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Inhalation of tobramycin in a patient with aspiration pneumonia as a result of medullary stroke
Author(s) -
OHWADA Akihiko,
KAJIYAMA Yuichiro,
HIRASHIMA Naoko,
MIYAJI Atsuko,
SUZUKI Masaru
Publication year - 2004
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1111/j.1440-1843.2004.00598.x
Subject(s) - medicine , aspiration pneumonia , inhalation , swallowing , pneumonia , airway , medullary cavity , tobramycin , stroke (engine) , anesthesia , surgery , intensive care medicine , antibiotics , mechanical engineering , engineering , gentamicin , microbiology and biotechnology , biology
A 78‐year‐old man suffered from refractory aspiration pneumonia as a result of a minor medullary stroke. The only neurological symptom observed in this patient was difficulty in swallowing. He was managed with i.v. hyperalimentation with termination of oral intake, including water. However, he still experienced several episodes of aspiration pneumonia. As he was considered to have a bacterial infection because of silent aspiration of colonized oropharyngeal material, inhalation of tobramycin was introduced and successful control of airway infection was attained.