Necrotizing fasciitis is a rare, but potentially fatal bacterial infection of the soft tissues. Establishing the diagnosis at the early stages of the disease remains the greatest challenge. We report a case of necrotizing fasciitis involving the upper extremity. Sonography revealed subcutaneous emphysema spreading along the deep fascia, swelling, and increased echogenicity of the overlying fatt...

Bone and soft tissue infections are serious problems in orthopedic and reconstructive surgery. Especially, chronic osteomyelitis is a difficult infection to treat and eradicate. Long term parenteral antibiotics with multiple surgical debridements are often required for effective therapy (Cierny & Mader, 1984). Therefore, it is understandable that continuous efforts are being made and complete o...

An increase in extended-spectrum-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 antibiot...

ObjectiveAntibiotics are frequently prescribed for the treatment of acute lower respiratory infections (ALRI) in children ≤5 years age, even though viral aetiologies most common. The aim this study was to describe antibiotic prescribing rates and patterns age hospitalized with ALRI.MethodsA retrospective conducted involving patients aged 1 month 5 ALRI at a university hospital. Patient demograp...

Abstract Background Third-generation cephalosporin-resistant urinary tract infections (UTIs) often have limited oral antibiotic options with some children receiving prolonged parenteral courses. Our objectives were to determine predictors of long therapy and the association between duration UTI relapse in third-generation UTIs. Methods We conducted a multisite retrospective cohort study &lt...

As a result of changes in healthcare delivery, patients are increasingly receiving medical treatment in the home and community setting, instead of as inpatients in a hospital. Patients receiving prolonged parenteral antibiotic therapy are among potential suitable candidates to continue treatment outside the hospital setting. However, outpatient management of these individuals, particularly thos...

Melioidosis is a serious infection, which can involve multiple systems. We report a case of pulmonary melioidosis with the initial presentation mimicking a partially treated pneumonia complicated by right-sided pleural effusion. The patient is a 49-year old man who did not respond to parenteral ceftriaxone and tazobactam/piperacillin therapy. However, upon culture and sensitivity results from b...