Severe Community-Acquired Pneumonia Caused by Atypical Organisms

Autor: Monsieur, I., Meysman, M., Vincken, W., Huyghens, L., Lauwers, S.
Zdroj: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine; January 1997, Vol. 52 Issue: 2 p112-115, 4p
Abstrakt: SummaryThree cases of community-acquired pneumonia (CAP), requiring intensive care admission, are presented. The clinical picture of a “typical” bacterial pneumonia in the three patients led to an initial empirical treatment with amoxicillin clavulanic acid or 2ndgeneration cephalosporins.The treatment had to be changed in all three because of clinical failure. Erythromycin was added to the therapy with good clinical evolution. Serology confirmed atypical organisms to be responsible. Only the chest X-ray might have suggested an “atypical” or a “viral-like” agent.A proposition is made for an empirical combination of antibiotics in severely ill patients with CAP with more than unilobar consolidation.
Databáze: Supplemental Index