[A clinical features of acute respiratory infection with Haemophilus influenzae by transtracheal aspiration].
We performed a clinical study of 26 cases (27 episodes) of acute respiratory infection with H. influenzae by trans tracheal aspiration (TTA) from May 1987 to April 1995. 15 episodes (14 cases) were bronchitis and 12 episodes (12 cases) were pneumonia. 8 episodes were monomicrobial infection and 19 episodes were polymicrobial infection. Compared to the group of patients of monomicrobial infection, the number of elderly patients and the levels of WBC and CRP were higher in the group of patients of monomicroibal infection. In bronchitis cases, monomicrobial infections of H. influenzae were 7 episodes and polymicrobial infection containing H. influenzae were 8 episodes. In the latter group, PaO2 level was lower and CRP was higher on average. All patients recovered, but the period for treatment was longer in the latter group. In the pneumonia group, only one episode was monomicrobal infection and 11 episodes were polymicrobial infection. Inspite of treatment, one patient died. It was considered that polymicrobial infection was an important factor of acute respiratory infection with H. influenzae.
Second Department of Internal Medicine, Nara Medical University.
M
M
Tsujimoto
M
M
Sawaki
K
K
Mikasa
M
M
Konishi
K
K
Hamada
K
K
Maeda
M
M
Sakamoto
S
S
Teramoto
K
K
Mori
N
N
Narita
E
E
Kita
T
T
Masutani
R
R
Sano
D000208:Acute Disease; D000368:Aged; D001991:Bronchitis / Q000382:microbiology*; D005260:Female; D006192:Haemophilus Infections; D006193:Haemophilus influenzae / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008875:Middle Aged; D001936:Moraxella catarrhalis / Q000302:isolation & purification; D009343:Neisseria / Q000302:isolation & purification; D018410:Pneumonia, Bacterial / Q000382:microbiology*; D013291:Streptococcus / Q000302:isolation & purification