Bacterial infections in adult patients with the acquired immune deficiency syndrome (AIDS) and AIDS-related complex.

Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.

Bacterial infections in adult patients with the acquired immune deficiency syndrome (AIDS) and AIDS-related complex.

Am J Med. 1987 May;82(5):900-6. Unique Identifier : AIDSLINE MED/87210288
Witt DJ; Craven DE; McCabe WR

Abstract: Sixty-four episodes of bacterial infection were identified over a 44-month period in 16 of 28 patients with the acquired immune deficiency syndrome (AIDS) and 14 of 31 patients with AIDS-related complex. Nineteen of the 30 infected patients were parenteral drug abusers, 10 were from Caribbean Islands and had no identified risk factor, and one was a homosexual male. Fourteen patients had 21 episodes of community-acquired pneumonia: Streptococcus pneumoniae (10), Haemophilus influenzae (three), other Haemophilus species (three), group B beta-hemolytic streptococci (one), Staphylococcus aureus (one), Branhamella catarrhalis (one), Legionella pneumophila (one), and Mycoplasma pneumoniae (one). Seven patients had eight episodes of nosocomial pneumonia caused by gram-negative bacilli. Twenty-five episodes of community-acquired bacteremia and nine episodes of nosocomial bacteremia were associated with specific sites of infection. Other infections included meningitis (two), urinary tract infection (one), and abscesses involving subcutaneous and deep tissues (12). Sixteen patients had recurrent infections; 11 of these had or eventually had AIDS. Community-acquired bacterial infections in patients with AIDS or AIDS-related complex are common and may be recurrent but have low fatality rates. In comparison, nosocomial bacterial infections occur primarily in patients with AIDS and have high fatality rates.

Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS AIDS-Related Complex/*COMPLICATIONS Bacterial Infections/*ETIOLOGY Cross Infection/ETIOLOGY Human Pneumonia/ETIOLOGY Septicemia/ETIOLOGY Support, Non-U.S. Gov't JOURNAL ARTICLE

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