Subject(s)
Arthroscopy , Muscle, Skeletal/physiology , Rotator Cuff Injuries , Shoulder Dislocation , Shoulder Joint/physiology , Shoulder Pain , Tendinopathy , Acromion/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Animals , Clinical Trials as Topic , Diagnosis, Differential , Follow-Up Studies , Haplorhini , Humans , Joint Prosthesis , Magnetic Resonance Imaging , Middle Aged , Multicenter Studies as Topic , Radiography , Rotator Cuff/surgery , Rupture , Shoulder Dislocation/diagnosis , Shoulder Dislocation/diagnostic imaging , Shoulder Dislocation/surgery , Shoulder Dislocation/therapy , Shoulder Joint/physiopathology , Shoulder Pain/diagnosis , Shoulder Pain/therapy , Tendinopathy/diagnosis , Tendinopathy/diagnostic imaging , Tendinopathy/surgery , Tenodesis , Time FactorsABSTRACT
We report a case of pathological fracture of the femoral shaft in a patient presenting a diaphyseal hydatid cyst. Surgical treatment consisted in wide resection followed by washout using a 20% hypertonic saline solution and nail plate fixation. Albendazole was given as adjuvant treatment. Postoperatively, the patient developed rhabdomyolysis with local superinfected necrosis which required early revision to remove the material. At twenty-two months, the local and general course was satisfactory. The pathological fracture healed and no secondary localization could be identified. Echinococcosis serology remained negative. The surgery-hypertonic solution-albendazole combination appears to be an attractive therapeutic solution for bone hydatid disease.
Subject(s)
Echinococcosis/complications , Femoral Fractures/etiology , Femoral Fractures/surgery , Adolescent , Albendazole/therapeutic use , Anthelmintics/therapeutic use , Bone Nails , Bone Plates , Female , Femur/parasitology , Femur/pathology , Humans , Necrosis , Rhabdomyolysis/etiology , Saline Solution, HypertonicABSTRACT
Antibiotic susceptibility of 948 bacterial strains isolated from varied samples essentially proceeding from urinary infections in five Paris psychiatric Hospitals was determined by disk diffusion method. E. coli, P. mirabilis, Klebsiella spp., P. aeruginosa et S. aureus are the predominant bacteria. 40% of S. aureus are methicilline resistant. Enterobacteriaceae are progressively becoming resistant to aminopenicillines, but remain sensitive to third generation cephalosporines. They are still susceptible to first generation quinolones. At least, if no resistance of P. aeruginosa to imipeneme has been reported, 30% of strains are resistant to ciprofloxacine. Resistance phenotypes to antibiotics of the strains isolated in patients from psychiatric Hospitals are located between those observed in out patients and in patients from general Hospitals. However, we noticed a worrying evolution of resistance to those encontered in psychiatric Hospitals. Therefore, a multiresistant strains emergence monitoring must be carried out regulary.