When patient 2 was assessed for a
fluctuant leg mass, he had already received antimicrobial agents for streptococcal pharyngitis.
On fifteenth day removal of pressure bandage revealed no
fluctuant swelling of the joint and on further examination on 21st day there was no re-occurence of swelling indicates complete clinical recovery.
A Local examination revealed swelling in the left cheek and left temporoparital region which was warm smooth surface,
fluctuant tender and skin of temporal region was necrosed and pas trickled from this area.
Thereafter, the quality of her hearing fluctuated and had remained
fluctuant until 3 months prior to her office visit.
She had a large, firm, amorphous,
fluctuant, soft tissue mass measuring 70 x 40 x 30 with the base extending from left gluteal region to posterolateral aspect to anterior aspect of left thigh with two overhanging one from anteromedial aspect and another from posterolateral aspect, and with multiple dependant ulcers over the surface of the tumor.
The patient's symptoms did progress, and he returned 3 days later with an exquisitely tender,
fluctuant area over his right parotid gland (figure 1).
This time, physical examination revealed a warm, tender, palpable,
fluctuant mass of about 2.
Surgical drainage of any
fluctuant abscess is also indicated, as it was for o ur patient.
The state of consciousness spontaneously resolved during the second day, although
fluctuant periods of somnolence continued.
The nasal mass was 2 cm in diameter, painless,
fluctuant, and not tender (figure 1).
CASE REPORT: A 35 year old lady with uncontrolled diabetes mellitus presented in our outpatient department with high grade fever of 101[degrees]F, 6x10 cm size globular,
fluctuant swelling with redness and tenderness over the left lower, anterior chest wall of ten days duration.
