Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Acute bacterial meningitis requires immediate antimicrobial therapy. ⋯ The most common agents causing acute bacterial meningitis are Streptococcus agalactiae in children less than one month of age, and Streptococcus pneumoniae and Neisseria meningitidis in individuals more than one month of age. If the causative bacterial agent is not known, children below one month of age should be given ampicillin and gentamicin, whereas older children and adults should be given benzylpenicillin in combination with either cefotaxime or ceftriaxone. We suggest treatment with specific antibiotic regimens in cases of known aetiology.
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Tidsskr. Nor. Laegeforen. · Nov 2001
[Streptococcus group A infections of skin, soft tissue and blood].
Group A streptococcus is one of the most common bacterial pathogens causing infections in tissue and organs, most frequently throat and skin. Since the late 1980s there have been reports from Scandinavia and many other countries documenting a resurgence of highly invasive infections such as puerperal fever, necrotizing fasciitis, myositis and sepsis. ⋯ The reason for the increase in severe group A streptococcal infections is unclear. The clinical features depend on the level of infection (superficial skin, subcutis, fascia and muscle): the deeper the initial infection, the more frequent development of bacteraemia and life-threatening disease. Serious infections are associated with shock and multiorgan failure, i.e. streptococcal toxic shock syndrome. Early surgical debridement is essential in necrotizing fasciitis and myositis. Penicillin is still the drug of choice for milder infections. The addition of clindamycin is recommended in cases of more invasive infection.
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Tidsskr. Nor. Laegeforen. · Nov 2001
[Patients with traumatic spinal cord injuries at the department of neurology, Haukeland Hospital 1952-99].
We wanted to study the cause and the segmental level of traumatic spinal cord injuries. ⋯ Although there has been a reduction of work-related spinal cord injuries, there is still a potential for further prevention, especially among persons of more than 60 years of age.