A 2-year-old boy with underlying congenital cyanotic heart disease presented with seizures and fever and was found to have bilateral parietal cerebral abscesses. Drainage of the pus from the abscesses was done in stages; on the day of admission, four days after admission and 3 weeks after admission. Although the pus from the first drainage did not grow any organisms, the pus from the second drainage on the fourth day of admission yielded a mixed growth of Eikenella corrodens and Streptococcus milleri. Following the second drainage of pus, the child was noted to have mild weakness (grade 3/5) and increased tone in the left upper limb. Three weeks after admission, due to recurring fever, further neurological signs and findings of an enlarging right cerebral abscess on a repeat CT scan, a third drainage was carried out. However no growth was obtained from this specimen. This patient was managed both surgically and with appropriate antibiotics. Over the next four months, serial CT scans revealed gradual resolution of the abscesses with disappearance of the surrounding oedema. The child showed gradual recovery of his left sided weakness with resolution of tone and reflexes to normal.
Discharge, Body Substance ; Eikenella corrodens ; week ; Cerebral Abscess ; growth aspects

We investigated the incidence of surgical site infection and the number of days required for recuperation in patients who used open drains or closed drains after genitourinary tract surgery. As the method of (statistical) examination, Mann-Whitney's U test was used. Enrolled in this study were 14 patients (mean age:66.3 years) using open drains during the period from May to October 2001 (group A) and another 14 patients (mean age:64.9 years) using closed drains during the period from December 2001 to May 2002 (group B). Using gauze and drains, germ culture was made. From cultures it was found that six out of the 14 group A patients (42.8%) had been infected with Staphylococcus epidermidis, enterococcus and/or MRSA (methicillin-resistant Staphylococcus aureus) but that all of the group B patients had been were negative, thus marking a statistically significant difference between the two groups (p<0/01). A check on the duration of the administration of antibiotics showed 7-42 days (mean:24.5 days) for group A as against 4-11 days (mean:6.1 days) for group B. It was also revealed that there was a significant difference (p<0.01) between the two groups in the number of the days when gauze was exchanged:10-31 days (mean:19.1 days) for group A versus 3-10 days (mean:7.9 days) for group B. In many other respects, the closed drainage group was found to be doing well postoperatively compared with the open drainage group.It was also noted that the patients of the open drainage group had run into a lot of difficulties eating, sleeping, excreting and doing daily activities due to bacterial infections.By switching from open drainage to closed drainage in postoperative procedures,our department has succeeded in reducing the incidence of surgical site infections, thus making it possible to obtain a remarkably favorable result in terms of recuperation.
Discharge, Body Substance ; Upper case Bee ; Genitourinary ; Postoperative Period ; Infections of musculoskeletal system

Objective: The present study investigated the health-related quality of life (QOL) of patients with acute myocardial infarction (AMI) who were treated with percutaneous coronary intervention (PCI). Methods: Forty-three patients were asked to complete the SF-36 questionnaire at discharge and 6 months after discharge. The SF-36 consists of 8 subscales: Physical Functioning (PF), Role Physical (RP), Bodily Pain (BP), General Health perception (GH), Vitality (VT), Social Functioning (SF), Role Emotional (RE), and Mental Health (MH). We calculated mean scores and standard deviations for these 8 subscales at discharge and 6 months after discharge. Values were compared using the paired student t-test. Results: The PF and BP scores after 6 months were significantly higher than those at discharge, but there were no significant differences in the other subscales. Conclusions: Some of the physical parameters of health-related QOL may improve 6 months after discharge in AMI patients treated with PCI. Since PCI may relieve symptoms such chest pain and chest discomfort, these patients can gradually extend their daily activities. While the physical state may improve, mental health-related QOL does not appear to improve 6 months after discharge.
month ; Discharge, Body Substance, Sample ; Perceived quality of life ; Myocardial Infarction ; SF Brand of Topical Fluoride