Category Archives: Cautionary tales

Fatal case of meningococcal infection – a salutary tale

Originally posted on AIMED – Let's talk about antibiotics:
This unfortunate 27 year old pregnant woman collapsed at home with a seizure and then died soon after.  She had a disseminated W135 serotype infection – this serotype has been associated…

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Kawasaki disease in a 13 month old diagnosed at post mortem

Guest posting: Dr Leah Clifton, NEWCASTLE DEPARTMENT OF FORENSIC MEDICINE,  Forensic Pathology Registrar Kawasaki disease is characterized with acute systemic vasculitis, occurs predominantly in children between 6 months to 5 years of age. Patients with this disease recover well and the disease … Continue reading

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Case report (from AAC): Community-Acquired Pyelonephritis in Pregnancy Caused by KPC-Producing Klebsiella pneumoniae

Abstract (full case report with expert commentary is free) Carbapenem-resistant Enterobacteriaceae (CRE) usually infect patients with significant comorbidities and health care exposures. We present a case of a pregnant woman who developed community-acquired pyelonephritis caused by KPC-producing Klebsiella pneumoniae. Despite … Continue reading

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An everyday tragedy: treating asymptomatic bacteruria with antibiotics

Act 1 of a common tragedy that sets the scene for antibiotic resistance – an elderly female resident of a nursing home complains of minor dysuria or perhaps just has urine that appears cloudy or smelly. The nurse collects some urine and … Continue reading

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Room temperature bubble-through water chambers for patient oxygen supply are an infection hazard and do not provide significant humidification!

These commonly used devices are usually contaminated with environmental Gram negative bacteria that like moist environments – eg. Pseudomonas species, Alcaligenes, coliforms and other. These organisms may be multi-resistant.  The physics of humidification show that these room temperature devices do NOT … Continue reading

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A cautionary tale: High usage of topical fusidic acid and rapid clonal expansion of fusidic acid-resistant Staphylococcus aureus

Originally posted on AIMED – Let's talk about antibiotics:
Clinical Infectious Diseases 2014 New Zealand report Researchers from the University of Auckland report that New Zealand, has now developed world’s highest rates of MRSA to topical antibacterial agents. Rates of resistance to the…

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