ro13-9904 and Foreign-Bodies

Intracranialabscesses are serious, life-threatening infections despite recent advances in diagnosis and treatment. We report the case of a child with metastatic brain abscesses and a chronic, sharp foreign body of the bronchus. Its presentation and endoscopic appearance and the microbiology of the abscesses are detailed. The detection of bacteria of respiratory origin should lead to a search for a bronchopulmonary source of contamination.

Topics: Brain Abscess; Bronchi; Bronchoscopy; Ceftriaxone; Child, Preschool; Contrast Media; Drug Therapy, Combination; Follow-Up Studies; Foreign Bodies; Foreign-Body Reaction; Gram-Positive Bacterial Infections; Humans; Infusions, Intravenous; Male; Metronidazole; Nafcillin; Risk Assessment; Tomography, X-Ray Computed; Treatment Outcome

Topics: Anti-Bacterial Agents; Ceftriaxone; Escherichia coli; Female; Foreign Bodies; Humans; Intestinal Perforation; Liver Abscess; Middle Aged; Stomach; Tomography, X-Ray Computed

Topics: Anti-Bacterial Agents; Anti-Infective Agents; Brain Abscess; Bronchi; Ceftriaxone; Child, Preschool; Contrast Media; Drug Therapy, Combination; Follow-Up Studies; Foreign Bodies; Fusobacterium; Humans; Male; Metronidazole; Parietal Lobe; Radiography, Thoracic; Streptococcus; Temporal Lobe; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; Vancomycin

In the pediatric literature, only 1 case of cervical spondylodiscitis from an ingested foreign body is reported and this was caused by a blunt radiolucent foreign body. The authors now describe a unique case of a 13-year-old teenaged boy who presented with neck pain 6 days after accidental ingestion of a sewing pin. Uncomplicated removal of this pin was followed in 36 days by the development of cervical spondylodiscitis that failed conservative management and required surgical debridement and arthrodesis. Physicians should be aware of the possibility of this complication in any patient that presents with neck pain after foreign body ingestion.

Topics: Accidents; Adolescent; Amoxicillin-Potassium Clavulanate Combination; Antibiotic Prophylaxis; Bone Plates; Ceftriaxone; Cervical Vertebrae; Clindamycin; Combined Modality Therapy; Deglutition Disorders; Discitis; Diskectomy; Emergencies; Equipment Contamination; Follow-Up Studies; Foreign Bodies; Humans; Laryngoscopy; Larynx; Male; Neck Pain; Oxacillin; Paresthesia; Penicillanic Acid; Pharynx; Piperacillin; Piperacillin, Tazobactam Drug Combination; Radiography; Recurrence; Retropharyngeal Abscess; Spinal Fusion; Vancomycin; Wounds, Penetrating

Topics: Anti-Bacterial Agents; Ceftriaxone; Child, Preschool; Clostridioides difficile; Diagnosis, Differential; Diarrhea; Edema; Enterocolitis, Pseudomembranous; Esophagus; Female; Fever; Foreign Bodies; Gastritis, Hypertrophic; Humans; Infant; Male; Radiography; Respiratory Sounds; Vomiting

A 49-year-old man presented with dysphagia and the sensation of a foreign body in the throat, after he had swallowed chicken meat that contained bones during the previous evening. There were no respiratory symptoms. A plain lateral soft-tissue X-ray of the neck and oesophagogastroduodenoscopy showed a grossly swollen epiglottis. His condition improved rapidly with intravenous antibiotic therapy. As acute epiglottitis may be a sudden life-threatening condition, a high index of suspicion should be maintained for patients who present with an obstructive sensation in the throat.

Topics: Acute Disease; Ceftriaxone; Cephalosporins; Diagnosis, Differential; Epiglottitis; Foreign Bodies; Humans; Laryngoscopy; Male; Middle Aged

Odontogenic sinusitis is a well-recognized condition that usually is responsive to standard medical and surgical treatment. Current antibiotic therapy recommendations are directed against the usual odontogenic and sinus flora.. The authors present a case of a patient with acute sinusitis initiated by a complicated tooth extraction that did not yield readily to standard treatment. The case was complicated by orbital extension of the sinusitis. The authors isolated methicillin-resistant Staphylococcus aureus, or MRSA, species from the affected sinus that usually is not encountered in uncomplicated acute nonnosocomial or odontogenic sinusitis.. Though such forms of resistant microbial flora as MRSA are rare, they may be seen in patients who have a history of intravenous, or i.v., drug use and in immunocompromised patients. Management of patients with orbital extension of sinusitis requires hospitalization and i.v. antibiotic treatment.

Topics: Adult; Anti-Bacterial Agents; Ceftriaxone; Cellulitis; Foreign Bodies; Humans; Male; Maxillary Sinus; Maxillary Sinusitis; Methicillin Resistance; Orbital Diseases; Staphylococcal Infections; Staphylococcus aureus; Tooth Extraction; Tooth Root; Vancomycin

Topics: Airway Obstruction; Anti-Bacterial Agents; Ceftriaxone; Cephalosporins; Clindamycin; Dyspnea; Emergencies; Epiglottis; Epiglottitis; Female; Foreign Bodies; Humans; Infant; Pharynx; Staphylococcal Infections; Staphylococcus aureus