• La Revue du praticien · Sep 2003

    Review

    [Influenza pneumonia].

    • Valérie Zeller and François Bricaire.
    • Service des maladies infectieuses et tropicales, groupe hospitalier de La Pitié-La Salpêtrière, 75651 Paris. valerie.zeller@psl.ap-hop-paris.fr
    • Rev Prat. 2003 Sep 15; 53 (13): 1442-5.

    AbstractTwo types of pneumonia are well recognized during influenza: primary viral pneumonia and secondary bacterial pneumonia. Primary viral pneumonia occurs after a typical onset of influenza with rapid progression of dyspnea and cough leading to acute respiratory distress syndrome. Treatment consists of respiratory assistance, but mortality is high. Secondary bacterial pneumonia occurs more frequently in the elderly and in patients with chronic pulmonary diseases. Staphylococcus aureus, Streptococcus pneumoniae and Haemophilus influenzae are the most frequently isolated bacteria. After an initial phase of clinical improvement, manifestations of bacterial infection with pulmonary consolidation occur. The outcome is favorable with antibiotics but depends on the patient's underlying conditions.

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