RESUMO
Osteomyelitis is the inflammation of bone secondary to infection with pyogenic organisms. Pseudomonas aeruginosa is usually associated with nosocomial infections and due to its ability to acquire resistance to almost all antibiotics, infections with Pseudomonas pose a great challenge to the physicians. A number of new synergistic combinations have been used in order to treat these organisms and one of the methods is to combine chemicals with systemic antibiotics. In this case we represent a successful eradication of multidrug resistant Pseudomonas using a combination of acetic acid and systemic antibiotics.
Assuntos
Farmacorresistência Bacteriana , Região Lombossacral/microbiologia , Osteomielite/microbiologia , Infecções por Pseudomonas/tratamento farmacológico , Pseudomonas aeruginosa/efeitos dos fármacos , Ácido Acético/administração & dosagem , Ácido Acético/uso terapêutico , Amicacina/farmacologia , Amicacina/uso terapêutico , Quimioterapia Combinada , Feminino , Humanos , Imipenem/farmacologia , Imipenem/uso terapêutico , Pessoa de Meia-Idade , Osteomielite/tratamento farmacológico , Osteomielite/fisiopatologia , Infecções por Pseudomonas/complicações , Infecções por Pseudomonas/diagnóstico , Pseudomonas aeruginosa/isolamento & purificaçãoRESUMO
INTRODUCTION: Adolescent idiopathic scoliosis is the most common type of scoliosis. A Cobb angle of 50° will progress beyond the age of spinal maturity. Surgery over bracing is advised at a Cobb angle above or equal to 50°. The aim of surgery is to bring the Cobb angle down below 50° to prevent reprogression as well as improve the quality of life. The objective of the study is to analyze the efficacy and significance in lifestyle improvement of pedicle screw-only fixation system versus the more common hybrid instrumentation system used for the surgical treatment of adolescent idiopathic scoliosis. MATERIALS AND METHODS: A prospective cohort study was conducted involving two groups of patients were included in the study. One group was operated with pedicle screw-only method while the other with hybrid instrumentation system. The pre- and post-operative Cobb's angles were taken across a follow-up of 4 years. An SRS-30 questionnaire was given in a yearly follow-up to assess the lifestyle improvement of the patient. RESULTS: Pedicle screw-only method was significantly more effective in reducing Cobb's angle (P = 0.0487). It was showed less loss of correction (P = 0.009) pedicle screw-only surgery was also better at reducing thoracic curves (P = 0.001). There seemed a better recovery time with pedicle screw surgery (P = 0.003). CONCLUSION: Pedicle screws are more effective and durable than hybrid systems at when treating adolescent idiopathic scoliosis.
RESUMO
A case of deep vein thrombosis of axillary vein (Paget-Schroetter syndrome) is described in an 18 years old male. Patient presented via emergency with a one week history of pain and swelling of arm. Duplex imaging showed deep vein thrombosis of third part of left axillary vein and venae comitantes of brachial artery. Patient's condition resolved on conservative treatment.