Children with advanced disease often have convincing signs on presentation and are not usually subjected to a significant delay. Active observation is not associated with high postoperative morbidity.
We report a 9-year-old boy who had swallowed a small dressmaker's pin during an art & craft class. Confirmation of ingestion of the pin and its passage through the gut was achieved with abdominal radiography. When the pin had not passed after 8 days, and with increasing concern about the likelihood of perforation, US was used to locate its exact position to allow surgical removal. This case report illustrates the unique use of US to reveal the intraappendiceal location of an ingested foreign body, facilitating its surgical removal.
Ninety-nine patients with simple symptomatic urinary tract infections from three general practices were treated with norfloxacin 400 mg bd for 3 days and were followed up for 2 to 4 weeks. Forty of the 99 patients had bacteriuria. Bacteriological eradication of initial pathogen was achieved by 5 to 7 days in 100%. At 2 to 4 weeks three patients had become reinfected but with a different organism. Ninety per cent of patients were symptomatically cured or improved by the fifth to seventh day after therapy started. Drug related adverse experiences were seen in 9% of patients. None necessitated cessation of therapy. No significant biochemical or haematological abnormalities occurred.
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