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[Reevaluation of the treatment of acute bacterial pneumonias (author's transl)].
Metadata
JournalNouv Presse MedNot FoundDate
1979-Jan-06
Type
Journal Article
English Abstract
Case Report
Volume
1979-Jan-06 / 8 : 23-6
Author
Coquin Y , Modai J
Doi
Not Found
PMIDMESH
Acute Disease
Adult
Coma
Female
Humans
Male
Meningitis, Pneumococcal
Middle Aged
Mortality
Penicillin G
Penicillin Resistance
Pneumonia, Pneumococcal
Spinal Puncture
Streptococcus pneumoniae
Time Factors
Abstract
In spite of extreme and persistent susceptibility to antibiotics, specially benzylpenicillin, the pathology due to pneumococcus remains frequent and serious. From 14 cases of pneumococcal meningitis associated with pneumonia the authors have studied the relationship between these two localizations. They conclude that meningeal seeding appears most frequently secondarily and is probably latent at the beginning. Moreover they note that treatment of pneumonia by itself does not always prevent the occurence of the meningitis. Density of bacterial population, prolunged bacteremia, resistance of pneumococcus to phagocytic mechanisms and the delay of treatment might explain these findings. For those reasons the authors recommend the use of high doses of benzylpenicillin for the treatment of lately diagnosed bacterial pneumonia.
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Nouv Presse MedLa Nouvelle presse medicale
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