Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi
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J Microbiol Immunol Infect · Dec 2006
Case ReportsNecrotizing fasciitis caused by Shewanella putrefaciens in a uremic patient.
Shewanella putrefaciens rarely causes infections in humans. This report describes a case of necrotizing fasciitis caused by S. putrefaciens in a uremic patient who recovered in spite of inadequate antibiotic treatment. S. putrefaciens is a possible causative organism of necrotizing fasciitis, and the absence of any sign of systemic infection cannot rule out the possibility of invasive infection in uremic patients. Surgical intervention is important in such cases.
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Parapneumonic effusion and empyema are recognized complications of bacterial pneumonia. Optimal management in children, especially the duration of parenteral antibiotics and the role of surgery, is controversial. This study analyzed the clinical characteristics, management, outcome, and bacterial etiology of 59 patients with complicated parapneumonic effusion and empyema treated at a single medical center in Kaohsiung from January 1995 to March 2004. ⋯ An initial combination therapy regimen consisting of cefotaxime or ceftriaxone plus macrolide provided reasonable activity against 80% of the pathogens isolated in this series. This study also revealed that prolonged parenteral antibiotic treatment resulted in longer length of hospital stay.