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Bacterial Pneumonia in Patients with the Acquired Immunodeficiency Syndrome
Abstract
Eighteen episodes of community-acquired bacterial pneumonia were diagnosed in 13 patients among 336 with the acquired immunodeficiency syndrome (AIDS) cared for at Memorial Sloan-Kettering Cancer Center since 1979. Bacterial pathogens isolated in 16 of 18 episodes were Haemophilus influenzae in 8, Streptococcus pneumoniae in 6, group B streptococcus in 1, and Branhamella catarrhalis in 1. Eight episodes were presumed Pneumocystis carinii pneumonia until cultures obtained at bronchoscopy confirmed a bacterial cause. Specific antibacterial therapy was curative in 16 of 18 episodes; 2 patients died. Given an estimated yearly incidence of pneumococcal pneumonia in the general population of 2.6/1000, 1.09 cases were expected in our patients with AIDS; we saw 6 (p = 0.001), for an attack rate of 17.9/1000. Bacteria associated with B-cell defects should be anticipated when formulating empiric antibiotic therapy, pending a definitive diagnosis, for pulmonary infiltrates in patients with AIDS.
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Citations
Cited by
Bacterial Pneumonia in Persons Infected with the Human Immunodeficiency Virus
Hirschtick, R. E., Glassroth, J., Jordan, M. C., Wilcosky, T. C., Wallace, J. M., Kvale, P. A., Markowitz, N., Rosen, M. J., Mangura, B. T., & Hopewell, P. C. (1995) · New England Journal of Medicine · doi:10.1056/nejm199509283331305 · Cited by 615
Pneumococcal Disease during HIV Infection: Epidemiologic, Clinical, and Immunologic Perspectives
Janoff, E. N., Breiman, R. F., Daley, C. L., & Hopewell, P. C. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-4-314 · Cited by 323
Selwyn, P. A., Alcabes, P., Hartel, D., Buono, D., Schoenbaum, E. E., Klein, R. S., Davenny, K., & Friedland, G. H. (1992) · New England Journal of Medicine · doi:10.1056/nejm199212103272401 · Cited by 282
Branhamella catarrhalis respiratory infections.
Hager, H., Verghese, A., Alvarez, S., & Berk, S. L. (1987) · Clinical Infectious Diseases · doi:10.1093/clinids/9.6.1140 · Cited by 160
Metadata
- Authors
- POLSKY, B., GOLD, J. W. M., WHIMBEY, E., DRYJANSKI, J., BROWN, A. E., SCHIFFMAN, G., & ARMSTRONG, D.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1986-01-01
- Volume
- 104
- Issue
- 1
- Pages
- 38-41
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2080730890
- Cited by
- 393
- References
- 0
- FWCI
- 28.87
- Type
- journal article
- Language
- en
- Open access
- closed
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- POLSKY, B., GOLD, J. W. M., WHIMBEY, E., DRYJANSKI, J., BROWN, A. E., SCHIFFMAN, G., & ARMSTRONG, D. (1986). Bacterial Pneumonia in Patients with the Acquired Immunodeficiency Syndrome. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-104-1-38
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