Document Detail


Klebsiella pneumonia in the modern era: clinicoradiographic correlations.
MedLine Citation:
PMID:  1990453     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A classic clinical and radiographic picture of Klebsiella pneumonia has emerged in the literature. Patients are typically male, older than 48 years, and have a history of chronic alcoholism. The majority of these pneumonias are community acquired. Bulging interlobar fissures and cavitation are radiographic findings said to be distinctive for Klebsiella pneumonia. We prospectively studied 15 cases of bacteremically proven Klebsiella pneumonia and found clinical and radiographic features strikingly different from those described in the literature. Immunosuppression (from corticosteroids, cytotoxic chemotherapy, neutropenia, hematologic malignancy, and transplantation) now rivals alcoholism as the primary risk factor. Cases tended to be nosocomial rather than community acquired. Neither bulging interlobar fissure nor cavitation was seen in any case. The right upper lobe was involved in 11 of our 15 cases. Pneumonia due to Klebsiella oxytoca was more likely to be isolated from patients with bilateral infiltrates, while Klebsiella pneumoniae was more likely in patients with unilateral infiltrates.
Authors:
J A Korvick; A K Hackett; V L Yu; R R Muder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  84     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-03-07     Completed Date:  1991-03-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  200-4     Citation Subset:  AIM; IM    
Affiliation:
VA Medical Center, Mercy Hospital, Pittsburgh, PA 15240.
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MeSH Terms
Descriptor/Qualifier:
Alcoholism / complications
Female
Humans
Immunosuppression / adverse effects
Klebsiella Infections* / etiology,  microbiology,  radiography
Klebsiella pneumoniae*
Lung / radiography
Male
Middle Aged
Pneumonia* / etiology,  microbiology,  radiography
Prospective Studies
Risk Factors
Sepsis / microbiology
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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