1/2. Traumatic endophthalmitis caused by an erwinia species.A previously healthy 70-year-old white man sustained a plant injury to his left eye while gardening and was admitted here because of an ensuing perforated cornea and endophthalmitis. The lens was opaque and its anterior capsule was ruptured. culture of fluid obtained by anterior chamber paracentesis yielded a species of the erwinia herbicolalathyri group (enterobacter agglomerans). Thirty-seven days after a course of cefazolin and gentamicin therapy, corneal edema necessitated a planned extracapsular cataract extraction. The aqueous humor and lens again revealed the identical erwinia species in pure culture. The patient received another course of cefazolin and showed improvement after the lens aspiration.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/2. Traumatic fixation of the hip by a bolt fired from a bolt gun.A 25-year-old building worker was struck in the left hip by a 12.7-cm long bolt fired from a bolt gun. The bolt penetrated deeply into the pelvis, through the acetabulum, the joint cavity and the head of the femur leading to fixation of the hip. In spite of immediate extraction of the nail, cleansing, immobilization, antibiotics and tetanus prophylaxis, the wound became infected. The tips of the modern types of nails used in nail guns may be coated with a plastic material which can constitute a troublesome foreign body if left behind, because the nail is merely extracted without opening and exploring the track.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |