Bacteremia and fungemia in patients with the acquired immunodeficiency syndrome. NLM AIDSLINE Important note: Information in this article was accurate in 1986. The state of the art may have changed since the publication date.

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Bacteremia and fungemia in patients with the acquired immunodeficiency syndrome.

Ann Intern Med. 1986 Apr;104(4):511-4. Unique Identifier : AIDSLINE MED/86157217
Whimbey E; Gold JW; Polsky B; Dryjanski J; Hawkins C; Blevins A; Brannon P; Kiehn TE; Brown AE; Armstrong D

Abstract: Forty-nine episodes of bacteremia and fungemia occurred in 38 of 336 patients with the acquired immunodeficiency syndrome seen at our institution since 1980. There were five types of infections. Infections commonly associated with a T-cell immunodeficiency disorder comprised 16 episodes and included those with Salmonella species, Listeria monocytogenes, Cryptococcus neoformans, and Histoplasma capsulatum. Infections commonly associated with a B-cell immunodeficiency disorder included those with Streptococcus pneumoniae and Haemophilus influenzae. Infections occurring with neutropenia were caused by Pseudomonas aeruginosa, Staphylococcus epidermidis, and Streptococcus faecalis. Other infections occurring in the hospital were caused by Candida albicans, Staphylococcus epidermidis, enteric gram-negative rods, Staphylococcus aureus, and mixed S. aureus and group G streptococcus. Other infections occurring out of the hospital included those with S. aureus, Clostridium perfringens, Shigella sonnei, Pseudomonas aeruginosa, and group B streptococcus. Because two thirds of the septicemias were caused by organisms other than T-cell opportunists, these pathogens should be anticipated during diagnostic evaluation and when formulating empiric therapy.
Keywords: Acquired Immunodeficiency Syndrome/BLOOD/*COMPLICATIONS Adult B-Lymphocytes Female Human Infant Lymphopenia/COMPLICATIONS Male Mycoses/EPIDEMIOLOGY/*ETIOLOGY/MICROBIOLOGY Neutropenia/COMPLICATIONS Retrospective Studies Risk Septicemia/EPIDEMIOLOGY/*ETIOLOGY/MICROBIOLOGY T-Lymphocytes JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/blood/KWDcomplicationsadultb-lymphocytesfemalehumaninfantlymphopenia/complicationsmalemycoses/epidemiology/KWDetiology/microbiologyneutropenia/complicationsretrospectivestudiesrisksepticemia/epidemiology/KWDetiology/microbiologyt-lymphocytesjournalarticle
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M8660170

Copyright © 1986 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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