Idiopathic primary lymphoedema (‘swollen legs’) and secondary lymphoedema following trauma or infection (e.g. wound oedema or phlegmon/cellulitis) are frequently encountered problems in equine veterinary practice. At present, therapy of these diseases is often based on symptomatic and empirical treatment, using NSAIDs, antibiotics and compression bandages (Fig 1). Less consideration is given to...

Fournier’s gangrene is a necrotising fasciitis of the genitalia. Jean Alfred Fournier (18321914) was the first French syphilologist, the first professor of cutaneous and syphilitic diseases at the Paris Faculty of Medicine, and the most prominent European venereologist of the second half of the 19th century. He first described idiopathic, rapily progressive necrotizing gangrene of the male geni...

BACKGROUND Bacterial infections are a well-known complication of traumatic amputations. In cases involving contact with soil or water contaminated with manure, one also must be aware of infections with fungi, particularly Scedosporium spp. We report on an immunocompetent trauma patient with an infection caused by a recently described Scedosporium species, S. aurantiacum. METHODS Case report a...

Advances in the technology and improved access to imaging modalities such as Computed Tomography and laparoscopy have changed the contemporary diagnostic and management of acute appendicitis. Complicated appendicitis (phlegmon, abscess and/ or diffuse peritonitis), is now reliably distinguished from uncomplicated cases. Therefore, a new comprehensive grading system for acute appendicitis is nec...

We describe a patient with dysphagia and trismus associated with lower jaw inflammation due to phlegmon who developed severe hyponatremia from water intoxication due to excessive water intake after diaphoresis caused by abnormally hot weather. A 63-year-old woman presented with severe swelling of the floor of the mouth and trismus. As she had spasms and numbness of the extremities and restlessn...

BACKGROUND We conducted a retrospective study of patients with pemphigus vulgaris (n = 24) and foliaceus (n = 7) treated with adjuvant rituximab to determine efficacy and adverse events. The end point for efficacy was complete remission of disease taking no or minimal therapy. OBSERVATIONS Eighteen patients (58%) achieved the study end point. Of these, 13 patients achieved complete remission ...

Objectives: The purpose of the study is to describe the radiological features of spinal tuberculosis on MRI (magnetic resonance imaging) and plain radiograph and the role of MRI in assessing the extent of disease, to assess the degree of cord/ thecal sac compression and to correlate with neurological deficit. Methods: This study was done on prospective basis in 30 patients with clinical suspici...

I was consulted by a soldier in November, 1943, who was admitted in our Military Hospital Sungei Patani, Kedah, in Malaya. His chief complaints were an eczematous ulcer and phlegmon in his left thigh with high temperature and slight jaundice. He looked to be in a critical condition. Finally he proved fatal in general prostration on the 9th day from the onset of the disease. Whilst giving him tr...