PARAPNEUMONIC EFFUSIONS SECONDARY TO COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA IN HUMAN IMMUNODEFICIENCY VIRUS-INFECTED PATIENTS
The purpose of this study was to determine whether the clinical and microbiological characteristics of parapneumonic effusions in patients with community-acquired pneumonia (CAP) infected with the human immunodeficiency virus (HIV) were different from those observed in patients without HIV infection...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 1995 |
| País: | España |
| Institución: | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| Repositorio: | r-FISABIO. Repositorio Institucional de Producción Científica |
| OAI Identifier: | oai:fisabio.fundanetsuite.com:p7193 |
| Acceso en línea: | https://fisabio.portalinvestigacion.com/publicaciones/7193 |
| Access Level: | acceso abierto |
| Palabra clave: | SYNDROME BACTERIAL PNEUMONIA EMPYEMA PARAPNEUMONIC EFFUSION PLEURAL EFFUSION PLEURISY ACQUIRED IMMUNODEFICIENCY |
| Sumario: | The purpose of this study was to determine whether the clinical and microbiological characteristics of parapneumonic effusions in patients with community-acquired pneumonia (CAP) infected with the human immunodeficiency virus (HIV) were different from those observed in patients without HIV infection, One hundred and thirty seven patients with parapneumonic effusions were included and divided into two groups depending on whether they had HN infection or not, The parapneumonic effusion rate was significantly higher in HIV-positive than in noninfected patients (21 vs 13%). Their clinical course was more severe, presenting a higher rate of baeteraemias (58 vs 18%), Pleural fluid in patients infected with HIV had significantly lower glucose levels than that of patients without EW infection, Chest tube drainage was more frequent in parapneumonic effusions of patients infected with HIV than in those without HN infection (71 vs 44%), Staphylococcus aureus was the most common microorganism found in the bacteriological samples of patients with CAP infected with HIV (53 vs 12%), We conclude that patients with community-acquired pneumonia and HIV infection have a higher rate of parapneumonic effusions and a more severe clinical course than non-HN patients, and that Staphylococcus aureus predominates in their bacteriological samples. |
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