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Case Reports
. 2004 Nov;9(4):564-7.
doi: 10.1111/j.1440-1843.2004.00598.x.

Inhalation of tobramycin in a patient with aspiration pneumonia as a result of medullary stroke

Akihiko Ohwada  1 , Yuichiro Kajiyama, Naoko Hirashima, Atsuko Miyaji, Masaru Suzuki
Affiliations
Case Reports

Inhalation of tobramycin in a patient with aspiration pneumonia as a result of medullary stroke

Akihiko Ohwada et al. Respirology. 2004 Nov.

Abstract

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.

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