Community-acquired staphylococcal pneumonia.
Identifieur interne : 000208 ( Main/Exploration ); précédent : 000207; suivant : 000209Community-acquired staphylococcal pneumonia.
Auteurs : José Wellington Alves Dos Santos [Brésil] ; Douglas Zaione Nascimento ; Vinicius André Guerra ; Vanessa Da Silva Rigo ; Gustavo Trindade Michel ; Tiago Chagas DalcinSource :
- Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia [ 1806-3756 ] ; 2008.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Brésil (épidémiologie), Choc septique (microbiologie), Comorbidité, Empyème (microbiologie), Expectoration (microbiologie), Femelle, Humains, Infections communautaires (imagerie diagnostique), Infections communautaires (épidémiologie), Jeune adulte, Mâle, Pneumopathie à staphylocoques (imagerie diagnostique), Pneumopathie à staphylocoques (épidémiologie), Radiographie, Staphylococcus aureus (isolement et purification), Sujet âgé, Études rétrospectives.
- MESH :
- imagerie diagnostique : Infections communautaires, Pneumopathie à staphylocoques.
- isolement et purification : Staphylococcus aureus.
- microbiologie : Choc septique, Empyème, Expectoration.
- épidémiologie : Brésil, Infections communautaires, Pneumopathie à staphylocoques.
- Adolescent, Adulte, Adulte d'âge moyen, Comorbidité, Femelle, Humains, Jeune adulte, Mâle, Radiographie, Sujet âgé, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Brazil (epidemiology), Community-Acquired Infections (diagnostic imaging), Community-Acquired Infections (epidemiology), Comorbidity, Empyema (microbiology), Female, Humans, Male, Middle Aged, Pneumonia, Staphylococcal (diagnostic imaging), Pneumonia, Staphylococcal (epidemiology), Radiography, Retrospective Studies, Shock, Septic (microbiology), Sputum (microbiology), Staphylococcus aureus (isolation & purification), Young Adult.
- MESH :
- diagnostic imaging : Community-Acquired Infections, Pneumonia, Staphylococcal.
- epidemiology : Brazil, Community-Acquired Infections, Pneumonia, Staphylococcal.
- isolation & purification : Staphylococcus aureus.
- microbiology : Empyema, Shock, Septic, Sputum.
- Adolescent, Adult, Aged, Comorbidity, Female, Humans, Male, Middle Aged, Radiography, Retrospective Studies, Young Adult.
Abstract
OBJECTIVE
Staphylococcal pneumonia typically presents high rates of morbidity and mortality. It typically occurs in cases of influenza (airborne transmission) or during episodes of bacteremia (blood-borne transmission).
METHODS
A retrospective and descriptive study was conducted in patients admitted to our hospital between January of 1992 and December of 2003. All of he patients included had been diagnosed with community-acquired pneumonia caused by Staphylococcus aureus. All were older than 14 years of age, and none were intravenous drug users.
RESULTS
Community-acquired pneumonia was identified in 332 cases, of which 24 (7.3%) were identified as cases of staphylococcal pneumonia. Age ranged from 14 to 89 years. Fifteen patients were male, and nine were female. Twelve patients met the criteria for severe pneumonia. Chest X-rays showed unilateral consolidation in 14 cases, bilateral consolidation in 10, pleural effusion in 15, rapid radiological progression of pulmonary lesions in 14, cavitation in 6 and pneumothorax in 1. Most of the patients presented comorbidities, of which diabetes mellitus was the most common. Twelve patients presented complications such as empyema and septic shock. Four patients died, translating to a mortality rate of 16.6% in our sample.
CONCLUSIONS
The clinical presentation of pneumonia caused by S. aureus is similar to that of pneumonia caused by other etiological agents. Radiological findings, epidemiological data and risk factors provide important clues to the diagnosis. These factors are important for clinical suspicion, since S. aureus is not typically addressed in empirical treatment.
PubMed: 18982205
Affiliations:
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Vinicius Andre" sort="Guerra, Vinicius Andre" uniqKey="Guerra V" first="Vinicius André" last="Guerra">Vinicius André Guerra</name></author><author><name sortKey="Rigo, Vanessa Da Silva" sort="Rigo, Vanessa Da Silva" uniqKey="Rigo V" first="Vanessa Da Silva" last="Rigo">Vanessa Da Silva Rigo</name></author><author><name sortKey="Michel, Gustavo Trindade" sort="Michel, Gustavo Trindade" uniqKey="Michel G" first="Gustavo Trindade" last="Michel">Gustavo Trindade Michel</name></author><author><name sortKey="Dalcin, Tiago Chagas" sort="Dalcin, Tiago Chagas" uniqKey="Dalcin T" first="Tiago Chagas" last="Dalcin">Tiago Chagas Dalcin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18982205</idno><idno type="pmid">18982205</idno><idno type="wicri:Area/Main/Corpus">000266</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000266</idno><idno 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Douglas Zaione" sort="Nascimento, Douglas Zaione" uniqKey="Nascimento D" first="Douglas Zaione" last="Nascimento">Douglas Zaione Nascimento</name></author><author><name sortKey="Guerra, Vinicius Andre" sort="Guerra, Vinicius Andre" uniqKey="Guerra V" first="Vinicius André" last="Guerra">Vinicius André Guerra</name></author><author><name sortKey="Rigo, Vanessa Da Silva" sort="Rigo, Vanessa Da Silva" uniqKey="Rigo V" first="Vanessa Da Silva" last="Rigo">Vanessa Da Silva Rigo</name></author><author><name sortKey="Michel, Gustavo Trindade" sort="Michel, Gustavo Trindade" uniqKey="Michel G" first="Gustavo Trindade" last="Michel">Gustavo Trindade Michel</name></author><author><name sortKey="Dalcin, Tiago Chagas" sort="Dalcin, Tiago Chagas" uniqKey="Dalcin T" first="Tiago Chagas" last="Dalcin">Tiago Chagas Dalcin</name></author></analytic><series><title level="j">Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia</title><idno type="eISSN">1806-3756</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Brazil (epidemiology)</term><term>Community-Acquired Infections (diagnostic imaging)</term><term>Community-Acquired Infections (epidemiology)</term><term>Comorbidity</term><term>Empyema (microbiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pneumonia, Staphylococcal (diagnostic imaging)</term><term>Pneumonia, Staphylococcal (epidemiology)</term><term>Radiography</term><term>Retrospective Studies</term><term>Shock, Septic (microbiology)</term><term>Sputum (microbiology)</term><term>Staphylococcus aureus (isolation & purification)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Brésil (épidémiologie)</term><term>Choc septique (microbiologie)</term><term>Comorbidité</term><term>Empyème (microbiologie)</term><term>Expectoration (microbiologie)</term><term>Femelle</term><term>Humains</term><term>Infections communautaires (imagerie diagnostique)</term><term>Infections communautaires (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Pneumopathie à staphylocoques (imagerie diagnostique)</term><term>Pneumopathie à staphylocoques (épidémiologie)</term><term>Radiographie</term><term>Staphylococcus aureus (isolement et purification)</term><term>Sujet âgé</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Community-Acquired Infections</term><term>Pneumonia, Staphylococcal</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Brazil</term><term>Community-Acquired Infections</term><term>Pneumonia, Staphylococcal</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Infections communautaires</term><term>Pneumopathie à staphylocoques</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Staphylococcus aureus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Staphylococcus aureus</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Choc septique</term><term>Empyème</term><term>Expectoration</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Empyema</term><term>Shock, Septic</term><term>Sputum</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Brésil</term><term>Infections communautaires</term><term>Pneumopathie à staphylocoques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Radiography</term><term>Retrospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Radiographie</term><term>Sujet âgé</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Staphylococcal pneumonia typically presents high rates of morbidity and mortality. It typically occurs in cases of influenza (airborne transmission) or during episodes of bacteremia (blood-borne transmission).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A retrospective and descriptive study was conducted in patients admitted to our hospital between January of 1992 and December of 2003. All of he patients included had been diagnosed with community-acquired pneumonia caused by Staphylococcus aureus. All were older than 14 years of age, and none were intravenous drug users.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Community-acquired pneumonia was identified in 332 cases, of which 24 (7.3%) were identified as cases of staphylococcal pneumonia. Age ranged from 14 to 89 years. Fifteen patients were male, and nine were female. Twelve patients met the criteria for severe pneumonia. Chest X-rays showed unilateral consolidation in 14 cases, bilateral consolidation in 10, pleural effusion in 15, rapid radiological progression of pulmonary lesions in 14, cavitation in 6 and pneumothorax in 1. Most of the patients presented comorbidities, of which diabetes mellitus was the most common. Twelve patients presented complications such as empyema and septic shock. Four patients died, translating to a mortality rate of 16.6% in our sample.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The clinical presentation of pneumonia caused by S. aureus is similar to that of pneumonia caused by other etiological agents. Radiological findings, epidemiological data and risk factors provide important clues to the diagnosis. These factors are important for clinical suspicion, since S. aureus is not typically addressed in empirical treatment.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18982205</PMID><DateCompleted><Year>2009</Year><Month>04</Month><Day>16</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1806-3756</ISSN><JournalIssue CitedMedium="Internet"><Volume>34</Volume><Issue>9</Issue><PubDate><Year>2008</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia</Title><ISOAbbreviation>J Bras Pneumol</ISOAbbreviation></Journal><ArticleTitle>Community-acquired staphylococcal pneumonia.</ArticleTitle><Pagination><MedlinePgn>683-9</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1806-37132008000900008</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Staphylococcal pneumonia typically presents high rates of morbidity and mortality. It typically occurs in cases of influenza (airborne transmission) or during episodes of bacteremia (blood-borne transmission).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective and descriptive study was conducted in patients admitted to our hospital between January of 1992 and December of 2003. All of he patients included had been diagnosed with community-acquired pneumonia caused by Staphylococcus aureus. All were older than 14 years of age, and none were intravenous drug users.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Community-acquired pneumonia was identified in 332 cases, of which 24 (7.3%) were identified as cases of staphylococcal pneumonia. Age ranged from 14 to 89 years. Fifteen patients were male, and nine were female. Twelve patients met the criteria for severe pneumonia. Chest X-rays showed unilateral consolidation in 14 cases, bilateral consolidation in 10, pleural effusion in 15, rapid radiological progression of pulmonary lesions in 14, cavitation in 6 and pneumothorax in 1. Most of the patients presented comorbidities, of which diabetes mellitus was the most common. Twelve patients presented complications such as empyema and septic shock. Four patients died, translating to a mortality rate of 16.6% in our sample.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The clinical presentation of pneumonia caused by S. aureus is similar to that of pneumonia caused by other etiological agents. Radiological findings, epidemiological data and risk factors provide important clues to the diagnosis. These factors are important for clinical suspicion, since S. aureus is not typically addressed in empirical treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Santos</LastName><ForeName>José Wellington Alves dos</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Pulmonology Department, Santa Maria University Hospital of the Federal University of Santa Maria, Santa Maria, Brazil. jwasb@terra.com.br</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nascimento</LastName><ForeName>Douglas Zaione</ForeName><Initials>DZ</Initials></Author><Author ValidYN="Y"><LastName>Guerra</LastName><ForeName>Vinicius André</ForeName><Initials>VA</Initials></Author><Author ValidYN="Y"><LastName>Rigo</LastName><ForeName>Vanessa da Silva</ForeName><Initials>Vda S</Initials></Author><Author ValidYN="Y"><LastName>Michel</LastName><ForeName>Gustavo Trindade</ForeName><Initials>GT</Initials></Author><Author ValidYN="Y"><LastName>Dalcin</LastName><ForeName>Tiago Chagas</ForeName><Initials>TC</Initials></Author></AuthorList><Language>eng</Language><Language>por</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Brazil</Country><MedlineTA>J Bras Pneumol</MedlineTA><NlmUniqueID>101222274</NlmUniqueID><ISSNLinking>1806-3713</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001938" MajorTopicYN="N">Brazil</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017714" MajorTopicYN="N">Community-Acquired Infections</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004653" MajorTopicYN="N">Empyema</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011023" MajorTopicYN="N">Pneumonia, Staphylococcal</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012772" MajorTopicYN="N">Shock, Septic</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013183" MajorTopicYN="N">Sputum</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013211" MajorTopicYN="N">Staphylococcus aureus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2007</Year><Month>09</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2008</Year><Month>01</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>11</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>4</Month><Day>17</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>11</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18982205</ArticleId><ArticleId IdType="pii">S1806-37132008000900008</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country></list><tree><noCountry><name sortKey="Dalcin, Tiago Chagas" sort="Dalcin, Tiago Chagas" uniqKey="Dalcin T" first="Tiago Chagas" last="Dalcin">Tiago Chagas Dalcin</name><name sortKey="Guerra, Vinicius Andre" sort="Guerra, Vinicius Andre" uniqKey="Guerra V" first="Vinicius André" last="Guerra">Vinicius André Guerra</name><name sortKey="Michel, Gustavo Trindade" sort="Michel, Gustavo Trindade" uniqKey="Michel G" first="Gustavo Trindade" last="Michel">Gustavo Trindade Michel</name><name sortKey="Nascimento, Douglas Zaione" sort="Nascimento, Douglas Zaione" uniqKey="Nascimento D" first="Douglas Zaione" last="Nascimento">Douglas Zaione Nascimento</name><name sortKey="Rigo, Vanessa Da Silva" sort="Rigo, Vanessa Da Silva" uniqKey="Rigo V" first="Vanessa Da Silva" last="Rigo">Vanessa Da Silva Rigo</name></noCountry><country name="Brésil"><noRegion><name sortKey="Santos, Jose Wellington Alves Dos" sort="Santos, Jose Wellington Alves Dos" uniqKey="Santos J" first="José Wellington Alves Dos" last="Santos">José Wellington 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