colistin and Cellulitis

Edwardsiella tarda is an uncommon enteric bacterium which has been found generally in animal hosts and occasionally in human feces. Three cases of extraintestinal infection caused by E. tarda which are described herein include a typhoid-like illness, peritonitis with sepsis, and cellulitis from a wound acquired while fishing. The microbiology of E. tarda and the previous reports of infection due to this organism are reviewed.

Topics: Adult; Cellulitis; Colistin; Enterobacteriaceae; Enterobacteriaceae Infections; Humans; Male; Middle Aged; Peritonitis

Serious complications occurred in 29 of 887 children with puncture wounds of the feet treated over a four-year period at the Dr. Charles A. Janeway Child Health Centre. Osteomyelitis in one of the small bones of the foot was the commonest complication and occurred when a cartilaginous surface (physeal plate or articular cartilage) had been violated. Although systemic signs of osteomyelitis frequently are absent, this infectious process is refractory to medical management. The combined surgical and medical management of this complication is outlined. Management of puncture wounds in the emergency room should include a thorough history concisely recorded, tetanus prophylaxis, and cleansing, debridement, and probing of the wound. Antimicrobial agents are not routinely required but should be reserved for patients presenting late with cellulitis or an established infection. A semisynthetic penicillinase-penicillin appears to be the agent of choice until the results of microbiologic studies are available.

Topics: Adolescent; Cellulitis; Child; Child, Preschool; Colistin; Erythromycin; Female; Foot Injuries; Humans; Klebsiella Infections; Lincomycin; Male; Osteomyelitis; Penicillins; Pseudomonas Infections; Staphylococcal Infections; Streptococcal Infections; Tetracyclines; Wounds, Penetrating

Topics: Abscess; Ampicillin; Anti-Bacterial Agents; Bacteriological Techniques; Cellulitis; Cephalothin; Chloramphenicol; Colistin; Erythromycin; Escherichia coli; Escherichia coli Infections; Hand; Humans; Infections; Kanamycin; Lincomycin; Methicillin; Penicillin Resistance; Penicillins; Polymyxins; Staphylococcal Infections; Staphylococcus; Streptococcal Infections; Streptococcus; Streptomycin; Tetracycline; Wound Infection

Topics: Anti-Bacterial Agents; Azoles; Bacteria; Cellulitis; Chloramphenicol; Chlortetracycline; Citrates; Colistin; Erythromycin Ethylsuccinate; Humans; Indophenol; Maxilla; Methods; Oxytetracycline; Penicillin Resistance; Penicillins; Periapical Abscess; Periodontitis; Phenols; Staphylococcus; Streptomycin; Tetracycline

Topics: Adult; Cellulitis; Chloramphenicol; Colistin; Cystitis; Humans; Male; Methicillin; Prednisone; Prostatitis; Staphylococcal Infections

Topics: Abscess; Cellulitis; Colistin; gamma-Globulins; Humans; Infections; Leukemia; Leukemia, Lymphoid; Leukemia, Myeloid; Methicillin; Neoplasms; Pharmacology; Pneumonia; Prednisone; Sepsis; Sinusitis; Statistics as Topic; Urinary Tract Infections

Topics: Cellulitis; Colistin; Gastroscopy; Geriatrics; Oxytetracycline; Pharyngitis; Radiography