[Community-acquired pneumonia caused by Staphylococcus aureus in non-HIV infected adult patients].
Staphylococcus aureus is the sixth frequent cause of community-acquired pneumonia. We report 19 cases of staphylococcal pneumonia in 3 women and 16 men, mean age 55 years. Predisposing factors were: age > 65 years, alcoholism, chronic bronchopulmonary disease, immunodepression, renal failure, diabetes. The portal was usually the respiratory tract. Symptom onset was progressive. Thirteen patients had signs of severe disease. Radiology showed localized excavated infiltrations in 8 cases, with a pleural reaction in 9. Bacteriological diagnosis was made on fibroscopic brushings on pleural fluid. Blood cultures were positive in 6 of 16 cases. Meti-S S. aureus was found in 17/19 cases. Outcome was favorable in 15 patients. These often severe infections require early antibiotic therapy using beta lactams active against S. aureus, combined when necessary with another antibiotic.
Service de Pneumologie, Hôpital G. & R. Laënnec, Nantes.
P
P
Germaud
S
S
Caillet
J
J
Caillon
M C
MC
Allenet
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011023:Pneumonia, Staphylococcal / Q000175:diagnosis / Q000188:drug therapy; D011379:Prognosis; D013902:Radiography, Thoracic; D012307:Risk Factors; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents
Pneumonies communautaires à staphylococcus aureus chez des patients adultes non VIH.