Photo - Intraoperative findings
Intraoperatively two long plastic 'straws' were extracted along with a smaller fragment. The thick abscess cavity was also resected.
Histology
Sections show a fragment of tissue which has organising fibrous scar tissue with chronic active inflammation. The inflammatory cell infiltrate consists predominantly of lymphocytes, macrophages and eosinophils with focal neutrophils. No evidence of granulomas or malignancy seen.
Final diagnosis:
Organising fibrous tissue with moderate chronic active inflammation. No evidence of malignancy.
Microbiology
- + Staphylococcus aureus
- + Streptococcus agalactiae (Group B)
- + mixed anaerobes
- no fungal elements