RESUMO
A 6-year-old otherwise healthy girl who underwent radiofrequency diathermy for adenoid hypertrophy presented with fever on the same day and was diagnosed as having bacterial meningitis 2 days later. Culture of cerebrospinal fluid indicated that the pathogens were penicillin-sensitive Streptococcus pneumoniae and methicillin-sensitive Staphylococcus aureus. The serotype of the causative pneumococcus, 11A, was not covered by the 7-valent pneumococcal conjugate vaccine the patient had been inoculated with. Although not previously reported, radiofrequency diathermy for adenoid hypertrophy can be considered a risk factor for bacteremia and meningitis.
Assuntos
Adenoidectomia/métodos , Tonsila Faríngea/patologia , Ablação por Cateter/efeitos adversos , Eletrocoagulação/efeitos adversos , Meningites Bacterianas/etiologia , Criança , Feminino , Humanos , Hipertrofia , Infecções Pneumocócicas/etiologia , Infecções Estafilocócicas/etiologia , Staphylococcus aureus , Streptococcus pneumoniaeRESUMO
A 71-year-old man was diagnosed with ulcerative colitis (UC) complicated by bacterial infections, and his active disease proved difficult to treat with steroid therapy or antibiotics. Although the patient's UC failed to respond to several types of induction therapy, his condition finally improved when treated using Bifidobacterium. Probiotics could be one of the treatment agents for induction of remission in UC.
