schimmel zichtbaar bij explantatie?
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lisa
Ik las laatst informatie geschreven door dr Susan Kolb over ziek van siliconen. Ze had het o.a. over schimmels. Is er bij iemand ook een schimmel, bv de aspergillus (vaak openbarend in longen, darmen, gehoorgang) vastgesteld? Was deze zichtbaar rondom de prothesen? Ben benieuwd of 1 van jullie hier ervaring mee heeft, ook met succesvolle behandeling daarvan.
Hier een kort stukje tekst over bacteriële- en schimmelinfecties:
When capsular cultures are performed, approximately half of my silicone gel explants have infection ranging in a wide variety of gram positive and gram negative organisms including staphococcus, pseudomonas, Enterococcus, and a multitude of other organisms. In a high percentage of the saline patients, especially textured saline, capsular cultures are positive as well. We have been successful in isolating fungal elements inside the saline implants in patients ill from biotoxin illness.
Many patients will not recover without treatment with anti-fungal agents. Patients who go to plastic surgeons who do not treat with anti-fungals often have an exacerbation of their symptoms due to surgical stress combined with peri-operative antibiotics and become very ill for several months after surgery with systemic candidiasis symptoms and bio-toxin symptoms including severe fatigue, myalgias, mental clouding and increased digestive symptoms which are worsened with the ingestion of sugar and carbohydrates. Many of my patients also complain of shortness of breath which resolves on anti-fungal treatment. This may actually be an allergic reaction to pulmonary candidiasis or a bio-toxin symptom from mold. The bacterial infection needs to be treated in these patients around the time of surgery if we have positive capsular cultures which can be used for culture specific antibiotic treatment. Cultures are not always positive so I usually begin the patients on Cipro or Zithromycin in the peri-operative period usually based on the amount of mastodynia or breast tenderness. If they have a great deal of mastodynia, I will begin them on antibiotics prior to surgery along with an anti-fungal agent such as Diflucan if liver function tests are normal. The antibiotic often will usually improve the mastodynia which probably in most cases will reoccur after the patient is done with the medication if the implants are not subsequently removed.
bron
Some series report a significant number of positive bacterial cultures around leaking and/or ruptured implants in patients with systemic symptoms. Pathology reports also show fungus or mold species around and in some implants. Investigation of the role of subclinical infection presenting as pain around an implant3 and the relationship
bron
When capsular cultures are performed, approximately half of my silicone gel explants have infection ranging in a wide variety of gram positive and gram negative organisms including staphococcus, pseudomonas, Enterococcus, and a multitude of other organisms. In a high percentage of the saline patients, especially textured saline, capsular cultures are positive as well. We have been successful in isolating fungal elements inside the saline implants in patients ill from biotoxin illness.
Many patients will not recover without treatment with anti-fungal agents. Patients who go to plastic surgeons who do not treat with anti-fungals often have an exacerbation of their symptoms due to surgical stress combined with peri-operative antibiotics and become very ill for several months after surgery with systemic candidiasis symptoms and bio-toxin symptoms including severe fatigue, myalgias, mental clouding and increased digestive symptoms which are worsened with the ingestion of sugar and carbohydrates. Many of my patients also complain of shortness of breath which resolves on anti-fungal treatment. This may actually be an allergic reaction to pulmonary candidiasis or a bio-toxin symptom from mold. The bacterial infection needs to be treated in these patients around the time of surgery if we have positive capsular cultures which can be used for culture specific antibiotic treatment. Cultures are not always positive so I usually begin the patients on Cipro or Zithromycin in the peri-operative period usually based on the amount of mastodynia or breast tenderness. If they have a great deal of mastodynia, I will begin them on antibiotics prior to surgery along with an anti-fungal agent such as Diflucan if liver function tests are normal. The antibiotic often will usually improve the mastodynia which probably in most cases will reoccur after the patient is done with the medication if the implants are not subsequently removed.
bron
Some series report a significant number of positive bacterial cultures around leaking and/or ruptured implants in patients with systemic symptoms. Pathology reports also show fungus or mold species around and in some implants. Investigation of the role of subclinical infection presenting as pain around an implant3 and the relationship
bron
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Meld je aan voor de collectieve rechtszaak tegen Allergan
~~~~~~
Meld je klachten bij het MEBI van het RIVM
~~~~~~
Neem contact op
"If I am not for myself, who will be for me? But if I am only for myself, what am I? And if not now, when?"