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Related Concept Videos

Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

22
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
22
Pneumonia IV: Management01:28

Pneumonia IV: Management

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The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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Pneumonia I: Introduction01:30

Pneumonia I: Introduction

273
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
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Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

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Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
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A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
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Overwhelming orbital cellulitis in a neonate.

Venu Kulkarni1, Venkataseshan Sundaram2, Tadepalli Haripriya Sameeksha3

  • 1Paediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India.

BMJ Case Reports
|July 25, 2023
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Summary

Neonatal bacterial infections can cause severe ophthalmic issues like orbital cellulitis, potentially leading to brain abscesses. Prompt medical and surgical intervention is crucial for successful management and preventing complications.

Keywords:
Infectious diseasesMeningitisNeonatal and paediatric intensive careOphthalmology

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Area of Science:

  • Ophthalmology
  • Neonatology
  • Infectious Diseases

Background:

  • Neonatal bacterial infections present unique challenges due to immature immune systems.
  • Orbital cellulitis in neonates is rare but can have severe consequences.

Observation:

  • A neonate presented with rapidly progressing ophthalmic symptoms indicative of orbital cellulitis.
  • The neonate also exhibited extensive intracranial involvement, including a temporal lobe abscess.

Findings:

  • Hematogenous spread was suspected as the cause due to the absence of local injury.
  • Blood and pus cultures identified *Staphylococcus aureus* as the causative agent.
  • Successful management required a combination of systemic antibiotics and surgical interventions.

Implications:

  • Orbital infections in neonates are critical and can lead to devastating intracranial complications.
  • Early and aggressive medical and surgical management upon hospital admission is essential.
  • This case highlights the importance of vigilant monitoring and prompt treatment of neonatal orbital infections.