title: Inhalation of tobramycin in a patient with aspiration pneumonia as a result of medullary stroke.
abstract: A 78-year-old man suffered from refractory aspiration pneumonia as a result of a minor medullary stroke. The only neurological symptom observed in this patient was difficulty in swallowing. He was managed with i.v. hyperalimentation with termination of oral intake, including water. However, he still experienced several episodes of aspiration pneumonia. As he was considered to have a bacterial infection because of silent aspiration of colonized oropharyngeal material, inhalation of tobramycin was introduced and successful control of airway infection was attained.
authors.affiliation: Department of Respiratory Medicine, Tokyo Metropolitan Koto Geriatric Medical Centre, Tokyo, Japan. aohwada@juntendo.gmc.ac.jp
authors.forename: Akihiko
authors.initials: A
authors.lastname: Ohwada
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kajiyama
authors.forename: Naoko
authors.initials: N
authors.lastname: Hirashima
authors.forename: Atsuko
authors.initials: A
authors.lastname: Miyaji
authors.forename: Masaru
authors.initials: M
authors.lastname: Suzuki
mesh_terms: D000280:Administration, Inhalation; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D020526:Brain Stem Infarctions / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D008526:Medulla Oblongata; D011015:Pneumonia, Aspiration / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D011859:Radiography; D014031:Tobramycin / Q000008:administration & dosage*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D014031:Tobramycin