Inhalation of tobramycin in a patient with aspiration pneumonia as a result of medullary stroke.
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.
Ohwada
Akihiko
A
Department of Respiratory Medicine, Tokyo Metropolitan Koto Geriatric Medical Centre, Tokyo, Japan. aohwada@juntendo.gmc.ac.jp
Kajiyama
Yuichiro
Y
Hirashima
Naoko
N
Miyaji
Atsuko
A
Suzuki
Masaru
M
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
D000900:Anti-Bacterial Agents; D014031:Tobramycin