title: [Non suppurative acute "bacterial" pneumonia in alcoholics. Study of 54 cases (author's transl)].
abstract: Pneumonia in alcoholics are frequent and often severe. A retrospective study, including two groups of patients, 25 in internal medicine and 29 in intensive care, was undertaken to define the main clinical, prognostic and therapeutical characters of these pneumonias. Death rate was very high in patients admitted to intensive care units (60%) but nil in patients in internal medicine. The principal elements of the prognosis were the existence of a neutropenia at the beginning, the condition of denutrition of the patient, failure to recognize the responsible germ because of an antibiotic treatment given blindly, and the delay of the treatment. The pneumococcus was the most frequently encountered germ (77%). After discussing the mechanisms of the quantitative and qualitative involvement of the neutrophilic leukocytes, the authors stated the measures which would lower the death rate and stressed the value of transtracheal puncture enabling an early bacteriological diagnosis.
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000150:complications* / Q000473:pathology; D000818:Animals; D001424:Bacterial Infections / Q000150:complications* / Q000473:pathology; D004285:Dogs; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008264:Macrophages / Q000473:pathology; D008297:Male; D051379:Mice; D008875:Middle Aged; D009504:Neutrophils / Q000166:cytology; D011014:Pneumonia / Q000209:etiology* / Q000473:pathology
vernacular_title: Pneumonies "bactériennes" aiguës non suppurées de l'alcoolique. Etude de 54 cas.