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- Pneumococcal Bacteremia with Pneumonia (1)

Pneumococcal Bacteremia with Pneumonia (1)Bacteremic pneumococcal pneumonia has a mortality varying from 22.7 percent to 39.0 percent in patient populations without acquired immunodeficiency syndrome (AIDS). A recent study in the AIDS population reveals an attack rate for pneumococcal pneumonia of 17.9/1,000 vs 2.6/1,000 in the general population. This increased attack ratio of 6.9 is consistent with the impaired humoral immunity known to occur in AIDS- and in other patient groups predisposed toward developing pneumococcal pneumonia. Despite the increased attack rate in AIDS, the actual mortality rate for bacteremic pneumococcal pneumonia is unknown.
This 24-month retrospective study was performed to determine the mortality from bacteremic pneumococcal pneumonia in AIDS patients vs patients without human immunodeficiency virus (HIV) infection.
Twelve episodes of bacteremic pneumococcal pneumonia also occurred in 11 HIV-infected patients without AIDS; these are noted in the “Results” section.
Materials and Methods
The medical records of all patients with positive blood cultures for streptococcal (strep) pneumonia were reviewed from Jan 1, 1989, to Dec 31, 1990. Patients were excluded if they had a bacteremia without pneumonia.

June 25, 2013 Pulmonary function
Tags: aids patients antibiotic therapy hiv infection penicillin pneumonia septic shock