John P. Manzella

Lactobacillemia of Renal Origin: A Case Report

AbstractWe report a case of Lactobacillus bacteremia secondary to pyonephrolithiasis. Although usually considered to be nonpathogens serious disease due to lactobacilli is being increasingly recognized.

Saccharomyces cerevisiae fungemia in a multiply traumatized patient.

A case of Saccharomyces cerevisiae fungemia in a severely traumatized patient is described. This organism, although usually considered a nonpathogen, may occasionally cause serious illness in debilitated patients.

Choice of Antibiotic and Risk of Colonization With Vancomycin-Resistant Enterococcus Among Patients Admitted for Treatment of Community-Acquired Pneumonia

A time-series prospective study of patients admitted to the hospital for treatment of community-acquired pneumonia was undertaken to determine vancomycin-resistant enterococcal perianal colonization rates among patients who received ceftriaxone with or without erythromycin versus those who received levofloxacin. A colonization rate of 16% (8/51) was found in the ceftriaxone-erythromycin group versus 0% (0/52) in the levofloxacin group .

CNS toxicity associated with intraventricular injection of cefazolin

✓ Three patients who experienced central nervous system toxicity secondary to intraventricular therapy with cefazolin are described. On the basis of this experience it is recommended that cefazolin not be used for intraventricular antibiotic therapy in the treatment of shunt infections.