Cases reported "Wound Infection"

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1/4. Breastfeeding and staphylococcus aureus: three case reports.

    This paper presents three case reports of breastfeeding women with staphylococcus aureus (S. aureus) infections. The first case is a woman who developed recurrent staphylococcal skin infections, misdiagnosed as a fungal infection by her caregivers. The second case is a woman who experienced recurrent mastitis following a severe wound infection in her caesarean section scar; both she and her baby were carriers of S. aureus. The third case is a woman who experienced mastitis and a breast abscess, while her baby and other members of the family developed recurrent boils and skin infections with a methicillin-resistant S. aureus (MRSA). A wide range of staphylococcal infections may occur in the postpartum period: mastitis, abscess, caesarean scar infection, boils and skin infection. Some cases of recurrent infections may be related to nasal carriage in mother or infant. microscopy can be useful in differentiating bacterial infections from fungal infections and confirming nasal carriage. When mothers or infants are nasal carriers of Staphylococci health professionals may recommend nasal mupirocin (Bactroban) and bathing with antiseptic washes to reduce recurrent staphylococcal infections.
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ranking = 1
keywords = bacterial infection
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2/4. The influence of moisture wound healing on the incidence of bacterial infection and histological changes in healthy human skin after treatment of interactive dressings.

    In this article the authors discuss the problem faced by physicians when trying to use moisture-retentive dressing in pressure sores (decubitus ulcers). First, they report the results of an in vitro study using a new model of experimental wound (radio-isotopic investigation) that assesses the release of Ringer's solution from interactive dressings continually during fourteen hours. Second, they perform an animal experiment that assesses the incidence of wound infection in defects treated conventionally or using interactive dressings. The defects treated with interactive pads had lower incidence of wound infection, and the process of wound healing was rapid. Finally, the authors discuss their experience in four paraplegic patients with decubitus ulcers where they used moisture-retentive dressing on ulcers and on the surrounding intact skin before surgical procedure to detect the possibility of maceration of healthy skin. Histological evaluation was performed in order to find microscopically changes after moisture healing. The changes of healthy skin were not significant after treatment of moisture-retentive dressings.
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ranking = 4
keywords = bacterial infection
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3/4. Simian bites and bacterial infection.

    Three patients with simian bites and resultant infection are described. The bacteriology of the wounds was diverse and included alpha-hemolytic streptococci and other streptococci in all wounds, enterococci, staphylococcus epidermidis, and enterobacteriaceae. A literature review revealed brief mentions of 132 cases of simian bites in some of which bacteroides species, fusobacterium species, and eikenella corrodens were isolated. Infection, despite antimicrobial therapy, and complications, such as osteomyelitis and flexion contractures, occurred frequently.
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ranking = 4
keywords = bacterial infection
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4/4. Experience with atypical mycobacterial infection in the deep structures of the hand.

    Two new cases of atypical mycobacterium infections of the deep structures are reported. With two reported previously by the authors and a review of 24 others recorded by others, the symptoms and signs are reviewed. Typically it occurs in the middle-aged person, some of whom give a history of a puncture wound within 6 weeks of onset of symptoms. Synovium in the finger is involved commonly and a carpal tunnel syndrome may be the result of involvement of the bursae. fever does not occur and no systemic signs are present. biopsy and cultures are essential for diagnosis, but a presumptive diagnosis indicates that, after synovectomy, treatment should be started with antituberculous drugs, isoniazid with ethambutol, rifampin, or both and continued for 18 to 24 months, unless in vitro sensitivity tests indicate a change of medication. The usual organisms are M. kansasii, M. marinum, M. intracellulare, and M. avium.
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ranking = 4
keywords = bacterial infection
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