Traditionally, serious lower respiratory tract infections (LRTIs) are treated in hospital and with parenteral antibiotics. During the past decade, there has been an impetus to reduce the overall cost of antimicrobial therapy. The availability of new oral antibiotics with superior pharmacoki¬ netics profiles and safety has enabled clinicians increasingly to consider their use in managing serious...

Klebsiella pneumoniae has emerged as a leading pathogen that causes pyogenic liver abscesses (PLAs) in Korea. K. pneumoniae liver abscess (KLA) is potentially life threatening, and the diagnosis is difficult. In developed countries, PLA is rarely observed in children and is frequently associated with disorders of granulocyte function and previous abdominal infection. We observed a case of KLA i...

We retrospectively studied 50 consecutive cases of exogenous endophthalmitis treated between 1972 and 1985. Twenty-two of these cases occurred after penetrating ocular trauma and the remaining 28 followed ocular surgery. Thirty-two (64%) of the cases were culture-positive. A wide variety of organisms were identified in the post-traumatic cases, while the isolated agent in the majority of postop...

An increase in extended-spectrum-beta-lactamase (ESBL)-producing Escherichia coli has been observed in outpatient settings. Consequently, 100 ESBL-positive E. coli isolates from ambulatory patients with clinically confirmed urinary tract infections were collected by a single laboratory between October 2004 and January 2008. Antimicrobial susceptibility testing was carried out using the oral ant...

The author has described modern thrombolytic therapy of arterial and venous thrombosis and emboli by therapeutic fibrinolysis and other drugs also methods and effects of local and parenteral application of fibrinolysin preparations, dosage, control, indications. Contraindications, side-effects and their treatment with fibrinolysin antagonists and therapy with fibrinolysin combined with anticoag...

Zeil Neilson smear did not show acid fast bacilli. He was treated with parenteral antibiotics for two weeks and discharged on oral cloxacillin after he improved symptomatically. Surprisingly, after six weeks, his pus grew mycobacterium tuberculosis sensitive to isoniazid, rifampicin, pyrazinamide, and ethambutol. He was started on isoniazid, rifampicin, pyrazinamide, and ethambutol. Unfortunate...

Disseminated fungal infection is the presence of a pathogen in blood (fungemia) and/or any other deep-seated site because hematogenous seeding. Conditions which predispose individuals for disseminated infections include renal failure, following surgical procedures, HIV, neutropenia, hematological malignancies, and long term use antibiotics, late sepsis total parenteral nutrition. Candida common...

The varying presentations of neonatal breast enlargement on imaging have been underreported in the literature. Our case report profiles a 3-week-old female patient who presented with a history of left breast enlargement with redness and tenderness for 2 days, who was clinically diagnosed and managed for neonatal mastitis, which was actually a neonatal breast enlargement with adjacent cellulitis...

Background There has been an increasing trend in recent years for some medical practitioners to make a diagnosis of Lyme borreliosis in patients with a range of serious but nonspecific symptoms based on unorthodox and unvalidated laboratory tests. The consequences of this over-diagnosis included recommendations for a range of potentially hazardous treatments such as prolonged courses of parente...

OBJECTIVE Review available literature on pelvic inflammatory disease in postmenopausal women. DESIGN MEDLINE literature review from 1966 to 1999. RESULTS Pelvic inflammatory disease is uncommon in postmenopausal women. It is polymicrobial, often is concurrent with tuboovarian abscess formation, and is often associated with other diagnoses. CONCLUSION Postmenopausal women with pelvic infla...