A 22-year-old male admitted with multiple gunshot wounds (GSW) had central line placed initially for hemodynamic monitoring and later for long term antibiotics and total parenteral nutrition (TPN). On postoperative day 4 he presented with bouts of nonsustained ventricular tachycardia; the cause was unknown initially and later attributed to a catheter fragment accidentally severed and lodged in ...

Pyogenic liver abscess (PLA) is rare in healthy children. We report a case of PLA in an immunocompetent 12-year-old boy. Percutaneous catheter drainage was performed for the abscess. In addition, parenteral antibiotics were administered for 3 weeks. Klebsiella pneumoniae was detected in the culture of blood and drained fluid. Here, we present this case and a brief review of the literature on th...

Preterm birth, bacterial colonization, and formula feeding predispose to necrotizing enterocolitis (NEC). Antibiotics are commonly administered to prevent sepsis in preterm infants, but it is not known whether this affects intestinal immunity and NEC resistance. We hypothesized that broad-spectrum antibiotic treatment improves NEC resistance and intestinal structure, function, and immunity in n...

Background: The prevalence of stroke in 2018 Indonesia is 10.9 per mil. Decreased immunity complications can occur due to bacterial infections. Antibiotics are a treatment modality for infections that regulated and monitored their use inhibit bacteria resistant antibiotics. Objective: To find out the pattern antibiotic patients at Dr Soetomo Academic Hospital Surabaya. Methods: This retrospecti...

Objective: To assess the effect of isocaloric isonitrogenous parenteral glutamine supplementation on intestinal permeability and nitrogen loss in newborns and infants after major digestive-tract surgery. Summary Background Data: Glutamine supplementation in critically ill and surgical adults may normalize intestinal permeability, attenuate nitrogen loss, improve survival, and lower the incidenc...

Synergistic gangrene is an uncommon soft tissue infection classically occurring at surgical sites. Primary cases are rare but a high index of suspicion is paramount in treating the disease successfully. We present the first case of primary synergistic gangrene affecting the breast which was successfully managed through a combination of resuscitation, parenteral antibiotics and surgery. It is re...

Emphysematous cholecystitis is an uncommon and dangerous complication of acute cholecystitis. Common risk factors for this disease include male gender, old age, presence of diabetes mellitus and cholelithiasis. The disease is best treated with emergent surgery and parenteral antibiotics. We present the case of an 85-year-old nursing home resident who presented to our institution with a 3-day hi...

A CASE OF MISSING FOOT (Abstract): Auto-amputation is spontaneous separation of nonviable from viable tissue, commonly seen in atherosclerotic dry gangrene and diabetic patients. Aggressive surgical debridement, amputations, parenteral antibiotics, maintenance of nutrition, control of diabetic status and postoperative wound care are the main stay treatment in such cases. Here we present a uniqu...