抽象
这项研究的目的是报告与麻疹感染细菌性肺炎的临床和实验室特征,同时也评估严重程度和发病时间之间的任何关联。四百24既往健康的年轻男性(22岁±2.1岁)有典型症状和麻疹的症状住院治疗。一百一十二(26%)研制入院(N = 41)细菌性肺炎,其住院(N = 20)或它们的放电(N = 51)后的天数期间:组A,B和C,分别。单肺叶实变是最常见的发现,占病例的89%。胸腔积液是罕见的,在与脓胸半数病例有关。微生物学诊断81例做。肺炎链球菌(65例)和肺炎克雷伯氏菌(9例)是最常见的确定生物体。从C组患者的白细胞计数和血沉显著更高的值,和动脉血氧分压的较低的值(14±0.8×10(9)X L(-1),88 +/- 4毫米6.3 +/- 0.4千帕分别(47 +/- 3毫米汞柱),)比其他两个基团。有在住院期间无死亡病例。 The mean duration of hospital stay was 13+/-2.4 days and was longer in the presence of K. pneumoniae infection (19+/-1.6 days). Six patients from group C were admitted to the intensive care unit. In conclusion, these data suggest that bacterial pneumonia associated with measles is not unusual in hospitalized adults, and it seems to be more severe when it occurs days after the onset of rash.