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Pasteurella multocida infection in the hand: Lucas GL, Bartlett DH Plast Reconstr Surg 67: 49–53 Jan 1981

✍ Scribed by John H. Wales


Publisher
Elsevier Science
Year
1982
Tongue
English
Weight
102 KB
Volume
11
Category
Article
ISSN
1097-6760

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✦ Synopsis


empyema; one patient (the only death in the series) died of acute renal failure. Sputum cultures were positive for S aureus in 3 of the 5 patients from whom they were obtained. All bacterial isolates were resistant to penicillin and sensitive to methicillin. Eight patients developed cavitation of their pulmonary lesions during the first week of hospitalization, and three patients had hemoptysis. Lobar consolidation was absent in all patients. The authors suggest that all patients with soft tissue infection and pneumonia should be presumed to have S aureus bacteremia, and should be treated with penicillinase-resistant antibiotics until proper culture results are obtained./Editor's note: It would be interesting tO know the degree of soft tissue infection and therapy before the onset of pneumonia. Meislin's study showed that when staphylococcus was the offending soft tissue organism, it appeared to be solitary on Gram stain and was predominantly penicillin resistant. (Meislin HW,