ABSTRACT
Pseudomonas septicaemia presenting with subcutaneous nodules, though rare, is well described in immunocompromized populations. It is, however, very uncommon in immunocompetent patients. We describe a case of a 42-year-old woman who presented with community-acquired. Pseudomonas aeruginosa septicaemia and subcutaneous nodules. No precipitating cause or immune dysfunction was found. She was successfully treated with appropriate antibiotics, respiratory and cardiovascular support in the Intensive Care Unit. The difficulty in eradicating the organism from the skin lesion and the need for investigating the immune function of septicaemia patients are discussed.
Subject(s)
Pseudomonas Infections , Sepsis/microbiology , Skin Diseases, Bacterial/microbiology , Adult , Ceftazidime/therapeutic use , Cephalosporins/therapeutic use , Community-Acquired Infections/drug therapy , Community-Acquired Infections/microbiology , Female , Gentamicins/therapeutic use , Humans , Immunocompetence , Pseudomonas Infections/drug therapy , Pseudomonas aeruginosa/isolation & purification , Sepsis/drug therapy , Skin Diseases, Bacterial/drug therapyABSTRACT
Compartment syndrome in the legs is a rare complication of the prolonged use of the lithotomy position. We report two cases of compartment syndrome developing as a complication of the prolonged use of the Lloyd-Davies position. Both patients received combined general and epidural anaesthesia and postoperative epidural analgesia. The diagnosis was delayed in the first case, resulting in the avoidable complications of renal failure and permanent neuromuscular dysfunction.
