The Experts below are selected from a list of 27123 Experts worldwide ranked by ideXlab platform

Paul C Jutte - One of the best experts on this subject based on the ideXlab platform.

  • successful treatment of candida albicans infected total hip prosthesis with staged procedure using an antifungal loaded cement spacer
    Journal of Arthroplasty, 2013
    Co-Authors: Jenneke J Deelstra, Danielle Neut, Paul C Jutte
    Abstract:

    We present a rare case of an immunocompetent host who developed a Candida albicans- infected total hip prosthesis. The Infection could not be eradicated with debridement and extensive antifungal therapy. Our patient first underwent a resection of the proximal femur and local treatment with gentamicin-loaded cement beads. In a second procedure, a handmade cement spacer impregnated with voriconazole, amphotericin B, and vancomycin was placed. After 3 months of additional systemic antibiotic therapy, the patient remained afebrile, and a tumor prosthesis was placed. Six years postoperatively, she is doing well, walking with a small limp and no signs of Recurrent Infection. This is the first report on elution of voriconazole and amphotericin B from bone cement delivered at clinically significant concentrations for at least 72 hours.

Jenneke J Deelstra - One of the best experts on this subject based on the ideXlab platform.

  • successful treatment of candida albicans infected total hip prosthesis with staged procedure using an antifungal loaded cement spacer
    Journal of Arthroplasty, 2013
    Co-Authors: Jenneke J Deelstra, Danielle Neut, Paul C Jutte
    Abstract:

    We present a rare case of an immunocompetent host who developed a Candida albicans- infected total hip prosthesis. The Infection could not be eradicated with debridement and extensive antifungal therapy. Our patient first underwent a resection of the proximal femur and local treatment with gentamicin-loaded cement beads. In a second procedure, a handmade cement spacer impregnated with voriconazole, amphotericin B, and vancomycin was placed. After 3 months of additional systemic antibiotic therapy, the patient remained afebrile, and a tumor prosthesis was placed. Six years postoperatively, she is doing well, walking with a small limp and no signs of Recurrent Infection. This is the first report on elution of voriconazole and amphotericin B from bone cement delivered at clinically significant concentrations for at least 72 hours.

Paula Adams J Hillard - One of the best experts on this subject based on the ideXlab platform.

  • group a streptococcus vulvovaginitis in breastfeeding women
    American Journal of Obstetrics and Gynecology, 2008
    Co-Authors: Lisa Rahangdale, Judith Lacy, Paula Adams J Hillard
    Abstract:

    Group A beta-hemolytic streptococcus–associated vulvovaginitis is uncommon in adult women. Clinicians should include group A beta-hemolytic streptococcus as a possible cause of vulvovaginal symptoms in breastfeeding women. Along with appropriate antibiotic therapy, vaginal estrogen therapy may be considered to diminish susceptibility to Recurrent Infection in women with vaginal atrophy.

Wen Xiaohon - One of the best experts on this subject based on the ideXlab platform.

Kisaburo Sakamoto - One of the best experts on this subject based on the ideXlab platform.

  • pediatric case of staphylococcus lugdunensis induced infective endocarditis at bovine jugular vein
    The Annals of Thoracic Surgery, 2019
    Co-Authors: Keiichi Hirose, Akio Ikai, Hisao Nagato, Masaya Murata, Kenta Imai, Kazuyoshi Kanno, Motonari Ishidou, Hideto Iwafuchi, Kisaburo Sakamoto
    Abstract:

    A 2-year-old boy underwent repeat right ventricular outflow tract reconstruction (re-RVOTR) with a bovine jugular vein (BJV) graft. He presented with high fever on postoperative day 6. Blood and drainage effusion cultures were all positive for Staphylococcus lugdunensis and vancomycin was prescribed. Echocardiography showed vegetation at the BJV. Re-re-RVOTR was performed 51 days after re-RVOTR. In the operation, vegetation was adhered to the right-sided leaflet and three leaflets were degenerated. After complete BJV graft resection, an expanded polytetrafluoroethylene conduit with trileaflets was implanted. There was no sign of Recurrent Infection 8 months after the surgery.