A 37-year-old patient is reported with intracranial sewing needles, which were located in the right frontal lobe. Both clinical and radiological findings suggested that these needles must have been introduced in infancy before the closure of anterior fontanelle during an unsuccessful homicide. Usually intracranial foreign objects are placed due to penetrating trauma or surgical procedures. Child abuse has been known for centuries. Many types of physical traumas have been reported, especially in Western countries. In Iran, insertion of sewing needles into the brain aiming to kill the infant have been seen in a lot of cases. This situation takes part in a lot of Persian stories. We reported a 37-year-old man who had 2 intracranial sewing needles with unknown etiology.
Objective: Orbital infections require prompt diagnosis and treatment because of the risk of severe complications. Although preseptal cellulitis and orbital cellulitis are different clinical conditions, they can often be confused or can be seen concomitantly. In this study, we aimed to evaluate all patients diagnosed with these diseases treated in our clinic in order to analyze clinical findings, preferred imaging modalities, treatment choices, and clinical outcomes. Material and Methods: This retrospective study was performed between January 1999 and January 2013. We evaluated patients who were admitted to the Ankara University Pediatric Infectious Disease Clinic with a diagnosis of preseptal or orbital cellulitis. Clinical and laboratory characteristics of the patients were compared. Significance level was determined as α=0.05. Results: A total of 71 patients (34 girls, 37 boys) with a diagnosis of preseptal (50 patients) or orbital cellulitis (21 patients) were included into the study. The mean age at diagnosis was 49±37.4 (2-168) months. Waters graphy and/or orbital computed tomography was performed in 27 (54%) patients with preseptal cellulitis and in 18 (85%) patients with orbital cellulitis. Almost all of the patients responded to medical therapy without sequelae, and only 3 of them required surgical treatment additionally. The patients with preseptal and orbital cellulitis were treated successfully with sulbactam-ampicillin (150 mg/kg/day and 200 mg/kg/day, respectively). Conclusion: We conclude that these infections can be treated without any morbidity and mortality if it is diagnosed early and suitable antibiotic treatment is promptly instituted. Imaging tools can give us detailed information regarding disease involvement, differential diagnosis, and the need for surgical intervention. However, we think that these imaging modalities, such as computed tomography, should be restricted as much as possible because of high-dose radiation exposure risk.
The present study was designed to determine the individual and combined effects of acidified sodium chlorite (ASC) and trisodium phosphate (TSP) antimicrobial treatments. Chicken-skin samples inoculated with Salmonella typhimurium and Staphylococcus aureus were separately dipped into sterile tap water, 10% TSP, 0.1% ASC, 0.1% ASC followed by 10% TSP and 10% TSP followed by 0.1% ASC for 15 s at 25C ± 1. On day 0, reductions were 1.4-1.6 log for S. Typhimurium and 1.1-2.1 log for S. aureus, while they were 1.8-2.9 and 0.7-1.7 log, respectively, on day 5 of storage. Results indicated that treatment with ASC solution alone was more effective than treatment with ASC and TSP solutions combined in reducing S. aureus populations on chicken skin during the entire storage period. Similarly, treatment with TSP solution alone was more effective than treatment with ASC and TSP solutions combined in reducing S. typhimurium populations on chicken skin on days 1, 3 and 5 of storage.
Aims: The present study was designed to determine the individual and combined effects of acidified sodium chlorite (ASC, 0·1%, 24 ± 1°C), cetylpyridinium chloride (CPC, 0·5%, 24 ± 1°C) and hot water (HW, 93 ± 1°C) treatments on the survival of Listeria monocytogenes and Staphylococcus aureus.
Methods and Results: Beef samples inoculated with L. monocytogenes and S. aureus were treated with nine different applications singly or in combination. Treatment groups comprised (i) untreated control; (ii) sterile tap water; (iii) 0·1% ASC; (iv) 0·5% CPC; (v) HW; (vi) HW followed by 0·1% ASC; (vii) HW followed by 0·5% CPC; (viii) 0·1% ASC followed by HW; (ix) 0·5% CPC followed by HW. Compared with the untreated control group, the reductions in L. monocytogenes populations were 1·14–2·31 log CFU g−1, while the reductions in S. aureus populations were 0·83–2·74 log CFU g−1 on day 0.
Conclusion: The reduction effect that occurred after combined treatment with ASC followed by HW, HW followed by ASC, CPC followed by HW and HW followed by CPC was found to be significantly greater (P < 0·05) than after treatment with ASC and CPC alone on days 0, 2 and 4 of storage.
Significance and Impact of the Study: ASC, CPC and HW treatments can be used to reduce L. monocytogenes and S. aureus, which would provide an additional measure of safety on the production line.
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