Topics

Burkholderia gladioli
Dear expert team, after a 15-day imipenem therapy against Burkholderia gladioli, the first germ test was negative; now a few weeks later, however, an infection is traceable again. How would you proceed? Symptomatically, there is pain during breathing, which had ceased immediately after therapy ...
30.08.2011
Further question on ESBL
Hello, Recently there was a question and answer on ESBL e.coli. Both our children have CF and keep having germs with ESBL feature again and again, which have not caused any clinical problems so far. Now, however, a planned rehabilitation measure was cancelled on short notice because of this ...
30.08.2011
Ripened cheeses, bacteria, moistures
Hi. In our family we like sometimes to eat not pasteurized and well ripened cheeses. Is it dangerous for our child to come with us to the cheese dairy (he doesn’t touch the cheeses and doesn’t visit the maturing cellars)? On the other hand, can he eat these cheeses (I think to the blue cheeses ...
02.08.2011
pepper
Hi, we have heard about bacteria in pepper (pseudomonas ? cepacia complex ?). Is it true, because we don’t use pepper yet? Thanks.
02.08.2011
Virulence of ESBL-E. coli
One year ago, during a bronchoscopy of my son (13) ESBL (=extendend-spectrum beta-lactamase) (e. coli) have been detected in the lungs. Which specific potentail of danger have these germs, particularly as I do only get few to no information from the center, to which subgroup the specific ESBL-germ ...
01.08.2011
Mycobacterium abscessus and impaired function of the liver
My 24-year old female patient has a colonization of the airways with M. abscessus for 9 months. There are hints for an infection of the lung with M. abscessus (decrease of FEV1, infiltrations, cultural and microscopical detection of the germ in the bronchial secretions and bronchoalveolar lavage). ...
01.08.2011
Visit of the zoo (tropical landscape)
Dear ladies and gentlemen, I would like to visit the zoo with my son (CF) in the city of Leipzig, Germany. This zoo has as an attraction a tropical section with high humidity, which is, according to my view, generated via finely nebulized water. Which measure could I undertake in order to ...
01.08.2011
hygiene of dish-washer
I just read in a french medical newspaper that dishwashers are contaminated (60%) by fungi with black pigment called Exophalia dermatitidis and E. phaeomuriformis. This species are very resistant to heat and detergents. These fungi would pose a problem in patients with cystic fibrosis. What should ...
12.07.2011
Achromobacter
Hello Our 11 years old son is principally chronically colonized with Achromobacter xylosoxidans (and also with Staphylococus Aureus controlled with daily Floxapen) and intermittently with 2 other Achromobacter…. We are surprised that he receives only Colistin aerosol therapy against this ...
04.07.2011
Pseudomonas Pseudoalcaligenes
Hello, in the throat swab of my daughter (2.5 years old) now Pseudomonas Pseudoalcaligenes has been found for the first time. The center cannot classify this Pseudomonas. Perhaps you have an idea. Would you treat this germ directly with and antibiotic drug? Many thanks and best regards,
28.06.2011
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