Bacteremic and leukopenic pneumococcal pneumonia: successful treatment with antibiotics, pulse steroid, and continuous hemodiafiltration

Autor: Yokoyama, Toshinobu, Aizawa, Hisamichi, Oizumi, Kotaro, Yokoyama, Toshinobu, Sakamoto, Teruo, Shida, Norihiko, Shimada, Toshifumi, Kaku, Nobuo
Zdroj: Journal of Infection and Chemotherapy; January 2002, Vol. 8 Issue: 3 p247-251, 5p
Abstrakt: We describe a case of bacteremic, leukopenic pneumococcal pneumonia with respiratory failure, accompanied by diabetic ketoacidosis and hypothermia. Pulmonary leukostasis may play a role in the pathogenesis of the acute respiratory distress syndrome (ARDS) in pneumococcal pneumonia. The patient recovered with mechanical ventilation, intravenous antibiotics, pulse-steroid therapy, and continuous hemodiafiltration (CHDF). In particular, administration of steroid and the use of CHDF may improve the status of pulmonary leukostasis in leukopenic pneumococcal infection.
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