Last reviewed: 5 Oct 2024
Last updated: 11 May 2023
Summary
Definition
History and exam
Key diagnostic factors
- soft-tissue swelling
Full details
Other diagnostic factors
- multiple sinuses
- skin discoloration
- chewing difficulties
- constitutional symptoms
- change in bowel habits
- abdominal discomfort
- nausea and vomiting
- sensation of abdominal mass
- vaginal bleeding or discharge
- dry or productive cough
- blood-streaked sputum
- shortness of breath
- chest pain
- focal neurologic defects
Full details
Risk factors
- male sex
- injury or inflammation of the oral cavity
- diabetes mellitus
- immunosuppression
- local tissue damage by neoplasia, trauma, or irradiation
- intrauterine device
- aspiration
Full details
Diagnostic tests
1st tests to order
- culture of pus or affected tissue
- histology of affected tissue
- immunohistology
- CBC
- CT or MRI of abdomen
Full details
Emerging tests
- PCR of affected tissue
Treatment algorithm
ACUTE
non-penicillin allergic
penicillin allergic
Contributors
Authors
Thomas Schneider, MD, PhD
Professor
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
Disclosures
TS is an author of a number of references cited in this topic.
Verena Moos, PhD
Scientist
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
Disclosures
VM is an author of a number of references cited in this topic.
Peer reviewers
Johannes R. Bogner, MD
Professor of Internal Medicine
Department of Infectious Diseases
Medical Polyclinic
University Hospital Munich
Munich
Germany
Disclosures
JRB declares that he has no competing interests.
Chris Huston, MD
Assistant Professor of Medicine
Division of Infectious Diseases
University of Vermont
Burlington
VT
Disclosures
CH declares that he has no competing interests.
Differentials
- Abdominal abscess
- Ovarian or oviductal tumor
- Appendicitis
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