Tags: Metronidazole

Order Metronidazole (Flagyl) No Prescription 200/400mg

Central nervous system symptoms can occur with standard doses of metronidazole, but they are mainly seen with high doses and especially when such doses are given for a long time. Under the latter conditions, there was a 25% incidence of such symptoms as headaches, dizziness, tremor, ataxia, and confusion.

Cervicitis, Ectropion & True Erosion

Cervicitis — Chlamydia trachomatis, Trichomonas vaginalis. Ectropion — hormonal changes with oral contraceptive use (especially with progesterone) or during pregnancy. True erosion — injury to atrophic epithelium due to estrogen deficiency in menopause.

Cervicitis

Infectious cervicitis may be caused by Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, ureaplasmas, Herpes simplex or Trichomonas vaginalis. Chronic cervicitis is characterized by inflammation of the cervix without an identified pathogen.

Cellulitis

An acute, spreading infection of the dermis and subcutaneous tissue. Several entities are recognized: Treat 10-30 days. Guided by culture results whenever possible.

Brain Abscess

Single or multiple abscesses within the brain, usually occurring secondary to a focus of infection outside the central nervous system. May mimic brain tumor but evolves more rapidly (days to a few weeks). It starts as a cerebritis, becomes necrotic, and subsequently becomes encapsulated.

Anaerobic & Necrotizing Infections

Gangrene is local death of soft tissues due to disease or injury and is associated with loss of blood supply. Anaerobic and necrotizing infections may be associated with gas.

Amebiasis

Amebiasis is caused by the intestinal protozoan, Entamoeba histolytica. Infection results from ingestion of fecally contaminated food, such as garden vegetables or by direct fecal-oral transmission. Most persons are asymptomatic or have minimal diarrheal symptoms. In a few patients, invasive intestinal or extraintestinal (e.g., liver, and less commonly kidney, bladder, male or female genitalia, skin, lung, brain) infection results.

Central Nervous System Infections

Central nervous system infections are fortunately rare, but they are extremely serious. The cerebral cortex and spinal cord are confined within the restricted boundaries of the skull and boney spinal canal. Inflammation and edema therefore have devastating consequences, often leading to tissue infarction that in turn results in permanent neurologic sequelae or death.

Central Nervous System Abscess

Brain abscess is an uncommon disease, found in about 1 in 10,000 general hospital admissions. Infection of the cerebral cortex can result from the direct spread of bacteria from another focus of infection (accounts for 20% to 60% of cases) or from hematogenous seeding.

Deciding On Hospital Admission In Acute Pneumonia

The Pneumonia Patient Outcome Research Team developed useful criteria called the pneumonia severity index for assessing pneumonia severity; however, that index proved to be complex and difficult to use. A simpler index called the CURB-65 (confusion, urea nitrogen, respiratory rate, blood pressure, age 65 years or older) has been shown to have sensitivity and specificity nearly equal to that of the pneumonia severity index. Both indexes can be used to guide decisions on admission to a hospital ward or intensive care unit. As shown in Figure 4.5, patients with a score of 0 or 1 can be treated as outpatients; those with a score of 2 or more warrant hospitalization.