[True acute lobar pneumococcal pneumonia. Apropos of 51 cases].
In a retrospective study of 51 cases of acute pneumococcal pneumonia in Morocco, predominantly male subjects were affected without past medical history or pathology. The pneumonia was accompanied by an effusion in 18% and a bacteraemia in 11%. The most serious pneumonias were those complicated by meningitis (12% of cases) or septic shock (1 case). The presence of factors implying a poor prognosis (meningitis, septic shock, bacteraemia, advanced age) increases the mortality. Penicillin G is the antibiotic of choice. In low doses it is sufficient to achieve a cure in uncomplicated cases. In the severe forms, high doses do not always prevent a fatal outcome. The availability of a vaccine adapted for the African serotypes would enable people with special risk factors to be treated.
D000328:Adult; D000367:Age Factors; D004917:Erythromycin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D008586:Meningitis, Pneumococcal / Q000209:etiology / Q000401:mortality; D010400:Penicillin G / Q000627:therapeutic use; D011018:Pneumonia, Pneumococcal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000401:mortality; D011859:Radiography; D012189:Retrospective Studies; D012698:Serologic Tests; D012772:Shock, Septic / Q000209:etiology / Q000401:mortality
D004917:Erythromycin; D010400:Penicillin G
La pneumonie franche lobaire aiguë pneumococcique. A propos de 51 cas.