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Query: UMLS:C0032285 (pneumonia)
 54,520 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Heparinless venoarterial bypass (HL-VAB) was carried out in 16 sheep for 6 days, by means of a closed circuit tubing coated with nonthrombogenic polyurethane-polyvinyl-graphite (PPG) and a roller pump. Nine experiments were completed uneventfully. Seven sheep died during bypass. The causes of death were pneumonia (2), caseous granulomatous lung abscess (3) or abdominal abscess (1), and thromboembolism (1). The last complication was caused by inadverten trauma to the PPG coating at the time of tubing connection. In the animals in which HL-VAB was uneventful, no significant changes were noted in the hematologic studies including white blood counts, platelet counts, hematocrit, plasma fibrinogen levels, prothrombin time, thrombin time, activated partial thromboplastin time, Factors V and VIII, and free plasma hemoglobin levels. Inconsistant changes in the above parmeters were noted in the animals which died of complications. In conclusion, prolonged HL-VAB has no adverse effects on blood coagulation mechanism.
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PMID:Blood coagulation studies during six day heparinless venoarterial bypass in sheep. 94 98

Differential diagnosis was made in 2 groups of 85 patients with infiltrative tuberculosis and pneumonia. Clinical, laboratory and x-ray findings confirmed the value of standard examinations (anamnesis, complaints, physical and laboratory methods). Tuberculin diagnosis confirms the primary diagnosis only in case of hyperergic response to the Mantoux test with tuberculin PPD 2 TU. Tracheobronchoscopic detection of nonspecific endobronchitis is not a reliable enough diagnostic criterion to differentiate between tuberculosis and pneumonia. Roentgenologically, tuberculosis is characterized by more frequent polysegmentary lesions and involvement of the VI segment, pneumonia by involvement of the middle lobe, segments VIII and X.
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PMID:[Differential diagnosis of infiltrative tuberculosis and pneumonia located in the the lower lobe]. 185 77

An outbreak of Legionnaires' Disease (LD) in a college in Tang Shan in the winter of 1987 was reported. Indirect fluorescent assay (IFA) for the antibodies against Legionella Pneumophila (Lp) serogroups I, VI and VIII was carried out in 52 students and 6 teachers. It was found that the antibody titer of LP VI greater than or equal to 1:256 was in 12 students. The clinical figures of these patients were classified into three types: pneumonia 3, fever 9 and asymptomatic 1. It was postulated that the outbreak was associated with water contamination of the college bathroom. There were more patients in two dormitories than in the others, which was suggested that the possibility of a spread of the disease from a person to the others.
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PMID:[An epidemiological investigation of an outbreak of Legionnaires' disease in a college in Tang Shan]. 226 16

Impaired fibrinolysis may contribute to development of adult respiratory distress syndrome (ARDS). Pathologic increases in endogenous plasminogen activator inhibitor (PAI-1) may blunt normal fibrinolysis and unmask alternate fibrinolytic mechanisms, such as elastase-induced fibrin degradation. We measured PAI-1 and elastase-induced fibrin(ogen) degradation products in 69 critically ill patients in our medical intensive care unit (MICU) and in nine healthy volunteers. Factor VIII-related antigen protein (VIII:Ag), a reported marker of acute lung injury, and alpha-1-protease inhibitor (alpha-1-PI), an acute phase reactant, were also measured. MICU patients included 24 control patients with no known risk of ARDS, 35 patients with risk factors for ARDS including sepsis, pneumonia, aspiration, and shock, and 12 patients with ARDS including two patients from at-risk groups who developed ARDS. Plasma PAI-1 was determined by chromogenic assay, elastase-induced peptides by a new radioimmunoassay, VIII:Ag by immunoelectrophoresis, and alpha-1-PI by immunodiffusion. When compared to normal volunteers, MICU control patients had elevated PAI-1, VIII:Ag, elastase-induced peptides, and alpha-1-PI. Patients with ARDS had significantly higher PAI-1 and VIII:Ag than did MICU control patients; elastase-induced peptides and alpha-1-PI were not higher. However, at-risk patients who did not develop ARDS also had high PAI-1 or VIII:Ag. Although these data cannot refute the possible role of these compounds in the pathogenesis of ARDS, they demonstrate that PAI-1 and VIII:Ag may be elevated in many critically ill patients but may not be useful markers for the subsequent development of ARDS.
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PMID:Fibrinolysis in critically ill patients. 250 87

The murine papovavirus K causes fatal pneumonia in infant mice, but an asymptomatic infection in older mice. In order to establish whether the virus affects the central nervous system in the course of systemic infection, we carried out morphological and immunohistochemical studies on the experimentally infected mice. BALB/c mice, less than 4 days of age, were inoculated with K virus either intraperitoneally or intracerebrally. When the animals were moribund, usually 10 days or so, after inoculation, their brains were removed and examined. Acutely infected mice showed only minor changes: intranuclear eosinophilic inclusions in very rare capillary endothelial cells of the brain. However, immunoperoxidase studies, using specific antibody to K virus, revealed that a number of brain cells had positive nuclear staining. These nuclei were distributed throughout the brain, without an apparent site of predilection. Double-immunostaining showed that virtually all cells whose nuclei were positive for viral antigen were endothelial, because their cytoplasm was positive for factor-VIII or vimentin. There were no nuclei positive for viral antigen in astrocytes, as determined by positive staining for glial fibrillary acidic protein or glutamine synthetase. By electron microscopy, clusters of K virus particles were found only in the nuclei of brain capillary endothelial cells. Although these endothelial cells showed degeneration of varying degree, their basement membranes remained relatively intact and there was no disorganization in the endfeet of contiguous astrocytes. Neurons and glial cells had normal ultrastructures. Therefore, this study has demonstrated that there is involvement of central nervous system during systemic K virus infection and that the infection involves predominantly brain capillary endothelial cells.
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PMID:Morphological and immunohistochemical studies of the central nervous system involvement in papovavirus K infection in mice. 322 14

A prospective study of Acinetobacter isolates from a neonatal intensive care unit was performed for 24 months. Fifty-six isolates were obtained from 21 patients, and another eight were obtained from environmental specimens. Infection due to Acinetobacter organisms was established for 16 patients, 6 with septicemia, 9 with pneumonia, and 1 with a wound infection. Further investigations were performed with 38 representative isolates. Twenty-nine isolates were identified as unnamed DNA-DNA hybridization group (genomospecies) 3, three were identified as genomospecies 2 (Acinetobacter baumannii), one was identified as genomospecies 5 (Acinetobacter junii), three were identified as genomospecies 14, and two were unclassified. Eight distinguishable protein profiles, coded I through VIII, were found by cell envelope protein electrophoresis. Profile V, a common profile, was observed for 17 isolates that had been recovered from 11 patients and 1 dust specimen. These isolates, all of which belonged to genomospecies 3, had similar antibiograms and biotypes. This study has revealed that genomospecies 3 can be associated with infection and be spread in hospitals.
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PMID:Clinical and epidemiological investigations of Acinetobacter genomospecies 3 in a neonatal intensive care unit. 765 Jan 88

Progressive disseminated histoplasmosis (PDH), a recognized defining illness of AIDS, is an opportunistic fungal infection caused by Histoplasma capsulatum. The authors report a case of PDH in a HIV-infected African child from a Histoplasma capsulatum non-endemic area. An 8-year-old girl from Kwazulu/Natal, South Africa, was admitted to King Edward VIII hospital with pyrexia and respiratory distress. Pale with generalized lymphadenopathy, she had been sick with general malaise and fever for 3 weeks. A punched-out painless ulcer was present on the child's lower left leg and she had ulcerative lesions on the tip of her tongue and the angle of her mouth. There was a tender hepatomegaly and clinical signs of pneumonia, while a chest roentgenogram showed right upper lobe consolidation with early cavitation. The purified protein derivative tuberculin skin test was negative and no acid-fast bacilli were detected on three sputum samples taken on different days. A Western blot test conducted for antibodies to HIV was positive. Additional laboratory tests were conducted. The patient was treated with parenteral acyclovir for herpesvirus infection, ceftriaxone for severe community-acquired pneumonia, and trimethoprim-sulfamethoxazole because Pneumocystis carinii infection was part of the clinical differential diagnosis. Bone marrow aspirate and trephine biopsy revealed yeast forms of H. capsulatum. The girl died on the second day of hospital admission, before antifungal therapy could be commenced.
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PMID:Disseminated histoplasmosis in a human immunodeficiency virus-infected African child. 910 50

From June to November 1994 (period 1) and from February to June 1995 (period 2), multiresistant Acinetobacter baumannii strains were isolated in intensive care units and surgical wards of the Amiens Teaching Hospital Center (Amiens, France). Eighteen isolates were obtained from 17 (1%) of 1,706 patients admitted during both of these periods, giving an incidence rate of nosocomial infection per 1,000 patient days of 0.6%. Of 17 infected patients, 9 had pneumonia, 3 had urinary tract infection, 2 had peritonitis, 1 had septicemia, 1 had a catheter infection, and 1 had pneumonia and urinary tract infection. According to typing results, four antibiotic resistance profiles were detected: a, b, c, and d; seven ribotypes were distinguished by both restriction enzymes EcoRI and SalI (A, B, C, D, E, F, and G). By combining antibiotyping and ribotyping, we obtained eight groups of strains (groups I to VIII). Group I contained five strains (strains 4, 5, 7, 8, and 9) which had antibiogram pattern a and ribopattern A and constituted the outbreak strains. The strains of group II (strains 3, 10, 11, 13, and 14) were closely related to outbreak strain A and appeared to be variants of ribotype A (A2 [strain 3]; A4 [strain 10]; A5 [strains 11, 13, and 14]). Groups III, IV, V, VI, VII, and VIII included strains which were epidemiologically unrelated to the strains of group I and were considered nonoutbreak strains.
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PMID:Epidemiological study of an Acinetobacter baumannii outbreak by using a combination of antibiotyping and ribotyping. 1036 81

Outcome in neonates with acute respiratory failure supported initially either by rescue mechanical ventilation (IPPV) or by nasal continuous positive airway pressure (NCPAP) was compared in a retrospective review of cases seen at King Edward VIII Hospital between January and December 2000. IPPV and NCPAP were required by 89 and 85 neonates, respectively. The median weights (1900 vs 1650 g), male to female ratios (1.74:1 vs 1.34:1) and median gestational ages (32 vs 34 weeks) were similar in the two groups. Of the 89 neonates who required IPPV, 17 failed initial NCPAP and seven required ventilatory support for secondary reasons after NCPAP was initially successful. In the remainder (n = 65) who initially received IPPV, the mortality rate was 39% (n = 25) compared with 25% (n = 21) in the group who received NCPAP initially. Sixty-three neonates (74%) were initially successfully supported with NCPAP alone. Of these, fifty (79%) required no further respiratory support until discharge and seven received IPPV subsequently, five of whom died; six who were not offered mechanical ventilation also died. NCPAP did not provide adequate respiratory support in 22 newborns (26%). Of these, 17 received IPPV, five of whom died, and five who were not offered mechanical ventilation also died. Hyaline membrane disease and congenital pneumonia were the common primary diagnoses in both groups. NCPAP was a useful adjunct to mechanical ventilation in treating newborns for a variety of disorders causing respiratory failure. The delay in instituting mechanical ventilation by initial use of NCPAP did not adversely affect outcome.
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PMID:Nasal CPAP in newborns with acute respiratory failure. 1236 82

Three sources of data (general practice episode data from the Weekly Returns Service of the Royal College of General Practitioners, national hospital admission data for England and national mortality data by date of death) were examined separately in each winter (1994/1995 to 1999/2000) to investigate the impact of influenza on circulatory disease. Weekly data on incidence (clinical new episodes) hospital emergency admissions and deaths certified to circulatory disorders and to respiratory diseases (chapters VII and VIII of ICD9) during influenza epidemic periods (defined from combined clinical/virological surveillance) were examined in age groups 45-64, 65-74 and > or =75 years. Data collected in the four winters in which there were substantial influenza A epidemics were consolidated for the period 6 weeks before to 6 weeks after each peak of the epidemic, and associations between the variables at different time lags examined by calculating cross-correlation coefficients. We also examined deaths due to ischaemic heart disease (IHD) as a proportion of all circulatory deaths and deaths due to influenza/pneumonia as a proportion of all respiratory deaths. There were no increases of GP episodes nor of emergency admissions for circulatory disorders in any of the three age groups during epidemic periods. Increased circulatory deaths occurred in all age groups and particularly in the oldest group. The large cross-correlation coefficients of deaths (circulatory and respiratory) with GP respiratory episodes at weekly lags of 0, -1 and 1 were evidence that the deaths and episode distributions were contemporaneous. The ratios of excess circulatory deaths relative to excess respiratory deaths during epidemic periods were 0.74 (age 45-64), 0.72 (65-74) and 0.57 (> or =75 years). Increased circulatory deaths contemporary with new incident cases of respiratory episodes but with no concomitant increase in admissions suggests rapid death during the acute phase of illness. Influenza contingency planning needs to take account of these deaths in determining policy for prophylaxis and in providing facilities for cardio-respiratory resuscitation.
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PMID:Influenza and its relationship to circulatory disorders. 1581 50


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