Top
40
Doctor insights on: Recurrent Pyogenic Cholangitis

Share
1

1
Can a tumor @ l2-l3 cause recurrent kidney infections?

Can a tumor @ l2-l3 cause recurrent kidney infections?

Yes: It can lead to a "neurogenic bladder" with poor urine drainage and retention so as to facilitate bacterial infection and recurrent episodes some times acending to the kidneys. If the bladder does not empty well it needs to be drained by a catheter daily to prevent this from occurring. ...Read more

See 1 more doctor answer

Cholangitis (Definition)

An infection of the bile duct, usually caused by bacteria coming from the upper part of the small intestine (duodenum), that is ...Read more


2

2
Is primary sclerosing cholangitis rare?

Is primary sclerosing cholangitis rare?

Yes: The goal of managing acute attacks is antibiotics and IV fluids. In about 15%, emergency decompression or surgery is needed. Prevention of future attacks of cholangitis is based on removing biliary stones and debris, dilation or resection of strictures, and establishing optimal biliary drainage. Also important to rule out the clonorchis parasite. Your GI doctor can discuss newest treatments. ...Read more

4

4
Can pylonephritis cause staph aureus infection?

Can pylonephritis cause staph aureus infection?

Hmm: If the pyelonephritis is due to bacteria Staph Aureus it can be the cause of the pyelonephritis . But having pyelonephritis does not mean you have or will cause staph aureus infection. ...Read more

See 1 more doctor answer
6

6
How common is sepsis with ecthyma gangrenosum?

How common is sepsis with ecthyma gangrenosum?

Very rare: I have never taken care of a patient with this despite working in an ICU for 7 years at a major referral center. There not even any case series published - just case reports, indicating that no one has been able to even accumulate enough cases at one institution to document more than a few. ...Read more

See 2 more doctor answers
7

7
What is chronic recurrent multifocal osteomyelitis?

What is chronic recurrent multifocal osteomyelitis?

Multiple bone sites: CRMO,chronic recurrent multifoclal osteomyel.Occurs in child not at same time and over years..Can occur in epiphysis, metaphysis and diaphysis of long bones, vertebrae.Characteristic lesions sometimes seen in clavicles. Biopsy shows no bacteria, but lymphocytes and plasma cells. Can result in leg length discrepancy or angulated bones.RX NSAIDS and recently EMBREL.Believed autoimmune process. ...Read more

See 2 more doctor answers
8

8
How common are secondary bacterial infections or sepsis with a mono infection?

How common are secondary bacterial infections or sepsis with a mono infection?

Not quantified: Secondary bacterial infections are common enough to make most of the lists of complications of ebv that leads to infectious mononucleosis, but i could not find that a case rate had been published at this time (i.e. A percentage of cases that develop secondary infections). The illness does cause relative immune compromise through splenic inflammation and neutropenia in some cases. ...Read more

See 1 more doctor answer
9

9
What is secondary staph infection?

What is secondary staph infection?

Staph Infection: Staphylococcal bacteria commonly inhabit the skin and interior of the nose. Microscopic or visible breaks in the surface barrier of the body--the skin and mucous membranes--provide an opportunity for these bacteria to cause localized infections. Complications arise when the staph bacteria spread beyond the initial site of infection to the bloodstream and interior body tissues. ...Read more

10

10
Ulcerative colitis and primary sclerosing cholangitis related?

Ulcerative colitis and primary sclerosing cholangitis related?

Yes: Yes there is an association. See this link: http://www.Mayoclinic.Com/health/primary-sclerosing-cholangitis/ds00918/dsection=risk-factors. ...Read more

11

11
What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

Usually a gallstone: Usually a gallstone causing obstruction of the common bile duct can cause sudden painful jaundice, sometimes with associated cholangitis (infection of the bile) This requires drainage and extraction of the stone from the common bile duct with a procedure call ERCP. Other causes can be tumors causing obstruction, which is more often painless and gradual. ...Read more

12

12
Does splenectomy prevent recurrent episodes of hemolysis?

Does splenectomy prevent recurrent episodes of hemolysis?

Maybe: Splenectomy is indicated if hemolytic anemia is not responsive to other measures. It may stop hemolysis, but hemolysis can recur at a later time. ...Read more

See 1 more doctor answer
13

13
Explain the condition called a cytomegalovirus (c.M.V.) brain infection.?

Explain the condition called a cytomegalovirus (c.M.V.) brain infection.?

Cmv encephalitis: Cytomegelovirus (CMV) encephalitis in adults is uncommon. It usually is seen as part of a generalized CMV infection in immunocompromised patients. ...Read more

See 1 more doctor answer
14

14
Is vibrio parahaemolyticus infection painful?

V.parahemolyticus: V.Parahemolyticus is often associated with a history of seafood ingestion or wounds in sea water. Unfortunately, conventional antibiotic therapy does not shorten the course of hemolytic or dysenteric illness (painful for some). As in all diarrheal diseases, the key is adequate rehydration. If diarrhea persists more than 5 days, patients may benefit from treatment with tetracycline or a quinolone. ...Read more

16

16
Can recurrent UTI cause by colon tumor?

Can recurrent UTI cause by colon tumor?

No: Unrelated. Need to consult with GI dr or surgeon if you pass blood or black tarry stool perrectum. Also if there has bee an appreciable change in texture of bowel movements. This would be related to ruling out bowel tumor & not to recurrent utis. ...Read more

17

17
Can erythema multiforme be caused by viral or bacterial infection?

Can erythema multiforme be caused by viral or bacterial infection?

Yes: Erythema multiforme is an allergic reaction. Many times the cause is not found. Sometimes the cause is an infection by viruses, mycoplasma, bacteria, etc... Other times, the cause is related to a variety of medications. ...Read more

See 1 more doctor answer
18

18
Idiopathic recurrent acute mild chronic pancreatitis CURE ?

Idiopathic recurrent acute mild chronic pancreatitis CURE ?

Unknown.: Idiopathic means that we don't know why it happens. If we don't know why it happens then we cannot make any logical assumption as to how to cure it. Further information could be helpful. Are you diabetic? Are you overweight? What kind of diet do you have? You drink alcohol ever? Is there anything that you eat that seems to make it worse? Do you have high cholesterol or high triglycerides? ...Read more

See 1 more doctor answer
19

19
Explain the condition called a campylobacter infection.?

Explain the condition called a campylobacter infection.?

Diarrhea: Campylobacter is a bacterial genus that includes the species "jejuni" which is one of many bacterial species that often cause acute, infectious diarrhea. It is self-limiting, rarely lasts >7-10 days, and can be treated with antibiotics but doesn't necessarily require treatment other than fluid replacement. ...Read more

20

20
Can chronic calcific pancreatitis be cured?

Can chronic calcific pancreatitis be cured?

Managed not cured: chronic calcific pancreatitiscan be managed but not cured. ...Read more

21

21
What do you recommend for cholangitis?

What do you recommend for cholangitis?

What kind?: Cholangitis (bile duct infection) from a gallstone that got stuck along the way is a serious, acute problem. Rx involves antibiotics and removal of the stone (often with a special endoscopy procedure-ercp), and/or surgery. Sclerosing cholangitis is a different thing altogether. Chronic, autoimmune, inflammatory bile duct condition, often assoc with inflam bowel. Difficult issue. See GI specialist. ...Read more

See 1 more doctor answer
22

22
What's a natural way to treat cholangitis?

What's a natural way to treat cholangitis?

Cholangitis: Dependig on the cause, antibiotics are a natural way to treat it. Possibly other intervention is needed including gastroenterology involvement. ...Read more

See 1 more doctor answer
24

24
What are the symptoms of oriental cholangitis?

What are the symptoms of oriental cholangitis?

Jaundice : Episodes of right upper abdominal pains fever jaundice due to recurrent infection of bile ducts .Pigmented stones are formed in the liver ducts. ...Read more

25

25
What is the definition or description of: cholangitis?

What is the definition or description of: cholangitis?

Infection: It is an infection of the bile ducts. Usually there is an obstruction of the bile ducts. Most commonly this is caused by a gallstone, although there are other rarer causes. It can be life threatening. If you have pain in your right upper quadrant, a fever and are jaundiced, get medical attention immediately! ...Read more

See 1 more doctor answer
26

26
Whats sclerosing cholangitis?

See below: Complicated for a short answer here. See this site........http://www.mayoclinic.org/primary-sclerosing-cholangitis/. ...Read more

27

27
Is cholangitis painful?

Usually: Cholangitis is bile duct inflammation usually occurring secondary to bile duct obstruction from stones. Bacteria in the bile duct are readily absorbed into the bloodstream from the liver and lead to serious infections. Classic findings are right upper abdominal pain (not unlike a gallbladder attack), fever, and jaundice. Some people are so ill that they are lethargic and have no pain complaints. ...Read more

28

28
What exactly is cholangitis?

What exactly is cholangitis?

Bile Duct Infection: Ascending cholangitis describes an infection in the bile duct, usually secondary to obstruction. Common causes include bile duct stones, strictures, or tumors. These infections can be very serious because bacteria readily enter the bloodstream from the liver. Rx includes antibiotics +/-relief of the obstruction via endoscopy (ercp). ***sclerosing cholangitis is an unrelated inflammatory dz***. ...Read more

29

29
What are the tests for cholangitis?

What are the tests for cholangitis?

Labs, U/S, ERCP: Classic findings include jaundice, right upper abd pain, and fever. Ultrasound may show dilitation of the bile duct +/- (the often-offending) gallstones. Endoscopy. (ERCP) may identify the bile duct obstruction and rx it via stone extraction +/- stenting. ...Read more

30

30
What sort of disease is cholangitis?

What sort of disease is cholangitis?

Inflamed bile ducts: Cholangitis can be caused by bile duct inflammation from infections, blockage of ducts by stones, rarely by strictures ( benign or from cancer), it is also seen in patients with ulcerative colitis as primary sclerosing cholangitis. The treatment depends on the condition causing cholangitis. ...Read more

See 2 more doctor answers
31

31
So what are the symptoms of cholangitis?

Pain,Fever,Jaundice: Cholangitis is an infection in the bile ducts that occurs with blockage of the bile duct, typically due to stones, tumors, or strictures of the ducts. Bacteria rapidly enter the bloodstream from the liver, causing serious infections. Treatment centers on IV antibiotics, aggressive supportive care, and, occasionally, relief of the blockage (typically performed by gastroenterologists via ercp). ...Read more

See 1 more doctor answer
32

32
What are the common symptoms of cholangitis ?

Fever,Pain, Jaundice: The three classic signs of cholangitis are referred to as charcot's triad and consist of pain in the upper right side of the abdomen, fever, and jaundice (yellowing of the skin). ...Read more

See 1 more doctor answer
34

34
Are some people more prone to getting cholangitis?

Yes: Cholangitis is an infection of the common bile duct, the tube that carries bile from the liver to the gallbladder and intestines. This infection occurs more commonly in women than men. The onset is usually after age 55. Individuals who are at greater risk are those who have previously suffered from gallstones. ...Read more

35

35
Which groups are most likely to develop cholangitis?

Several: Post cholecystectomy with bile stasis or slow drainage obstructed common duct or pancreatic duct biliary to bowel anastomoses. ...Read more

See 1 more doctor answer
36

36
Does cholangitis cause thrombosis?

Sort of: Any inflammatory state increases your risk of thrombosis, but it doesn't directly cause it. ...Read more

See 1 more doctor answer
37

37
What are the symptoms of sclerosing cholangitis ?

Fatigue, etc.: Most people with sclerosing cholangitis are diagnosed based on routine laboratory abnormalities, often without any symptoms. As liver dysfunction progresses, common symptoms include fatigue, jaundice, itching, diarrhea, and (fat-soluble) vitamin deficiency. ...Read more

See 1 more doctor answer
38

38
What do you recommend for sclerosing cholangitis?

Management of SC: The goal of managing acute attacks is antibiotics and IV fluids. In about 15%, emergency decompression or surgery is needed. Prevention of future attacks of cholangitis is based on removing biliary stones and debris, dilation or resection of strictures, and establishing optimal biliary drainage. Also important to rule out the clonorchis parasite. Your GI doctor can discuss newest treatments. ...Read more

40

40
I was wondering what are some nursing diagnoses for cholangitis?

Not sure of question: There are several causes of cholangitis, bacterial and autoimmune. Bacterial cholangitis has several causes, ascending infection caused by blockage from stones (choledocholithiasis), malignancy or iatrogenic. This is because bacteria grow in the stagnant bile upstream of the blockage and cause biliary sepsis. Autoimmune cholangitis also includes primary sclerosing cholangitis. ...Read more