title: Bacterial distribution in lung parenchyma early after pulmonary infection with Pseudomonas aeruginosa.
abstract: Nosocomial infections often cause lethal pneumogenic sepsis. Information on early bacteria-host interaction in the lung is limited. In the present study, mice were sacrificed 60 min and 4 h after Pseudomonas aeruginosa (PA) infection to investigate lung morphology by using electron microscopy and light microscopy. After 1 h, bacteria were found in the alveoli partly in contact with surfactant. Alveolar macrophages were seen with up to 10 intracellular bacteria close to protrusions of alveolar epithelial type I cells and the gas/blood barrier. A rare but surprising finding was bacteria and even replicating bacteria in alveolar epithelial type II cells (AEII). No bacteria were seen in capillaries. Neither engulfment of bacteria by neutrophils nor structural damage of the pulmonary barrier was visible. After 4 h, many neutrophils were found within the capillaries, but also in the alveolar space. Thus, we hypothesize that, in early stages of infection, the uptake of PA even by single AEII can influence the course of the disease.
authors.affiliation: Institute of Functional and Applied Anatomy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany. Schmiedl.Andreas@Mh-hannover.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Schmiedl
authors.forename: Tanja
authors.initials: T
authors.lastname: Kerber-Momot
authors.forename: Antje
authors.initials: A
authors.lastname: Munder
authors.forename: Reinhard
authors.initials: R
authors.lastname: Pabst
authors.forename: Thomas
authors.initials: T
authors.lastname: Tschernig
mesh_terms: D000818:Animals; D003428:Cross Infection / Q000382:microbiology / Q000473:pathology*; D005260:Female; D006801:Humans; D016676:Macrophages, Alveolar / Q000382:microbiology / Q000648:ultrastructure*; D051379:Mice; D008807:Mice, Inbred BALB C; D018410:Pneumonia, Bacterial / Q000382:microbiology / Q000473:pathology*; D011552:Pseudomonas Infections / Q000382:microbiology / Q000473:pathology*; D011550:Pseudomonas aeruginosa / Q000648:ultrastructure*; D011650:Pulmonary Alveoli / Q000382:microbiology / Q000648:ultrastructure*; D020545:Respiratory Mucosa / Q000382:microbiology / Q000648:ultrastructure*