[A prospective study of septic episodes due to Staphylococcus aureus and the background of the patients]
Journal - Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases (JAPAN )
From January 1983 to December 1991, 94 cases of Staphylococcus aureus septicemia were identified at Matsue Red Cross Hospital and were evaluated. Methicillin-resistant Staphylococci aureus counted 49%. Seventy two percent of the patients were 60 years or over in age. Intravascular catheters were the most common foci (33%), respiratory infections in 25% and so on. Administration of antibiotics before isolation of Staphylococcus aureus were thought to be the most significant factor in producing the methicillin-resistant septicemia, used in 41% of MSSA and 91.3% of MRSA cases. Especially, the trend of unproper usage of the 3rd generation cephems derivative antibiotics had a major role in producing multi-drug resistant bacteria. No significance was seen in the clinical background, underlying diseases, primary site of infection in between the two groups of methicillin resistant and sensitive cases. Mortality due to septicemia was 47.9% in the MSSA group of patients, while it was much higher in cases of MRSA (73.9%). In conclusion, as the administration of antibiotics even in non-infectious episodes is common in daily clinical activities in some out-patient clinics, the indications should be restricted, in order to prevent the further MRSA infections.
|ISSN : ||0387-5911|
|Mesh Heading : ||Adolescent Adult Aged Anti-Bacterial Agents Bacteremia Child Child, Preschool Humans Infant Methicillin Resistance Middle Aged Prospective Studies Staphylococcus aureus therapeutic use drug therapy drug therapy drug effects|
|Mesh Heading Relevant : ||Staphylococcal Infections microbiology|
[A case of intercostal neuropathy (Th 2-9) due to sarcoidosis]
Journal - Nihon Kyobu Shikkan Gakkai zasshi (JAPAN )
Neurosarcoidosis is a disorder which presents in 5 percent of cases of general sarcoidosis, in only 10% of which the peripheral nerves are involved. A patient who complained of numbness of the abdomen and back associated with paralytic motion of intestines was admitted. The patient was diagnosed as having neurosarcoidosis of the intercostal nerves (Th2-9) on the basis of abnormality of somatosensory evoked potentials (SEP) and reduced conduction velocity, and evident disease of intrathoracic lesions confirmed by biopsy. Corticosteroid was administered, with relief of symptoms and active response on SEP. Somatosensory evoked potentials and VC were of great value in the diagnosis and follow up of peripheral neuropathy due to sarcoidosis.
|ISSN : ||0301-1542|
|Mesh Heading : ||Evoked Potentials, Somatosensory Humans Male Middle Aged Neural Conduction Peripheral Nervous System Diseases Sarcoidosis pathology physiopathology pathology|
|Mesh Heading Relevant : ||Intercostal Nerves physiopathology|