ABSTRACT
A case of Listeria monocytogenes infection in a 22-year-old woman who received immunosuppressive therapy for malignant lymphoma is described. This is the first reported case of Listeria monocytogenes infection in a patient in Jamaica (AU)
Subject(s)
Adult , Female , Humans , Immunosuppression Therapy/adverse effects , Listeriosis/etiology , Lymphoma , Lymphoma/drug therapyABSTRACT
The results of standardized disc-sensitivity testing for common bacterial pathogens isolated from clinical specimens at the University Hospital of the West Indies during 1975 are reported. Antibiotic resistance and multiple resistance is now common, multiple resistance occurring in 54 percent of Gram negative isolates and 37 percent of Gram positives. Seventy-nine per cent isolates of Staphylococcus aureus were resistant to penicillin but only 7 percent were resistant to methicilin. Sixty-three per cent of both Gram negative and Gram positive isolates showed resistance to ampicillin but most organisms remained sensitive to cotrimoxazole. Although S. typhi remained fully sensitive to the commonly-used antibiotics, other Salmonellae showed resistance to both ampicillin and chloraphenicol in 52 percent of isolates. Isolates of Shigellae, however, showed surprisingly little antibiotic resistance. Cotrimoxazole remains an effective agent against most of the multiple-resistant organisms except Pseudomonas aeruginosa. It is suggested that the restriction of the use of chloramphenicol might preserve its effectiveness for serious infections, such as typhoid fever (AU)
Subject(s)
Anti-Bacterial Agents/pharmacokinetics , Bacteria/drug effects , Anaerobiosis , Drug Resistance, Microbial , Salmonella/drug effects , Shigella/drug effects , Staphylococcus aureus/drug effects , Hospitals, University , Jamaica , West IndiesABSTRACT
Two cases of urinary tract infection due to H. Influenzae, an unusual urinary pathogen, are described. One was an adult female who presented with endometritis; the other was a male infant who had posterior urethral valves. Increased awareness of the potential existence of this at this site is a prequisite to diagnosis since it does not grow on the conventional media used for urine cultures (AU)