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Biomedical subjects

G Ichikawa

Publications and source records attributed to G Ichikawa.

At least 55 records · Page 3Linked to original sources

Microorganisms isolated from infected aural fistulas.

Aural fistula is a congenital deformity of the external ear relatively common in Orientals and rare in Caucasians. Suppuration tends to occur, and chemotherapy rather than surgical drainage should be attempted. However, the lack of information concerning infected aural fistulas has made appropriate chemotherapy difficult. Microorganisms isolated from 13 cases of infected aural fistulas were studied from January 1981 to December 1982. Six species and 22 strains were isolated; nonsporeforming faculative anaerobes were detected in 12 cases. The isolated pathogens included Peptococcus sp (10 cases), Peptostreptococcus sp (3), Bacteroides sp (3), and Fusobacterium sp (2). One case exhibited only Staphylococcus aureus. Our data also stresses the etiologic importance of anaerobic gram-positive cocci in infected aural fistulas.

Abscess↗

Bacteriology of acute otitis media in Japan and chemotherapy, with special reference to Haemophilus influenzae.

Middle ear effusions from 574 patients with acute otitis media (AOM) were sampled and cultured in metropolitan Tokyo. Sampling was done by myringectomy and from otorrhea after the occurrence of spontaneous perforation. Streptococcus pneumoniae and Haemophilus influenzae were isolated more widely in 'fresh' (myringotomized) cases than in 'old' cases. The freshness of cases, and the sampling and culture techniques appear to account for the difference in reports concerning causative pathogens of AOM from Japan on one hand and the U.S.A. and Scandanavia on the other. The relatively high detection rate of H. influenzae indicates its importance in all age groups. H. influenzae was isolated from a second group of 50 patients, and MIC values were determined. ABPC proved to be the most effective chemotherapy, except in cases (10%) of beta-lactamase producing H. influenzae. The correlation between the main causative pathogens of AOM and penicillin concentrations found in middle ear effusions was also investigated. The oral administration of 10-12 mg/kg of ABPC surpassed the 85% MIC level against H. influenzae.

Adolescent↗

Studies of anaerobic bacteria in chronic otitis media.

In the 760 cases of chronic otitis media studied from 1970 to 1976, the detection ratio of anaerobic bacteria and the relation between the nature of anaerobic bacteria and the conditions of focus were investigated. In 8.2% of 760 cases 9 kinds and 81 strains of anaerobic bacteria was detected. Most of the anaerobic bacteria were Peptococcus sp. or Bacteroides sp. and in general non-sporogenic anaerobic bacteria accounted for 97.5%. Anaerobes were frequently detected in cases where the middle ear cavity was filled with cholesteatoma or granulation and in cases of infection recurring after operation.

Bacteroides Infections↗