Cases reported "Surgical Wound Infection"

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11/23. mycoplasma hominis surgical wound infection: a case report and discussion.

    A patient with mycoplasma hominis infection of a clean surgical wound that contained a prosthetic vascular graft had clinical findings similar to those observed in patients with acute bacterial infections. Etiologic diagnosis was delayed because M. hominis is not appreciated as a cause of surgical wound infections and because of its special growth characteristics. Confirmation of M. hominis infection requires awareness on the part of the clinician and assistance from an informed microbiologist. The organism can be recovered by means of media and techniques available in most microbiology laboratories. Although M. hominis has been reported to sporadically infect wounds, it is possible that many other wound infections with this organism are being missed. The clinical settings in which mycoplasmal infections might be expected are described.
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keywords = bacterial infection
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12/23. Studies on improvement of pharmaceutical preparations prescribed in hospitals. II: Study on pharmaceutical manufacturing of dibekacin sulfate gauze tampon.

    A gauze tampon, which contains an ointment incorporating dibekacin sulfate, was prepared and investigated as a device to prevent bacterial infection after operation of chronic sinusitis. It was proved that no loss of potency occurred upon heat sterilization and that it was stable even after storage for a long period. This gauze tampon was easy to insert into the paranasal sinuses, achieving satisfactory therapeutic efficacy in terms of hemostasis and disinfection. No adverse reactions have been observed.
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keywords = bacterial infection
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13/23. mycobacterium fortuitum infections of the mediastinum.

    The clinical course of a patient with M. fortuitum infection of the mediastinum following open heart surgery is presented. Cure was achieved by aggressive and thorough surgical debridement of the mediastinum (including the edges of the sternum and other involved tissues) and by the administration of antimicrobial agents which are not usually thought to be effective in the treatment of mycobacterial infections.
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keywords = bacterial infection
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14/23. Severe jaundice as presenting symptom of generalized peritonitis following cesarean section.

    jaundice complicating severe bacterial infection has already been described; much less common is its occurrence as the presenting symptom of severe sepsis. A case is presented describing a patient who developed rapid increasing jaundice on the 4th day after an elective cesarean section, accompanied by deterioration in her general status. Various diagnostic means (abdominal CT, ultrasound investigation and hepatosplenic scanning) were performed in order to confirm or rule out the possibility of intraabdominal sepsis and the only finding on physical examination, being the absence of peristaltics. In spite of negative results of all the image processing techniques the patient underwent an explorative laparotomy on the 6th day, which revealed a generalized purulent peritonitis. It should be emphasized that: Severe jaundice maybe the presenting symptom of sepsis. False negative results of several modern image processing procedures may mislead the diagnostic approach and the subsequent therapeutic methods.
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keywords = bacterial infection
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15/23. corynebacterium group JK bacterial infection in a patient with an epicardial pacemaker.

    Septicemia caused by Corynebacteria group JK bacterium has previously been reported to occur in patients who have predisposing illness, such as neoplasms, ventriculoatrial shunt, or prosthetic valve. This study documents the case of an epicardial abscess caused by a corynebacterium group JK organism in a 69-year-old woman who had an epicardial pacemaker.
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ranking = 4
keywords = bacterial infection
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16/23. The clinical spectrum of critical illness polyneuropathy.

    OBJECTIVE: To describe the entity of critical illness polyneuropathy and review our experience with six cases. DESIGN: We present case reports of six patients with polyneuropathy associated with critical illness, who received medical care at the Mayo Clinic between 1992 and 1994, and discuss similar cases from the literature. RESULTS: critical illness may damage peripheral nerves. In previous studies, sepsis and multiorgan failure have been found to trigger a peripheral neuropathy. Of our six patients with critical illness polyneuropathy, all had a preceding severe bacterial infection or septic shock. In one patient who had long-term administration of vecuronium bromide and had received massive intravenous doses of corticosteroids, sural nerve and quadriceps muscle biopsy specimens were available; they revealed axonal neuropathy and notable myopathic changes, respectively. The outcome was good in patients who survived the critical illness. CONCLUSION: Polyneuropathy in critically ill patients may be a cause of severe generalized limb weakness and occurs in the setting of a sepsis syndrome. The long-term outcome is good in patients who recover from the underlying critical illness. Compression neuropathies may be a cause of permanent sequelae.
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ranking = 1
keywords = bacterial infection
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17/23. candida osteomyelitis.

    Medical care of the hospital patient has become increasingly complicated due to the rising incidence of risk factors for opportunistic infection. With intravenous drug use, hiv infection, and alcoholism complicating an immunocompromised host such as a diabetic, fungal and mycobacterial infections are no longer as rare as in previous reports. The authors present a case of candida osteomyelitis in a patient with multiple risk factors for opportunistic infection.
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keywords = bacterial infection
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18/23. Late clostridium perfringens breast implant infection after dental treatment.

    Late infection is rare after breast augmentation. Pathogenesis is usually implant seeding caused by bacteremia as a consequence of antecedent distant infections or medical/dental procedures. Reported is the first case of late implant infection, after extensive dental treatment, caused by clostridium perfringens, an anaerobic pathogen commonly present in the human gastrointestinal tract. Prompt diagnosis and early antibiotic treatment of all bacterial infections, and serious consideration of antibiotic prophylaxis for all bacteremia-producing procedures, is essential for breast implant patients.
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keywords = bacterial infection
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19/23. Septicemia in a child undergoing callotasis limb lengthening.

    We report a patient undergoing femoral callotasis lengthening using the dynamic axial fixator to correct a post-infective leg length discrepancy of 7.8 cm. Seventeen days after the operation, the patient developed a pin site infection, which was successfully treated by oral antibiotics. On the 34th post-operative day, the infection reoccurred, and was accompanied by generalized malaise, vomiting and pyrexia. serology identified staphylococcus aureus enterotoxin. Following removal of the fixator, the child recovered, but only four cm of lengthening was achieved. The pins probably acted as a persistent foreign body, with local inflammation creating favorable ground for bacterial infection. The role of the previous multifocal osteomyelitis unclear, but it could have acted as a continuous source of pathogens. The resulting toxemia was not immediately suspected, and could have resulted in the loss of the patient had the fixator not been removed promptly.
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ranking = 1
keywords = bacterial infection
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20/23. Diffuse proliferative glomerulonephritis and acute renal failure associated with acute staphylococcal osteomyelitis.

    A 72-year-old man developed acute renal failure after coronary bypass surgery that had been complicated by sternal osteomyelitis caused by the staphylococcus aureus bacterium. bacteremia and sepsis were not present. Renal biopsy demonstrated a florid, diffuse, proliferative glomerulonephritis with glomerular immune complex deposition. Management included hemodialysis, prolonged antibiotic therapy, and repeated surgical debridement. Spontaneous recovery of renal function occurred after eradication of infection and final surgical wound repair. The relationship between acute bacterial infections and glomerulonephritis and, in particular, the causal role of staphylococcal antigens in the pathogenesis of such lesions is discussed.
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ranking = 1
keywords = bacterial infection
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