PRESEPTAL CELLULITIS. CLINICAL CASE WITH LABORATORY DIAGNOSIS
Journal Title: European Journal of Pharmaceutical and Medical Research - Year 2018, Vol 5, Issue 10
Abstract
We present a pediatric case of preseptal cellulitis in a 13-year-old girl with probable hematogenous spread from a primary focus. The diagnosis established by two specialists was acute conjunctivitis. The initial treatment with ampicillin sulbactam did not have a favorable response. Due to the severity of the infection, an empirical treatment was established with lincomycin, an antibiotic that maintains therapeutic plasma concentrations against most Gram+ microorganisms. The scheme was complemented with clindamycin, based on the results of the antibiogram. The combination of the two lincosamides, one injectable (i. m.) and the other oral, showed excellent response and clinical healing was obtained at 12 days. In these patients, an adequate and timely clinical assessment is essential to establish a reliable clinical diagnosis. Laboratory studies are determinant and must be done before starting treatment. The quality of the sample involves a correct microbiological procedure. The culture, identification and antibiogram of the microorganism involved in the lesions, is necessary to continue or modify the treatment. It is important the collaboration between the clinician and the laboratory to keep a good follow-up of these cases, to avoid serious complications and speed up the therapeutic decisions if necessary.
Authors and Affiliations
Dr. José D. Méndez
Keywords
Related Articles
- EP ID EP639521
- DOI -
- Views 109
- Downloads 0
PROGNOSTIC SIGNIFICANCE OF SERUM ALBUMIN IN ACUTE ISCHEMIC STROKE
Objective: Evaluating the prognostic significance of serum albumin in acute ischemic brain stroke (AIS) in comparison to NIH stroke scale and modified Rankin score. Study Design: Observational study. Study setting & Dura...
DETERMINATION OF TOTAL SOLUBLE PROTEIN IN DIFFERENT FOOD SAMPLES
Soluble protein is that part of protein which is easily soluble in water or blood plasma and is readily available to cells. Excessive soluble protein causes protein loss through body waste such as sweat or urine. This st...
EVALUATION OF THE ANTIFUNGAL ACTIVITY OF HYDRO-ALCOHOLIC EXTRACTS OF LEAVES OF THREE PLANTS ON MUSHROOMS OF RICE, MAIZE, COWPEAS AND PEANUT SEEDS
To help find alternative control methods against seed-borne microorganisms, a study was undertaken to evaluate the antifungal activity of three plant extracts on rice, maize, cowpea and groundnut seeds. . To this end, th...
TRAUMATIC BASAL GANGLIA BLEED
Traumatic Basal ganglia bleed is not a frequent hemorrhagic lesion of basal ganglia or adjacent structures. The lesion determines clinical signs related to particular sub cortical structures involved, with incidence of 3...
THE DIAGNOSTIC PERFORMANCE OF PLASMA NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN IN DETECTING ACUTE KIDNEY INJURY (AKI) IN ADULT CRITICALLY ILL PATIENTS COMPARED WITH CREATININE IN BLOOD
Background: Acute Kidney Injury (AKI) is prevalent among critical illnesses and related with over 50% death. In current practice the detection of AKI is based on elevation of creatinine ≥ 50% from the baseline (RIFLE/AKI...