Enfermedades infecciosas y microbiología clínica
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Enferm. Infecc. Microbiol. Clin. · Nov 1990
[Nosocomial bacteremia caused by Serratia marcescens: analysis of 44 cases].
We have evaluated 44 cases of Serratia marcescens bacteremia (SB). Most took place in surgical services (57%) and the ICU (34%). In one occasion, the cases developed as an epidemic outbreak. ⋯ The most common serogroup was 0:5 (41%). 98% of strains were resistant to cephalothin, 78% to ampicillin and 29% to tobramycin. The mortality rate was 39% and the most common cause of death was septic shock. The factors which adversely influenced prognosis were as follows, in order of decreasing importance: leukocytosis, thrombopenia, associated gram-positive infection, age older than 65 years, "non-typable" serogroup, unknown portal of entry, epidemic case and septic shock.
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Enferm. Infecc. Microbiol. Clin. · Aug 1989
[Mediterranean boutonneuse fever: retrospective study of 44 cases in the Bages region (Barcelona)].
Forty-four cases of boutonneuse mediterranean fever which developed from August 1982 to September 1987 in the Bages region (Barcelona) were retrospectively evaluated. Pediatric cases were excluded. The diagnosis was based on the clinical features. ⋯ There was a remarkably high index of relative bradycardia (81.8%). Doxycycline therapy was effective in 100% of patients. Only one instance of meningeal signs with normal CSF was detected as complication.