Clinical presentations and outcome of severe community-acquired pneumonia
Identifieur interne : 002B93 ( Ncbi/Merge ); précédent : 002B92; suivant : 002B94Clinical presentations and outcome of severe community-acquired pneumonia
Auteurs : Mousa Elshamly [Égypte] ; Mohamed O. Nour [Égypte] ; Abdelmaaboud M. M. Omar [Égypte]Source :
- The Egyptian Journal of Chest Diseases and Tuberculosis [ 0422-7638 ] ; 2016.
Abstract
Severe community-acquired pneumonia (SCAP) represents a frequent and potentially life-threatening condition. About 10% of all hospitalized patients with CAP require admission to the intensive care unit (ICU), and the mortality of these patients reaches 20–50%.
To evaluate the clinical presentation, bacteriological profile and outcome of severe community-acquired pneumonia (SCAP).
54 patients presented by symptoms and sign of severe community acquired pneumonia who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital from August 2015 to March 2016 were subjected to full clinical examination, chest X ray, complete blood picture, sputum and blood culture, PCR for suspected cases of Influenza H1N1 and MERS-COV, treatment, follow up, data collections and statistical analysis.
The present study included 54 patients 26 males and 28 females with SCAP who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital. The most common comorbidities were diabetes mellitus and hypertension. The most common presentations were fever, cough, dyspnea and hypoxemia. Two patients developed renal failure and 4 patients developed septic shock. The most common isolated organism was
SCAP occurs more frequently in those with comorbidities. The most frequent isolated causative organism of SCAP is
Url:
DOI: 10.1016/j.ejcdt.2016.06.002
PubMed: NONE
PubMed Central: 7125902
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000C11
- to stream Pmc, to step Curation: 000C11
- to stream Pmc, to step Checkpoint: 000C26
Links to Exploration step
PMC:7125902Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical presentations and outcome of severe community-acquired pneumonia</title><author><name sortKey="Elshamly, Mousa" sort="Elshamly, Mousa" uniqKey="Elshamly M" first="Mousa" last="Elshamly">Mousa Elshamly</name><affiliation wicri:level="1"><nlm:aff id="af005">Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Chest Diseases, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author><author><name sortKey="Nour, Mohamed O" sort="Nour, Mohamed O" uniqKey="Nour M" first="Mohamed O." last="Nour">Mohamed O. Nour</name><affiliation wicri:level="1"><nlm:aff id="af010">Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch), Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch)</wicri:regionArea><wicri:noRegion>Al-Azhar University (Damietta Branch)</wicri:noRegion></affiliation></author><author><name sortKey="Omar, Abdelmaaboud M M" sort="Omar, Abdelmaaboud M M" uniqKey="Omar A" first="Abdelmaaboud M. M." last="Omar">Abdelmaaboud M. M. Omar</name><affiliation wicri:level="1"><nlm:aff id="af015">Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7125902</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125902</idno><idno type="RBID">PMC:7125902</idno><idno type="doi">10.1016/j.ejcdt.2016.06.002</idno><idno type="pmid">NONE</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000C11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C11</idno><idno type="wicri:Area/Pmc/Curation">000C11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C11</idno><idno type="wicri:Area/Pmc/Checkpoint">000C26</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000C26</idno><idno type="wicri:Area/Ncbi/Merge">002B93</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical presentations and outcome of severe community-acquired pneumonia</title><author><name sortKey="Elshamly, Mousa" sort="Elshamly, Mousa" uniqKey="Elshamly M" first="Mousa" last="Elshamly">Mousa Elshamly</name><affiliation wicri:level="1"><nlm:aff id="af005">Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Chest Diseases, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author><author><name sortKey="Nour, Mohamed O" sort="Nour, Mohamed O" uniqKey="Nour M" first="Mohamed O." last="Nour">Mohamed O. Nour</name><affiliation wicri:level="1"><nlm:aff id="af010">Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch), Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch)</wicri:regionArea><wicri:noRegion>Al-Azhar University (Damietta Branch)</wicri:noRegion></affiliation></author><author><name sortKey="Omar, Abdelmaaboud M M" sort="Omar, Abdelmaaboud M M" uniqKey="Omar A" first="Abdelmaaboud M. M." last="Omar">Abdelmaaboud M. M. Omar</name><affiliation wicri:level="1"><nlm:aff id="af015">Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Egypt</nlm:aff><country xml:lang="fr">Égypte</country><wicri:regionArea>Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University</wicri:regionArea><wicri:noRegion>Al-Azhar University</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Egyptian Journal of Chest Diseases and Tuberculosis</title><idno type="ISSN">0422-7638</idno><idno type="eISSN">2090-9950</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Severe community-acquired pneumonia (SCAP) represents a frequent and potentially life-threatening condition. About 10% of all hospitalized patients with CAP require admission to the intensive care unit (ICU), and the mortality of these patients reaches 20–50%.</p></sec><sec><title>Objective</title><p>To evaluate the clinical presentation, bacteriological profile and outcome of severe community-acquired pneumonia (SCAP).</p></sec><sec><title>Patients and methods</title><p>54 patients presented by symptoms and sign of severe community acquired pneumonia who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital from August 2015 to March 2016 were subjected to full clinical examination, chest X ray, complete blood picture, sputum and blood culture, PCR for suspected cases of Influenza H1N1 and MERS-COV, treatment, follow up, data collections and statistical analysis.</p></sec><sec><title>Results</title><p>The present study included 54 patients 26 males and 28 females with SCAP who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital. The most common comorbidities were diabetes mellitus and hypertension. The most common presentations were fever, cough, dyspnea and hypoxemia. Two patients developed renal failure and 4 patients developed septic shock. The most common isolated organism was <italic>Streptococcus pneumoniae</italic>, Influenza H1N1, and <italic>Staphylococcus aureus</italic>. Mortality was 24% and it was common in patients with comorbidity than in patients without comorbidities.</p></sec><sec><title>Conclusion</title><p>SCAP occurs more frequently in those with comorbidities. The most frequent isolated causative organism of SCAP is <italic>S. pneumoniae</italic>, Influenza H1N1 and <italic>S. aureus</italic>. SCAP is associated with significant mortality, early recognition and prompt treatment may improve outcome.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Marik, P E" uniqKey="Marik P">P.E. Marik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Health And Welfare Statistics Association Of Japan" uniqKey="Health And Welfare Statistics Association Of Japan">Health and Welfare Statistics Association of Japan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lim, W S" uniqKey="Lim W">W.S. Lim</name></author><author><name sortKey="Baudouin, S V" uniqKey="Baudouin S">S.V. Baudouin</name></author><author><name sortKey="George, R C" uniqKey="George R">R.C. George</name></author><author><name sortKey="Hill, A T" uniqKey="Hill A">A.T. Hill</name></author><author><name sortKey="Jamieson, J" uniqKey="Jamieson J">J. Jamieson</name></author><author><name sortKey="Le, Jeune" uniqKey="Le J">Jeune Le</name></author><author><name sortKey="Macfarlane, J T" uniqKey="Macfarlane J">J.T. Macfarlane</name></author><author><name sortKey="Read, R C" uniqKey="Read R">R.C. Read</name></author><author><name sortKey="Roberts, H J" uniqKey="Roberts H">H.J. Roberts</name></author><author><name sortKey="Levy, M L" uniqKey="Levy M">M.L. Levy</name></author><author><name sortKey="Wani, M" uniqKey="Wani M">M. Wani</name></author><author><name sortKey="Woodhead, M A" uniqKey="Woodhead M">M.A. Woodhead</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="File, T M" uniqKey="File T">T.M. File</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fang, G D" uniqKey="Fang G">G.D. Fang</name></author><author><name sortKey="Fine, M" uniqKey="Fine M">M. Fine</name></author><author><name sortKey="Orloff, J" uniqKey="Orloff J">J. Orloff</name></author><author><name sortKey="Arisumi, D" uniqKey="Arisumi D">D. Arisumi</name></author><author><name sortKey="Yu, V L" uniqKey="Yu V">V.L. Yu</name></author><author><name sortKey="Kapoor, W" uniqKey="Kapoor W">W. Kapoor</name></author><author><name sortKey="Grayston, T" uniqKey="Grayston T">T. Grayston</name></author><author><name sortKey="Wang, S P" uniqKey="Wang S">S.P. Wang</name></author><author><name sortKey="Kohler, R" uniqKey="Kohler R">R. Kohler</name></author><author><name sortKey="Muder, R" uniqKey="Muder R">R. Muder</name></author><author><name sortKey="Ying, Y C" uniqKey="Ying Y">Y.C. Ying</name></author><author><name sortKey="Rihs, J D" uniqKey="Rihs J">J.D. Rihs</name></author><author><name sortKey="Vickers, R M" uniqKey="Vickers R">R.M. Vickers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Santiago, E" uniqKey="Santiago E">E. Santiago</name></author><author><name sortKey="Mauricio, R Z" uniqKey="Mauricio R">R.Z. Mauricio</name></author><author><name sortKey="Josep, M" uniqKey="Josep M">M. Josep</name></author><author><name sortKey="Aria, A" uniqKey="Aria A">A. Aria</name></author><author><name sortKey="Jose, A" uniqKey="Jose A">A. Jose</name></author><author><name sortKey="Francisco, A" uniqKey="Francisco A">A. Francisco</name></author><author><name sortKey="Michael, S" uniqKey="Michael S">S. Michael</name></author><author><name sortKey="Tet, Antoni" uniqKey="Tet A">Antoni Tet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liapikou, A" uniqKey="Liapikou A">A. Liapikou</name></author><author><name sortKey="Ferrer, M" uniqKey="Ferrer M">M. Ferrer</name></author><author><name sortKey="Polverino, E" uniqKey="Polverino E">E. Polverino</name></author><author><name sortKey="Balasso, V" uniqKey="Balasso V">V. Balasso</name></author><author><name sortKey="Esperatti, M" uniqKey="Esperatti M">M. Esperatti</name></author><author><name sortKey="Pi Er, R" uniqKey="Pi Er R">R. Piñer</name></author><author><name sortKey="Mensa, J" uniqKey="Mensa J">J. Mensa</name></author><author><name sortKey="Luque, N" uniqKey="Luque N">N. Luque</name></author><author><name sortKey="Ewig, S" uniqKey="Ewig S">S. Ewig</name></author><author><name sortKey="Menendez, R" uniqKey="Menendez R">R. Menendez</name></author><author><name sortKey="Niederman, M S" uniqKey="Niederman M">M.S. Niederman</name></author><author><name sortKey="Torres, A" uniqKey="Torres A">A. Torres</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mandell, L A" uniqKey="Mandell L">L.A. Mandell</name></author><author><name sortKey="Wunderink, R G" uniqKey="Wunderink R">R.G. Wunderink</name></author><author><name sortKey="Anzueto, A" uniqKey="Anzueto A">A. Anzueto</name></author><author><name sortKey="Bartlett, G" uniqKey="Bartlett G">G. Bartlett</name></author><author><name sortKey="Campbell, D" uniqKey="Campbell D">D. Campbell</name></author><author><name sortKey="Dean, N" uniqKey="Dean N">N. Dean</name></author><author><name sortKey="Dowell, S" uniqKey="Dowell S">S. Dowell</name></author><author><name sortKey="Thomas, M" uniqKey="Thomas M">M. Thomas</name></author><author><name sortKey="Daniel Niederman, M" uniqKey="Daniel Niederman M">M. Daniel Niederman</name></author><author><name sortKey="Antonio, T" uniqKey="Antonio T">T. Antonio</name></author><author><name sortKey="Cynthia, G" uniqKey="Cynthia G">G. Cynthia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akan, O" uniqKey="Akan O">O. Akan</name></author><author><name sortKey="Ozyilmaz, E" uniqKey="Ozyilmaz E">E. Ozyilmaz</name></author><author><name sortKey="Ahmed, K" uniqKey="Ahmed K">K. Ahmed</name></author><author><name sortKey="Uysal, S" uniqKey="Uysal S">S. Uysal</name></author><author><name sortKey="Gulha, M" uniqKey="Gulha M">M. Gulha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baselski, V S" uniqKey="Baselski V">V.S. Baselski</name></author><author><name sortKey="Wunderink, R G" uniqKey="Wunderink R">R.G. Wunderink</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wing, E J" uniqKey="Wing E">E.J. Wing</name></author><author><name sortKey="Norden, C W" uniqKey="Norden C">C.W. Norden</name></author><author><name sortKey="Shadduck, R K" uniqKey="Shadduck R">R.K. Shadduck</name></author><author><name sortKey="Winkelstein, A" uniqKey="Winkelstein A">A. Winkelstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tan, Y K" uniqKey="Tan Y">Y.K. Tan</name></author><author><name sortKey="Khoo, K L" uniqKey="Khoo K">K.L. Khoo</name></author><author><name sortKey="Chin, S P" uniqKey="Chin S">S.P. Chin</name></author><author><name sortKey="Ong, Y Y" uniqKey="Ong Y">Y.Y. Ong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nair, G B" uniqKey="Nair G">G.B. Nair</name></author><author><name sortKey="Niederman, M S" uniqKey="Niederman M">M.S. Niederman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abdel Dayem, Aya M" uniqKey="Abdel Dayem A">Aya M. Abdel Dayem</name></author><author><name sortKey="Aly, Alaa Ahmed" uniqKey="Aly A">Alaa Ahmed Aly</name></author><author><name sortKey="Sherif, F" uniqKey="Sherif F">F. Sherif</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kantor, H G" uniqKey="Kantor H">H.G. Kantor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roig, J" uniqKey="Roig J">J. Roig</name></author><author><name sortKey="Sabria, M" uniqKey="Sabria M">M. Sabria</name></author><author><name sortKey="Pedro Botet, M L" uniqKey="Pedro Botet M">M.L. Pedro-Botet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sullivan, C J" uniqKey="Sullivan C">C.J. Sullivan</name></author><author><name sortKey="Jordan, M C" uniqKey="Jordan M">M.C. Jordan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abdelsalam, Magdy" uniqKey="Abdelsalam M">Magdy Abdelsalam</name></author><author><name sortKey="Samy Diab, Haytham" uniqKey="Samy Diab H">Haytham Samy Diab</name></author><author><name sortKey="Ragab, Yasser" uniqKey="Ragab Y">Yasser Ragab</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jay, S J" uniqKey="Jay S">S.J. Jay</name></author><author><name sortKey="Johanson, W G" uniqKey="Johanson W">W.G. Johanson</name></author><author><name sortKey="Pierce, A K" uniqKey="Pierce A">A.K. Pierce</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khawaja, Ali" uniqKey="Khawaja A">Ali Khawaja</name></author><author><name sortKey="Zubairi, Ali Bin Sarwar" uniqKey="Zubairi A">Ali Bin Sarwar Zubairi</name></author><author><name sortKey="Durrani, Fahad Khan" uniqKey="Durrani F">Fahad Khan Durrani</name></author><author><name sortKey="Zafar, Afia" uniqKey="Zafar A">Afia Zafar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chaisuksant, Seksan" uniqKey="Chaisuksant S">Seksan Chaisuksant</name></author><author><name sortKey="Koonsuwan, Apisak" uniqKey="Koonsuwan A">Apisak Koonsuwan</name></author><author><name sortKey="Sawanyawisuth, Kittisak" uniqKey="Sawanyawisuth K">Kittisak Sawanyawisuth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boixeda, R" uniqKey="Boixeda R">R. Boixeda</name></author><author><name sortKey="Almagro, P" uniqKey="Almagro P">P. Almagro</name></author><author><name sortKey="Diez Manglano, J" uniqKey="Diez Manglano J">J. Díez-Manglano</name></author><author><name sortKey="Cabrera, F J" uniqKey="Cabrera F">F.J. Cabrera</name></author><author><name sortKey="Recio, J" uniqKey="Recio J">J. Recio</name></author><author><name sortKey="Martin Garrido, I" uniqKey="Martin Garrido I">I. Martin-Garrido</name></author><author><name sortKey="Soriano, J B" uniqKey="Soriano J">J.B. Soriano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sreekanth, A" uniqKey="Sreekanth A">A. Sreekanth</name></author><author><name sortKey="Praveen Kumar Reddy, S" uniqKey="Praveen Kumar Reddy S">S. Praveen Kumar Reddy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yoshimoto, A" uniqKey="Yoshimoto A">A. Yoshimoto</name></author><author><name sortKey="Nakamura, H" uniqKey="Nakamura H">H. Nakamura</name></author><author><name sortKey="Fujimura, M" uniqKey="Fujimura M">M. Fujimura</name></author><author><name sortKey="Nakao, S" uniqKey="Nakao S">S. Nakao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author><author><name sortKey="Almasri, M" uniqKey="Almasri M">M. Almasri</name></author><author><name sortKey="Turkestani, A" uniqKey="Turkestani A">A. Turkestani</name></author><author><name sortKey="Al Shangiti, A M" uniqKey="Al Shangiti A">A.M. Al-Shangiti</name></author><author><name sortKey="Yezli, S" uniqKey="Yezli S">S. Yezli</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Egypt J Chest Dis Tuberc</journal-id><journal-id journal-id-type="iso-abbrev">Egypt J Chest Dis Tuberc</journal-id><journal-title-group><journal-title>The Egyptian Journal of Chest Diseases and Tuberculosis</journal-title></journal-title-group><issn pub-type="ppub">0422-7638</issn><issn pub-type="epub">2090-9950</issn><publisher><publisher-name>The Egyptian Society of Chest Diseases and Tuberculosis. Production and hosting by Elsevier B.V.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7125902</article-id><article-id pub-id-type="publisher-id">S0422-7638(16)30036-X</article-id><article-id pub-id-type="doi">10.1016/j.ejcdt.2016.06.002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Clinical presentations and outcome of severe community-acquired pneumonia</article-title></title-group><contrib-group><contrib contrib-type="author" id="au005"><name><surname>Elshamly</surname><given-names>Mousa</given-names></name><email>dr-mousa_elshamly@hotmail.com</email><xref rid="af005" ref-type="aff">a</xref><xref rid="cor1" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author" id="au010"><name><surname>Nour</surname><given-names>Mohamed O.</given-names></name><email>drmun78@yahoo.com</email><xref rid="af010" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au015"><name><surname>Omar</surname><given-names>Abdelmaaboud M.M.</given-names></name><email>abdelmaaboudm@yahoo.com</email><xref rid="af015" ref-type="aff">c</xref></contrib></contrib-group><aff id="af005"><label>a</label>Department of Chest Diseases, Faculty of Medicine, Al-Azhar University, Egypt</aff><aff id="af010"><label>b</label>Department of Community & Occupational Medicine, Faculty of Medicine, Al-Azhar University (Damietta Branch), Egypt</aff><aff id="af015"><label>c</label>Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Egypt</aff><author-notes><corresp id="cor1"><label>⁎</label>Corresponding author. <email>dr-mousa_elshamly@hotmail.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>18</day><month>6</month><year>2016</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>10</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>18</day><month>6</month><year>2016</year></pub-date><volume>65</volume><issue>4</issue><fpage>831</fpage><lpage>839</lpage><history><date date-type="received"><day>17</day><month>3</month><year>2016</year></date><date date-type="accepted"><day>2</day><month>6</month><year>2016</year></date></history><permissions><copyright-statement>© 2016 The Egyptian Society of Chest Diseases and Tuberculosis. Production and hosting by Elsevier B.V.</copyright-statement><copyright-year>2016</copyright-year><copyright-holder>The Egyptian Society of Chest Diseases and Tuberculosis</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract id="ab005"><sec><title>Background</title><p>Severe community-acquired pneumonia (SCAP) represents a frequent and potentially life-threatening condition. About 10% of all hospitalized patients with CAP require admission to the intensive care unit (ICU), and the mortality of these patients reaches 20–50%.</p></sec><sec><title>Objective</title><p>To evaluate the clinical presentation, bacteriological profile and outcome of severe community-acquired pneumonia (SCAP).</p></sec><sec><title>Patients and methods</title><p>54 patients presented by symptoms and sign of severe community acquired pneumonia who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital from August 2015 to March 2016 were subjected to full clinical examination, chest X ray, complete blood picture, sputum and blood culture, PCR for suspected cases of Influenza H1N1 and MERS-COV, treatment, follow up, data collections and statistical analysis.</p></sec><sec><title>Results</title><p>The present study included 54 patients 26 males and 28 females with SCAP who were admitted to respiratory care unit of Alhussein, Al-Azhar University Hospital. The most common comorbidities were diabetes mellitus and hypertension. The most common presentations were fever, cough, dyspnea and hypoxemia. Two patients developed renal failure and 4 patients developed septic shock. The most common isolated organism was <italic>Streptococcus pneumoniae</italic>, Influenza H1N1, and <italic>Staphylococcus aureus</italic>. Mortality was 24% and it was common in patients with comorbidity than in patients without comorbidities.</p></sec><sec><title>Conclusion</title><p>SCAP occurs more frequently in those with comorbidities. The most frequent isolated causative organism of SCAP is <italic>S. pneumoniae</italic>, Influenza H1N1 and <italic>S. aureus</italic>. SCAP is associated with significant mortality, early recognition and prompt treatment may improve outcome.</p></sec></abstract><kwd-group id="kg005"><title>Keywords</title><kwd>Presentation</kwd><kwd>Outcome</kwd><kwd>Severe community acquired pneumonia</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Égypte</li></country></list><tree><country name="Égypte"><noRegion><name sortKey="Elshamly, Mousa" sort="Elshamly, Mousa" uniqKey="Elshamly M" first="Mousa" last="Elshamly">Mousa Elshamly</name></noRegion><name sortKey="Nour, Mohamed O" sort="Nour, Mohamed O" uniqKey="Nour M" first="Mohamed O." last="Nour">Mohamed O. Nour</name><name sortKey="Omar, Abdelmaaboud M M" sort="Omar, Abdelmaaboud M M" uniqKey="Omar A" first="Abdelmaaboud M. M." last="Omar">Abdelmaaboud M. M. Omar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/MersV1/Data/Ncbi/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002B93 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd -nk 002B93 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= MersV1
|flux= Ncbi
|étape= Merge
|type= RBID
|clé= PMC:7125902
|texte= Clinical presentations and outcome of severe community-acquired pneumonia
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:NONE" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \
| NlmPubMed2Wicri -a MersV1
| This area was generated with Dilib version V0.6.33. |  |