International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
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Int. J. Infect. Dis. · Jan 2009
Acute respiratory failure due to Pneumocystis pneumonia: outcome and prognostic factors.
To examine the outcome and prognostic factors of in-hospital mortality in patients with acute respiratory failure (ARF) caused by Pneumocystis pneumonia (PCP) admitted to a medical intensive care unit. ⋯ The mortality rate in patients with ARF caused by PCP was high. Various variable factors were related to a poor prognosis. For improved survival, multimodality treatments are needed to reduce these risk factors.
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Int. J. Infect. Dis. · Jan 2009
Case ReportsStreptococcus pyogenes subdural empyema not detected by computed tomography.
A previously healthy 5-year-old boy presented with a non-specific febrile illness and seizures. Streptococcus pyogenes was identified in his blood culture. ⋯ Our patient diverges from the few previously reported S. pyogenes intracranial infections in that there was neither an adjacent infection nor a bacterial meningitis. In addition, we discuss the few studies addressing the sensitivity of CT for the diagnosis of bacterial intracranial infections.
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Int. J. Infect. Dis. · Nov 2008
Comparative StudyThe role of the innate immune response in hospital- versus community-acquired infection in febrile medical patients.
To study the role of the innate immune response in the higher mortality of hospital- than of community-acquired infections, in febrile medical patients. ⋯ The data suggest that rates of septic shock and mortality from hospital- vs. community-acquired infections in febrile medical patients are not increased by impaired innate immunity. In contrast, proinflammatory factors may be particularly useful to predict a downhill course in hospital-acquired infections.
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Int. J. Infect. Dis. · Nov 2008
Review Case ReportsA meningitis case due to Stenotrophomonas maltophilia and review of the literature.
Stenotrophomonas maltophilia (formerly Xanthomonas maltophilia) is a Gram-negative bacillus increasingly associated with serious nosocomial infections. Here, we describe a 30-year-old male patient who developed meningitis associated with this organism after several neurosurgical procedures. ⋯ Most cases were associated with neurosurgical procedures. Antimicrobial therapy is complicated by multiple drug resistance of the organism, and trimethoprim-sulfamethoxazole is the recommended agent for treatment.