| Meningococcal pneumonia: characterization and review of cases seen over the past 25 years. | |
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MedLine Citation:
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PMID: 10619738 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fifty-eight cases of meningococcal pneumonia were included in this review. Fifty cases previously described in the literature from 1974 through 1998 and 8 new cases were included in this series. The median age of patients was 57.5 years, and pleuritic chest pain was described in 21 (53.9%) of 39 cases. Blood cultures were positive in 42 (79.3%) of 53 cases for which results were mentioned. Despite the presence of bacteremia, patients did not develop the syndrome of meningococcemia with its associated complications. Serogroup Y meningococci were most commonly recovered and accounted for 44.2% of identified isolates. Therapy has dramatically changed over the past 25 years; prior to 1991, penicillin antibiotics were most often used. Since 1991, 12 (80%) of 15 patients received cephalosporin antibiotics. Only 5 (8.62%) of 58 patients died. Secondary cases of meningococcal infections following exposure to patients with meningococcal pneumonia were noted in 2 instances. |
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Authors:
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J M Winstead; D S McKinsey; S Tasker; M A De Groote; L M Baddour |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: 30 ISSN: 1058-4838 ISO Abbreviation: Clin. Infect. Dis. Publication Date: 2000 Jan |
Date Detail:
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Created Date: 2000-03-09 Completed Date: 2000-03-09 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 87-94 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Tennessee Medical Center at Knoxville, Knoxville, TN 37920-6999, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Distribution Anti-Bacterial Agents / therapeutic use Female Humans Male Meningococcal Infections* / diagnosis, drug therapy, microbiology, pathology Neisseria meningitidis* / classification, isolation & purification Pneumonia, Bacterial* / diagnosis, drug therapy, microbiology, pathology Serotyping Sex Distribution |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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