RESUMO
Dislocation of the shoulder after intramuscular injection antibiotic(s) is rare and this conditon was limit described in literature. Our purposes were: (1) determining the clinical symptoms, X-ray and CT findings; and (2) determining the indications and the surgical technique and evaluation of the surgical result. Material and methods: 62 children (29 females, 33 males) aged from 4 to 16 years were included. Clinical and X- ray findings were analysed for anterosuperior subluxation or dislocation of humeral head. The patients were operated to release of origin or insretion of the mild Deltoid muscle or Z plasty of this one. Surgical procedures provided good result in 75.3 percent, fair in 24.7 percent and there were no infection or neuromuscular complication in these cases. Conclusions: This condition always resulted from repeated Deltoid intramuscular injection. The surgical treatment with resection of fibrous portions constantly gives relief of symptoms and provides good function.
RESUMO
For the first time in Daklak, S. typhi strains were isolated from cases of suspected typhoid fever. MIC was investigated on 50 strains of S. typhi in Daklak from 1996-1998. The results were as following: All these isolated S.typhi strains were fully sensitive to common antibiotics (1g/ml for Tetracycline, Trimethoprim/sulfamethoxazole and 4 g/ml for Ampicillin, Nalidixic acid and the third generation cephalosporin (Ceftriaxone M.I.C=0.125 g/ml) and the fluoquinolones (Ofloxacin M.I.C =0.25 g/ml), especially to 16% of Chloramphenicol-resistant isolates (with M.I.C = 64 g/ml). This is a great difference to compare with S.typhi strains isolated in Northern and Southern in Vietnam. Concerning the plasmid profile analysis, from 50 strains of S.typhi, the results showed that: All these strains did not harbour any R-plasmid. 43 strains harboured a plasmid lower than 70 Md. 7 strains did not harbour any kind of plasmids.