Hill M K, Sanders C V
Division of Infectious Disease, Louisiana State University Medical Center, New Orleans.
Infect Dis Clin North Am. 1991 Sep;5(3):453-66.
Anaerobic pleuropulmonary infections present in various ways. Aspiration pneumonitis occurs first and may be quite difficult to distinguish from the acute bacterial pneumonia caused by Streptococcus pneumoniae and other organisms. Although aspiration pneumonitis may be self-limiting, sequelae such as lung abscess, necrotizing pneumonia, and empyema can develop. Empiric antimicrobial therapy is now acceptable. The initial choice of antimicrobial agents is based on which pathogens are likely to be involved.
厌氧性胸膜肺部感染有多种表现形式。首先会发生吸入性肺炎,且可能很难与由肺炎链球菌和其他病原体引起的急性细菌性肺炎区分开来。尽管吸入性肺炎可能是自限性的,但仍可能发展为肺脓肿、坏死性肺炎和脓胸等后遗症。目前经验性抗菌治疗是可行的。抗菌药物的初始选择基于可能涉及的病原体。