Penicillin Resistance of Pseudomonas aeruginosa Clinical Isolates from Urinary Tract Infections

One hundred and thirteen clinical isolates of Pseudomonas aeruginosa from urinary tract infections were tested for their mechanisms of resistance to penicillins. Ninety-eight percent and 100.0% of the strains were resistant (MIC≧100 μg/ml) to ampicillin and penicillin G, respectively, while only 5.3% were resistant to piperacillin. Low permeability of the outer membrane, and penicillinase production were involved in their resistance mechanisms. Peptidoglycan synthesis in ether-treated cells of two representative strains was inhibited by ampicillin and piperacillin at the concentrations markedly lower than that for penicillin G

Rupture of Pararenal Pseudocyst in a Patient with Down's Syndrome

A rare case of Down's syndrome with spontaneous rupture of a pararenal pseudocyst has been reported. The rupture of the pararenal pseudocyst was treated nonsurgically. The presence of this cyst in conjunction with Down's syndrome may be due, in part, to muscular hypotonia