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Figure 15. Infected left femoral-popliteal graft before and after prolonged antibiotic therapy. An 81 year old man with severe vascular insufficiency and gangrene of the great toe underwent a distal left femoral-dorsalis pedis bypass graft using a segment of saphenous vein. The left great toe was quite necrotic, with ulceration extending to bone and purulent discharge. The thigh wound showed continued serous drainage and with accumulation of a lymphocele which required exploration and drainage three weeks after the original surgery. Throughout this time the patient had been on antibiotics as draining fluid grew multiple organisms, although the patient remained afebrile with only very slight local erythema. (A) The graft was clearly localized on the 99mTc-erythrocyte blood pool image (left) and the striking 111In-leukocyte (right) accumulation in the left mid-thigh medially corresponded to infection in the proximal graft anastomosis (arrow). Note how localization is enhanced through simultaneous dual-isotope blood pool imaging. The patient was managed aggressively with intravenous antibiotics (pipericillin/tazobactam) for three weeks followed by an additional four weeks of oral antibiotics. (B) The repeat scan showed complete resolution on the 99mTc-erythrocyte (left) and 111In-leukocyte (right) images.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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