Publications by authors named "Kazuo Shimoguchi"
We had encountered a 74-year-old woman on hemodialysis therapy suffering from liver abscess of Actinomyces israelii. Percutaneous drainage of the abscess before starting antimicrobial therapy followed by correct microbiological identification and susceptibility test led us to determine long treatment with ampicillin and to a successful outcome. Periodontitis was thought to be a possible entry of actinomyces.
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- Study evaluated the effectiveness of direct blood Gram stain results versus blood culture results in 482 cases to see their influence on antimicrobial treatment.
- It was found that Gram stain reporting for "Staphylococcus spp," "Pseudomonas spp and related organisms," and "yeasts" aligned well with later culture identifications, leading to more accurate and timely treatment changes by physicians.
- A key issue identified was the misclassification of Acinetobacter spp as Enterobacteriaceae, highlighting the need for more research on the clinical effects of Gram stain reporting in cases of bacteremia.