Oral Maxillofac Surg Clin North Am 2017 Aug 18. Epub 2017 Aug 18.

Department of Oral and Maxillofacial Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, 909 Walnut Street, Philadelphia, PA 19106, USA.

The management and treatment of odontogenic infection, and its frequent extension into the head and neck, remains an important section of oral and maxillofacial surgical practice. This area of maxillofacial expertise is widely recognized by the medical community and an essential component to the hospital referral system. Although the general principles of infection management have not changed, there have been modifications in the timing of treatment sequences and treatment techniques. Read More

J Minim Invasive Gynecol 2017 Aug 15. Epub 2017 Aug 15.

Division of Minimally Invasive Gynecology, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN.

Study Objective: Since publication of the Suppression of Ovarian Function Trial (SOFT) data, some women with premenopausal breast cancer have been recommended to undergo bilateral oophorectomy to facilitate breast cancer treatment with aromatase inhibitors. These women may be at higher risk of occult abdominal pathology than the general population. Our objective is to describe the procedures performed, intra-abdominal findings, and surgical pathology of this population. Read More

J Orthop Case Rep 2017 Mar-Apr;7(2):11-13

Department of Orthopaedic Surgery, JR Tokyo General Hospital, Tokyo, Japan.

Introduction: Although periprosthetic fractures of the femur have been well documented, insufficiency fractures following total hip arthroplasty (THA) have been rarely described. We report a case of an insufficiency fracture in the distal tibia and fibula that occurred after THA.

Case Report: A 54-year-old woman presented with severe pain in the bilateral hip joints and was diagnosed with end-stage osteoarthritis. Read More

Pan Afr Med J 2017 13;27:111. Epub 2017 Jun 13.

Medical School, University of Patra, Patra, Greece.

Enterobiasis (oxyuriasis) is a common infection in human caused by Enterobius vermicularis (E. vermicularis), a human intestinal helminth. Because of the easy way of its transmission among people, it has an extremely high prevalence in overcrowded conditions, such as nurseries and primary schools. Read More

J Pediatr Hematol Oncol 2017 Aug 14. Epub 2017 Aug 14.

Oxford Eye Hospital, John Radcliffe Hospital, Headley Way, Headington, UK.

Sickle cell orbitopathy is a rare manifestation of a sickle cell crisis and can closely mimic orbital cellulitis, both clinically and radiologically. We present a case where a child presented with what was thought to be orbital cellulitis and was treated accordingly. Subtle radiologic features of sickle cell orbitopathy were initially overlooked, resulting in an incorrect diagnosis and a treatment delay for the patient. Read More

Orbit 2017 Aug 16:1-5. Epub 2017 Aug 16.

a Department of Ophthalmology , Hofstra Northwell School of Medicine , Great Neck , New York , USA.

Acute dacryoadenitis with abscess formation has been rarely described. We describe four cases that resolved with incision and drainage. This includes a retrospective case series of four patients with radiologically confirmed lacrimal gland abscesses and a review of the reported cases in the literature. Read More

Int J Infect Dis 2017 Aug 12. Epub 2017 Aug 12.

Department of Orthopaedic Surgery, Chia-Yi Chang Gung Memorial Hospital, Taiwan, Republic of China; College of Medicine, Chang Gung University at Taoyuan, Taiwan.

Background: Necrotizing fasciitis following venomous snakebites is uncommon. The purpose of this study was to describe the initial clinical features of necrotizing fasciitis after snakebites, and to identify the risk factors for patients with cellulitis who later developed necrotizing fasciitis.

Methods: Sixteen patients with surgically-confirmed necrotizing fasciitis and 25 patients diagnosed with cellulitis following snakebites were retrospectively reviewed over a 6-year period. Read More

Diagn Microbiol Infect Dis 2017 Jul 8. Epub 2017 Jul 8.

Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Department of Medicine, Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis, Indiana, USA. Electronic address:

Coccidioidomycosis is usually acquired by inhalation of spores of Coccidioides immitis and C. posadasii. The disease ranges from a self-limited acute pneumonia (Valley Fever) to a disseminated disease. Read More

Can Fam Physician 2017 Aug;63(8):615-618

Clinical Associate Professor of Academic Family Medicine at the University of Saskatchewan.

J Craniofac Surg 2017 Aug 10. Epub 2017 Aug 10.

Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, Chungcheongnam-do, Korea.

Orbital cellulitis and abscess have been described in the literature as complication that usually occur secondary to infection in the maxillary, ethmoidal, and frontal sinuses. If left untreated, it can lead to blindness, cavernous sinus thrombosis, meningitis, or cerebral abscess. Orbital fractures are a common sequela of blunt orbital trauma, but are only rarely associated with orbital cellulitis. Read More

J Fr Ophtalmol 2017 Aug 9. Epub 2017 Aug 9.

Service d'ophtalomogie, hôpital militaire d'instruction Mohammed V, Rabat, Morocco.

Intern Med 2017 Aug 10. Epub 2017 Aug 10.

Department of Gastroenterology, NTT West Osaka Hospital, Japan.

A 62-year-old woman was admitted to our hospital with septic shock due to left submandibular osteomyelitis and cellulitis. Her condition improved following tooth extraction, drainage, and the administration of antibiotics. However, on the 4th day of hospitalization, she went into hemorrhagic shock after defecating a massive tarry stool. Read More

World Neurosurg 2017 Aug 5. Epub 2017 Aug 5.

Department of Neurosurgery, Duke University Medical Center, Durham, NC.

Background: Smoking status has been shown to affect postoperative outcomes after surgery. The aim of this study is to determine if patients' smoking status impacts 30-day complication and re-admission rates after elective complex spinal fusion (≥3 levels).

Methods: The medical records of 839 adult spinal deformity patients undergoing elective complex spinal fusion (≥3 levels) at a major academic institution from 2005 to 2015 were reviewed. Read More

J Ultrasound Med 2017 Aug 8. Epub 2017 Aug 8.

Postgraduate Programe in Medical Sciences, School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

The purpose of this series was to describe the ultrasonographic and radiographic manifestations of changes to the hands and wrists in 50 patients with chronic musculoskeletal symptoms secondary to Chikungunya fever during the 2016 outbreak that occurred in Rio de Janeiro, Brazil. Most of the plain radiographs were normal (62%). The most common ultrasonographic findings were small joint synovitis (84%), wrist synovitis (74%), finger tenosynovitis (70%), and cellulitis (50%). Read More

Laryngoscope 2017 Aug 7. Epub 2017 Aug 7.

Vascular Anomalies Center, Boston Children's Hospital, Boston, Massachusetts, U.S.A.

Objective: Lymphatic malformations (LMs) are challenging to manage, particularly those involving the cervicofacial region and airway. Traditional therapy is sclerotherapy and/or resection. We aim to establish the emerging therapeutic role of sirolimus. Read More

Intern Med 2017 Aug 1;56(16):2217-2221. Epub 2017 Aug 1.

Department of General Medicine, Shonan Fujisawa Tokushukai Hospital, Japan.

Kawasaki disease (KD) is an acute, self-limited vasculitis of unknown etiology that occurs predominantly in young children (≤5 years of age). We herein report the case of an 18-year-old Japanese man with a history of incomplete KD during infancy; later, despite an initial diagnosis of retropharyngeal abscess, he was ultimately diagnosed with retropharyngeal edema associated with recurrent KD. Adult-onset or recurrent KD is an uncommon event, and retropharyngeal edema is a rare manifestation of this disease. Read More

Diagn Microbiol Infect Dis 2017 Jun 30. Epub 2017 Jun 30.

Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Nasal vestibulitis (NV) is a common infection; however, scant data is available in the literature as it pertains to NV. We aim to describe the clinical characteristics of NV in respect to its potential complications.

Methods: A retrospective chart review of 118 NV cases admitted to a tertiary medical center between 2008 and 2015. Read More

Undersea Hyperb Med 2017 Mar-Apr;44(2):157-160

Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey.

Diabetic foot ulcers may result in loss of an extremity and may even lead to mortality. The use of comprehensive foot care programs which include early screening and evaluation of problems, foot care education, preventive therapy and referral to specialists has been shown to reduce amputation rates by 49-85 [percent]. A 51-year-old woman with Type 2 diabetes under surveillance for nine months was referred from the emergency department. Read More

Case Rep Nephrol 2017 10;2017:6258430. Epub 2017 Jul 10.

St. John Hospital and Medical Center, Detroit, MI, USA.

Myeloma cast nephropathy is an obstructing disorder of renal tubules, caused by precipitation of Bence Jones proteins. Myeloma-like cast nephropathy (MLCN) has been reported in the literature to occur in various primary renal and nonrenal diseases. We present a series of three rare cases of cast nephropathy, two of which are HIV patients, and the third patient is receiving cisplatin-based chemotherapy. Read More

Infect Dis (Lond) 2017 Aug 2:1-8. Epub 2017 Aug 2.

a Department of Clinical Science , University of Bergen , Bergen , Norway.

Background: In the early 20th century, the face was the predominant site of cellulitis. Despite a relative decrease in the incidence of facial cellulitis, it is still common. There are few studies on this condition during the last decades. Read More

J Addict Med 2017 Aug 1. Epub 2017 Aug 1.

University of Northern Colorado, School of Psychological Sciences, McKee Hall, Greeley, CO (KTP); Butler Hospital, Providence, RI (BJA, DSH); Boston University School of Medicine and Boston Medical Center, Boston, MA (JML); Boston University School of Public Health, Boston, MA (MDS).

Objectives: Skin and soft tissue infections (SSTIs) are common among people who inject drugs (PWID), and can lead to serious morbidity and costly emergency room and hospital utilization. A range of high-risk injection practices may contribute to these infections. The goal of the current study was to examine risk practices that were associated with SSTIs in a sample of hospitalized PWID. Read More

Ann Surg Oncol 2017 Aug 1. Epub 2017 Aug 1.

Kronowitz Plastic Surgery, Houston, TX, USA.

Background: An integrated approach to skin sparing mastectomy with tissue expander placement followed by radiotherapy and delayed reconstruction was initiated in our institution in 2002. The purpose of this study was to assess the surgical outcomes of this strategy.

Methods: Between September 2002 and August 2013, a total of 384 reconstructions had a tissue expander placed at the time of mastectomy and subsequently underwent radiotherapy. Read More

Ostomy Wound Manage 2017 Jul;63(7):34-41

Tuberculosis (TB) continues to be a prevalent disease worldwide; an estimated one third of the world's population is infected and 2015 data from the World Health Organization show 10 million people had an active infection. Although TB often is cited as a disease that most commonly occurs in underdeveloped countries, the evolution of drug-resistant forms of TB and infection sensitivity of immunocompromised individuals have made this disease a focal point for indus- trialized countries as well. When TB is spread, it commonly affects the lungs, but it can infect any organ of the body. Read More

Ostomy Wound Manage 2017 Jul;63(7):14-19

Cohen Children's Medical Center, New Hyde Park, NY.

Considerable technological advances, good safety profile, and ease of use have converged to support the use of ultrasound (US) as an important adjunct in the evaluation of superficial soft tissue infections (SSTI) in general and the differential diagnosis of cellulitis and abscess in particular. However, its use in neonatal populations has not been described. Pediatric studies report clinical examination is not always a reliable method of distinguishing cellulitis from abscess. Read More

Am J Surg 2017 Jul 21. Epub 2017 Jul 21.

Cleveland Comprehensive Hernia Center, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. Electronic address:

Background: Parastomal hernia repair (PHR) remains a challenge with no optimal repair technique. During retromuscular hernia repair, traversing the stomal conduit through the abdominal wall can result in angulation and compression. Widening of traditional cruciate incisions in mesh and/or fascia likely contributes to recurrences. Read More

Wilderness Environ Med 2017 Jul 25. Epub 2017 Jul 25.

Department of Surgery, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Anuradhapura, Sri Lanka (Drs Thalgaspitiya and Siriwardhana).

Objective: Freshwater catfish are known to cause painful stings in humans. Stings usually cause mild envenomation and, in some instances, can lead to severe secondary bacterial infections. Sri Lanka is a tropical country where catfish stings are not rare. Read More

Lymphat Res Biol 2017 Jul 27. Epub 2017 Jul 27.

1 Central Clinical Hospital , Ministry of Internal Affairs, Warsaw, Poland .

Background: Infection is the most common type of complication observed in lymphedema and is promoted by lymphatic system dysfunction, which causes locoregional immune disorders. Infectious complications are primarily bacterial and most commonly cellulitis (dermato-lymphangio-adenitis, DLA) caused by patients' own skin Staphylococci epidermidis and aureus. The clinical course and outcomes in the immune response to infection have been shown to be associated with genetic polymorphisms. Read More

J Investig Med High Impact Case Rep 2017 Jul-Sep;5(3):2324709617716471. Epub 2017 Jul 6.

New York University, New York, NY, USA.

Extranodal natural killer T-cell lymphoma, nasal type (ENKL), formerly called lethal midline granuloma or angiocentric T-cell lymphoma, is a predominantly extranodal non-Hodgkin lymphoma characterized by vascular damage, necrosis, and an association with Epstein-Barr virus. In the United States, it is more frequently seen in Asian, Asian Pacific Islander, and Hispanic descent populations and is more prevalent in males in their fifth decade. Clinical presentation of NK nasal lymphoma most commonly involves epistaxis; obstruction; discharge; destructive mass in sinuses, palate, and nose; and skin ulceration. Read More

Plast Reconstr Surg 2017 Aug;140(2):229-239

Dallas, Texas; and Philadelphia, Pa. From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Department of Surgery, Division of Plastic Surgery, Temple University.

Background: Free and local flaps based on the profunda artery perforators were first used for reconstruction of pressure sores, burn contractures, and extremity wounds. Recently, a revised profunda artery perforator flap was introduced for breast reconstruction. However, despite increasing reports of the use of the flap, it remains a rarely used option. Read More

Ned Tijdschr Geneeskd 2017 ;161(0):D1342

Academisch Medisch Centrum, Amsterdam.

Orbital cellulitis is a rare disease usually caused by sinusitis. Generally, the prognosis of both preseptal cellulitis and orbital cellulitis is favourable. Radiological distinction should be made between an orbital abscess and subperiosteal empyema. Read More

Arch Argent Pediatr 2017 Aug;115(4):e243-e246

Departamento de Educación e Investigación, Instituto Roosevelt, Bogotá, Colombia.

Periorbital cellulitis is a very common disease in pediatric population, it describes an infection involving the adjacent soft tissues anterior to the orbital septum. Pathogens involved are generally Gram-positive cocci after introduction of Haemophilus influenzae vaccine. We report a case of Neisseria gonorrhoeae periorbital cellulitis associated with bacterial conjunctivitis in a child. Read More

J Microbiol Immunol Infect 2017 Jul 1. Epub 2017 Jul 1.

Division of Allergy, Immunology and Rheumatology, Taichung Veterans General Hospital, Taichung, Taiwan; Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address:

Objective: To evaluate the long-term safety and effectiveness of tocilizumab (TCZ) for the treatment of rheumatoid arthritis (RA) in a real-world clinical setting in Taiwan.

Method: All refractory RA patients who initiated intravenous TCZ between August 2012 and March 2015 were enrolled. Data on patient characteristics, drug safety and effectiveness were collected. Read More

Am J Infect Control 2017 Jul 18. Epub 2017 Jul 18.

Des Moines University, Des Moines, IA.

Background: Research on treating skin and soft tissue infections (SSTI) has shown improved patient outcomes with effective pharmaceutic prescribing. Antimicrobial stewardship programs can reduce consequences of broad-spectrum antimicrobial administration in SSTI treatment.

Methods: Prospective and historic control data were collected during two 7-month periods. Read More

MSMR 2017 Jul;24(7):2-11

During the 4-year surveillance period, there were 282,571 incident cases of skin and soft tissue infection (SSTI) among active component U.S. military members diagnosed in inpatient or outpatient settings, corresponding to an overall incidence of 558. Read More

Nurs Health Sci 2017 Jul 21. Epub 2017 Jul 21.

Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.

In this systematic review and meta-analysis, we evaluated the effectiveness, safety and comfort of StatLock for the securement of peripherally-inserted central catheters. PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure, WanFang Database, and China Science and Technology Journal Database were searched. Randomized, controlled trials comparing StatLock with tape or suture on the performance of securing peripherally-inserted central catheters were selected. Read More

ANZ J Surg 2017 Jul 20. Epub 2017 Jul 20.

Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.

Background: The acellular dermal matrix (Flex HD) (FHD) became available for use in Western Australia in 2014 to aid prosthetic breast reconstruction and this descriptive study aims to review and discuss a single institution's experience since its introduction.

Methods: By retrospective case note, review data were collected for all patients who underwent prosthetic breast reconstruction with the aid of FHD between January 2014 and August 2015 in our institution. Data on basic demographic parameters, risk factors, surgery-related factors, post-operative factors and follow-up information were collected. Read More

BMJ Case Rep 2017 Jul 19;2017. Epub 2017 Jul 19.

Department of Medicina 1.2, Hospital de São José, Centro Hospitalar Lisboa Central, Lisboa, Portugal.

We present the case of a 63-year-old man, admitted for hand cellulitis and acute kidney injury. A Streptococcus dysgalactiae subsp equisimilis (SDSE) was isolated in blood cultures and despite directed intravenous antibiotherapy, the patient evolved unfavourably, with dorsolumbar spondylodiscitis, multifocal septic arthritis and abscesses. CT also showed densification of the gluteal muscles, multiple air bubbles in the psoas, paraspinal muscles and spinal canal that were associated with an intramuscular injection administered 1 week earlier for a backache. Read More

Eur Urol Focus 2016 Oct 19;2(4):453-459. Epub 2016 Feb 19.

Departments of Pediatrics and Medicine, Georgetown University School of Medicine, Washington, DC, USA. Electronic address:

Context: A growing body of evidence supports the health benefits of circumcision, but the occurrence of infectious complications is of concern.

Objective: To review literature presenting past data and studies of infectious complications of circumcision and their prevention.

Evidence Acquisition: A literature search was conducted of the Cochrane Library, Embase, Turning Research into Practice, PubMed, and Medline databases from their inception through June 25, 2015. Read More

Cureus 2017 Jun 14;9(6):e1350. Epub 2017 Jun 14.

Department of Internal Medicine, University of Missouri Kansas City (UMKC).

Orbital cellulitis is a severe and sight-threatening infection of orbital tissues posterior to the orbital septum. The most common causes of orbital cellulitis are rhinosinusitis, orbital trauma, and surgery. Infective endocarditis (IE) is a systemic infection that begins on cardiac valves and spreads by means of the bloodstream to peripheral organs. Read More

Turk J Urol 2017 Jun 3;43(2):220-222. Epub 2017 May 3.

Department of Urology, Thomas Jefferson University Hospital, Philadelphia, USA.

Metastatic cancer to the scrotum is a rare occurrence. We describe the first case of cutaneous scrotal lesions consistent with metastatic pancreatic adenocarcinoma. A brief discussion including epidemiologic factors and clinical presentation is presented. Read More

J Oncol Pharm Pract 2017 Jan 1:1078155217719584. Epub 2017 Jan 1.

1 Department of Internal Medicine, SUNY Upstate Medical University, USA.

We report a case of a 51-year-old male with past medical history significant for cholangiocarcinoma presented with two weeks of worsening bilateral lower extremity swelling and erythema. Patient has been on active chemotherapy for his cholangiocarcinoma with Gemcitabine weekly infusions. Physical exam was significant for bilaterally petechial rash coalescing into ecchymoses over the dorsum of the feet, sparing soles and toes, which dissipated into thinning petechiae more proximally. Read More

Emerg Med Clin North Am 2017 Aug;35(3):647-671

Department of Emergency Medicine, Virginia Commonwealth University Health System, 1200 E Marshall Street, Richmond, VA 23298, USA.

Infectious conditions such as skin and soft tissue infections (SSTIs), Urogenital infections and peritonsillar abscesses frequently require care beyond emergency stabilization and are well-suited for short term care in an observation unit. SSTIs are a growing problem, partly due to emergence of strains of methicillin-resistant S. aureus (MRSA). Read More

J Fish Dis 2017 Jul 14. Epub 2017 Jul 14.

Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, CA, USA.

Since 2012, low-to-moderate mortality associated with an Erysipelothrix sp. bacterium has been reported in ornamental fish. Histological findings have included facial cellulitis, necrotizing dermatitis and myositis, and disseminated coelomitis with abundant intralesional Gram-positive bacterial colonies. Read More

Indian J Pediatr 2017 Jul 14. Epub 2017 Jul 14.

Cornea & Refractive Services, Aravind Eye Hospital & PG Institute of Ophthalmology, 1, Anna Nagar, Madurai, Tamil Nadu, 625 020, India.

Extraocular infection is a frequently encountered problem in children including neonates and infants. Prompt recognition of the extraocular disease and management at first contact reduces the ocular morbidity and visual impairment. Delay in administering appropriate therapy and referral to an eye care personnel may result in blindness; sometimes bilateral, due to severe ophthalmia neonatorum. Read More

J Med Case Rep 2017 Jul 14;11(1):191. Epub 2017 Jul 14.

Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.

Background: Breast cancer-related lymphedema often causes cellulitis and is one of the most common complications after breast cancer surgery. Streptococci are the major pathogens underlying such cellulitis. Among the streptococci, the importance of the Lancefield groups C and G is underappreciated; most cases involve Streptococcus dysgalactiae subspecies equisimilis. Read More

Mayo Clin Proc 2017 Aug 8;92(8):1227-1233. Epub 2017 Jul 8.

Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Mayo Clinic, Rochester, MN.

Nonpurulent lower extremity cellulitis (NLEC) is a common clinical diagnosis, with β-hemolytic streptococci and Staphylococcus aureus considered to be the most frequent causes. In 1999, the US Public Health Service alerted clinicians to the presence of community-acquired methicillin-resistant S aureus (CA-MRSA) infections in 4 children in the upper Midwest. Since then, it has become a well-recognized cause of skin and soft-tissue infections, in particular, skin abscess. Read More

Pediatr Ann 2017 Jul;46(7):e265-e269

Cellulitis and other skin and soft tissue infections are a common reason for children to seek care, both in the primary care setting and the emergency department. Cellulitis is a common skin and soft-tissue infection that is usually caused by streptococci bacteria or, less commonly, Staphylococcus aureus. Most children recover quickly from cellulitis, but a small subset will require hospitalization. Read More

Pediatr Emerg Care 2017 Jul 11. Epub 2017 Jul 11.

From the Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Pediatric returns to the emergency department (RTED) vary between 3% and 13% of the total ED volume of visits. However, the incidence and contribution of scheduled RTED on pediatric emergency department (PED) utilization is less clear. Antimicrobial stewardship programs on inpatient wards have been shown to improve judicious use of outpatient parenteral antimicrobial therapy (OPAT) in upon discharge. Read More

Am J Med 2017 Jul 8. Epub 2017 Jul 8.

Department of Medicine, University of Florida College of Medicine, Gainesville.

PLoS Negl Trop Dis 2017 Jul 10;11(7):e0005745. Epub 2017 Jul 10.

Diretoria de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.

Background: Secondary bacterial infections from snakebites contribute to the high complication rates that can lead to permanent function loss and disabilities. Although common in endemic areas, routine empirical prophylactic use of antibiotics aiming to prevent secondary infection lacks a clearly defined policy. The aim of this work was to estimate the efficacy of amoxicillin clavulanate for reducing the secondary infection incidence in patients bitten by Bothrops snakes, and, secondarily, identify risk factors for secondary infections from snakebites in the Western Brazilian Amazon. Read More