The Journal of infection
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The Journal of infection · May 2006
Case ReportsCommunity-acquired Klebsiella oxytoca endocarditis: a case report.
We report the case of a 71-year-old woman who presented with persistent high fever and progressive weakness for 10 days. Klebsiella oxytoca infective endocarditis was diagnosed based on four sets of positive blood culture of K. oxytoca together with fluttering vegetation (0.6 cm in diameter x 1.3 cm long) on the base of the anterior mitral leaflet. The diagnosis was documented using transthoracic and transesophageal echocardiograms. After 4 weeks of intravenous cefazolin therapy, the patient completely recovered.
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The Journal of infection · May 2006
Lumbar puncture in the management of adults with suspected bacterial meningitis--a survey of practice.
Assess the use of lumbar puncture (LP) in the management of suspected community acquired bacterial meningitis in adults. ⋯ Reported clinical practice in the investigation and management of meningitis in adults is not in line with current published guidance. Efforts to target interventions that promote consensus in practice are needed.