Article information
Resumen
Se presentan 34 casos de neumonía por anaerobios en una población con edad media de 56,55 años. En el 92% de los casos se evidenciaron condiciones predisponentes a este tipo de patología, siendo el cuadro clínico de presentación subaguda en el 75% de los pacientes, y encontrándose en casi la mitad de los casos, la patognomónica expectoración pútrida. En el 80% de los casos, existía cavitación de lesiones, las cuales mostraban tendencia a localizarse en zonas declives del pulmón. Se obtuvo la curación del 82,35% de los pacientes, estando relacionados los fracasos terapéuticos con la presencia concomitante de neoplasias pulmonares.
Summary
Thirty-four cases with pneumonía due to anaerobio bacteriae in a population with a median age of 56.55 years, are described. Predisposing factors existed in 92% with sub-acute presentation in 75%, and pathognomic mucopurulent sputum in almost half of all cases.
In 80% of all cases, there were cavitated lesions, showing consolidation in the sloping part of the lung.
Therapy was curative in 82.35% of all cases except in those with concommitant pulmonary neoplasias
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Bibliografia
[1.]
J.G. Bartlett, S.L. Gorbach.
The triple threat of aspiration pneumonia.
Chest, 68 (1975), pp. 560-566
[2.]
L.J. Bynum, A.K. Pierce.
Pulmonary aspiration of gastric contents.
Amer Rev Respir Dis, 114 (1976), pp. 1.129-1.136
[3.]
J.W. Wynne, J.H. Model.
Respiratory Aspiration of Stomach contents.
Ann of intern Med, 87 (1977), pp. 466-474
[4.]
F.L. Glauser, J.E. Millen, R. Falls.
Effectis of acid aspiration on pulmonary alveolar epithelial membrane permeability.
Chest, 76 (1979), pp. 201-205
[5.]
E.J. Huxley, J. Viroslav, W.R. Gray, A.K. Pierce.
Pharyngeal aspiration in normal adults and patients with depressed consciousness.
Amer J Med, 64 (1978), pp. 564-568
[6.]
J.E. Wof, C. Boner, W.E. Ruth.
Diagnosis of gastric aspiration by fiberoptic bronchoscopy.
Chest, 70 (1976), pp. 458-459
[7.]
J.E. Wolf, R.C. Bone, W.E. Ruth.
Effects of corticosteroids in the treatment of patients with gastric aspiration.
Amer J Med, 63 (1977), pp. 719-722
[8.]
H.W. Murray.
Antimicrobial Therapy in pulmonary aspiration.
Am J Med, 66 (1979), pp. 188-190
[9.]
A. Abdulmahid.
Aspired forming bodies in the tracheobronchial tree: report of 250 cases.
Thorax, 31 (1976), pp. 635-640
[10.]
S.L. Gorbach.
Anaerobic infection.
New Engl J Med, 290 (1974), pp. 1.177-1.184
[11.]
PhJ. Lerner.
Consideraciones sobre antimicrobianos en infecciones anaerobias.
Clin Med North Ed Esp, (1974), pp. 531-542
[12.]
J.G. Bartlett, S.M. Finegold.
Anaerobic infections of the lung and pleural space.
Amer Rev Respir Dis, 110 (1974), pp. 56-77
[13.]
S.M. Finegold, J.G. Bartlett, A.W. Chow, et al.
Management of anaerobic infections.
Ann Intern Med, 83 (1975), pp. 375-389
[14.]
G. Jacobson, W.S. Lainhart.
ILO U/C 1971 International classification of radiographs of the pneumoconioses.
Med Radio Phtotogr, 48 (1972), pp. 65-110
[15.]
D.V. Pecora.
How well does transtracheal aspiration reflect pulmonary infection?.
Chest, 66 (1974),
[16.]
M.R. Pratter, R.S. Irwin.
Transtracheal aspiration. Guidelines for safety.
Chest, 76 (1979), pp. 518-520
[17.]
A.A. Onadeko Abioye.
Needle biopsy of the pleura in Nigeria.
Brit J Dis Chest, 73 (1979), pp. 282-284
[18.]
D.L. Palmer, M. Davidson, R. Lusk, et al.
Needle aspiration of the lung in complex pneumonias.
Chest, 78 (1980), pp. 16-21
[19.]
J.M. Matsen, G.M. Ederer.
Specimen collection and transport.
Human Pathol, 7 (1976), pp. 297-307
[20.]
J.E. Rossemblatt.
Isolation and identification of anaerobic bacteria.
Human pathol, 7 (1976), pp. 177-186
[21.]
J.G. Bartlett.
Anaerobic Bacterial pneumonitis.
Amer Rev Respir Dis, 119 (1979), pp. 19-23
[22.]
J.G. Bartlett.
Diagnostic accuracy of transtracheal aspiration bacteriologic studies.
Amer Rev Respir Dis, 115 (1977), pp. 777-782
[23.]
Abe, R.L. Sundere, M.E. Hodson, M. Szawatokoski, P. Noone.
Pleuropulmonary lung infection by anaerobic bacteria.
Br J Dis Chest, 72 (1978), pp. 187-195
[24.]
J.G. Bartlett, S.L. Gorbach, S.M. Finegold.
The bacteriology of aspiration pneumonia.
Am J Med, 56 (1974), pp. 202-207
[25.]
B. Lorber.
Bad Breath presenting manifestation of anaerobic pulmonary infection.
Amer Rev Respir Dis, 112 (1975), pp. 875-877
[26.]
P.A. Mackowiak, R.M. Martin, S.R. Jones, J.W. Smith.
Pharyngeal colonization by gram negative bacilli in aspirationprone persons.
Arch Intern Med, 138 (1978), pp. 1.224-1.227
[28.]
B.F. Polk, D.L. Kasper.
Bacteroides fragilis subspecies in clinical isolates.
Ann Intern Med, 86 (1977), pp. 569-571
[29.]
D.A. Leigh.
Clinical importance of infections due to Bacteroides fragilis and role of antibiotic therapy.
Brit Med Jour, 3 (1974), pp. 225-228
[30.]
J.S. Salaky, R. Black, F.P. Tally.
Bacteroides fragilis resistant to the administration of clindamycin.
Am J Med, 60 (1976), pp. 426-428
[31.]
W. Weiss, N.S. Cheniack.
Acute nonspecific lung abcess: A controlled study comparing orally and parenterally administered penicillin G.
Chest, 66 (1974), pp. 348-351
[32.]
B. Vainrub, D.M. Musher, G.A. Guinn, E.J. Joung, et al.
Percutaneous drainage of lung abscess.
Amer Rev Respir Dis, 117 (1978), pp. 153-160
[33.]
J.G. Bartlett, S.L. Gorbach.
Tratamiento de la neumonía por aspiración del absceso primitivo de pulmón, penicilina o clindamicina.
Jama (esp), 1 (1975), pp. 1.073-1. 076
[34.]
E.G. Honig, P.B. Francis.
The Place of therapeutic bronchoscopy in the management of primary lung abscess.
Amer Rev Respir Dis, 115 (1977),
[35.]
K. Rambhatla, H. Thadepalli, A.H. Niden.
Treatment of anaerobic infections of the lung.
Amer Rev Respir Dis, 115 (1977),
[36.]
H. Thadepalli, A.H. Niden, J.T. Huang.
Treatment of anaerobic pulmonary infections carbenicilin compared to clyndamycin and gentamicin.
Chest, 69 (1976), pp. 743-746
[37.]
D. Webb, H. Thadepalli, I. Roy, V.T. Bach.
Ticarcilin disodium in anaerobic infections.
Arch intern Med, 138 (1978), pp. 1.618-1.620
[38.]
R.K. Wilson, P.M. Stevens.
Cephalothin therapy for purulent lung abscess.
Amer Rev Respir Dis, 115 (1977),
[39.]
H. Thadepalli, J.T. Huang, A.J. Mandag, et al.
Anaerobic lung treated with doxycycline.
Amer Rev Respir Dis, 115 (1977),
[40.]
S.J. Eykyn, I. Phillips.
Metronidazole and anaerobic sepsis.
Brit Med Jour, 2 (1976), pp. 1. 418-1.421
[41.]
J.F. Warner, R.L. Perkins, L. Cordero.
Metronidazole Therapy of anaerobic bacteremia, meningitis and brain abscess.
Arch Intern Med, 139 (1979), pp. 167-169
[42.]
C.V. Sanders, B.J. Hanna, A.C. Lewis.
Metronidazole in the treatment of anaerobic infections.
Amer Rev Respir Dis, 120 (1979), pp. 337-343
[43.]
N.L. Pashny, R.P. Bolton, R.J. Sheriff.
Oral metronidazole in clostrium Difficile colitis.
Brit Med Jour, 1 (1979), pp. 1.605-1.606
[44.]
J.G. Bartlett, T.W. Chang, M. Gurwith, et al.
Antibiotic-Associated pseudomembranous colitis due to toxin producing clostridia.
New Engl J Med, 298 (1978), pp. 531-534
[45.]
A. Kappas, N. Shinaguwa, Y. Arabi, et al.
Diagnosis of pseudomembranous colitis.
Brit Med Jour, 1 (1978), pp. 675-678
[46.]
Editorial. Antibiotic-associated colitis: A progress report.
Brit Med Jour, 1 (1978), pp. 669-671
[47.]
E.C. Sweeney, J.P. Sheehan.
Clindamycin associated colonic vasculitis.
Brit Med Jour, 2 (1979), pp. 1.188-1.189
[48.]
R.H. George, J.M. Symonds, F. Dimock, et al.
Identification of clostridium difficile as a cause of pseudomembranous colitis.
Brit Med Jour, 1 (1977), pp. 695-697
[49.]
M.R.B. Keighley, D.W. Burdon, Y. Arabi, et al.
Randomized controlled trial of vancomycin for pseudomembranous colitis and post-operative diarrhoea.
Brit Med Jour, 2 (1978), pp. 1.667-1.669
[50.]
W.L. George, N.A. Volpicelli, D.B. Stiner, et al.
Relapse of pseudomembranous colitis after vancomycin therapy.
New Engl J Med, 301 (1979), pp. 414-420
[51.]
D. Escribano, C. Alvarez, A. Roman Rojo.
Infecciones pulmonares por anaerobios. A propósito de 11 casos.
Arch Bronconeumología, 15 (1979), pp. 4-6
[52.]
J.M. Cantera Maortua, A. Jiménez Gómez.
Infecciones pleuropulmonares por gérmenes anaerobios. A propósito de 17 casos.
Arch Bronconeumología, 17 (1981), pp. 23-27
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