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Background In definitive radiation therapy for prostate cancer, SpaceOAR, a hydrogel spacer, is widely used to decrease irradiated dose and toxicity of rectum. On the other hand, periprostatic abscess formation is known as a rare adverse effect of SpaceOAR. There is a lack of reports clarifying the association between aggravation of abscesses and radiation therapy, and whether SpaceOAR insertion succeeded or not. Case presentation We report a case of a 78-year-old high-risk prostate cancer patient. After SpaceOAR insertion into the correct space, he started to receive external beam radiation therapy (EBRT). He developed a fever, perineal pain and frequent urination after the completion of EBRT, and the magnetic resonance imaging (MRI) revealed a peri-SpaceOAR abscess. Scheduled brachytherapy was postponed, administration of antibiotics and opioid via intravenous drip was commenced, and transperineal drainage was performed. After the alleviation of the abscess, additional EBRT instead of brachytherapy was performed with MRI-guided radiation therapy (MRgRT). On the last day of the MRgRT, perineal pain reoccurred, and MRI and colonoscopy detected the rectal perforation. He received an intravenous antibiotics drip and hyperbaric oxygen therapy (HBOT), and fully recovered from the rectal perforation. Conclusions Our report indicates that EBRT can lead to severe rectum complication by causing inflammation for patients with a peri-SpaceOAR abscess. Furthermore, HBOT was effective for the peri-SpaceOAR abscess and rectal perforation associated with EBRT.

show abstract

Hyperbaric oxygen therapy in a case of cervical abscess extending to anterior mediastinum, with isolation ofPrevotella corporis

Cited by 5 publications

References 29 publications

Large Recurrent Mediastinal Abscess Presenting With Cardiopulmonary Collapse

Large Recurrent Mediastinal Abscess Presenting With Cardiopulmonary Collapse

The use of hyperbaric oxygen to treat actinic rectal fistula after SpaceOAR use and radiotherapy for prostate cancer: a case report

Rectal Perforation Associated with Magnetic Resonance-Guided Radiation Therapy (MRgRT) after Peri-SpaceOAR Abscess Formation: A Case Report.

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