Piéron R, Zurbach M A, Mafart Y, Zurbach J, Lesobre B
Sem Hop. 1979;55(3-4):117-23.
Twelve cases of pneumococcal septicemias are studied in a department of internal medicine. These septicemias involved pneumonias often large, multilobular and bilateral, with often pleural effusion purulent or not and in one occurrence meningitis. There was three deaths by acute respiratory failure in one case of liver cirrhosis and in another case of chronic lymphocytic leukemia. Conditions of antibiotherapy and possible intensive care are discussed, prognosis factors as splenic insufficiency (in sickle cell anemia and after splenectomy) and immune defense against pneuococcus are recalled.
内科一科室对12例肺炎球菌败血症病例进行了研究。这些败血症常伴有大面积、多叶且双侧的肺炎，常伴有脓性或非脓性胸腔积液，有1例还并发脑膜炎。1例肝硬化患者和1例慢性淋巴细胞白血病患者因急性呼吸衰竭死亡。讨论了抗生素治疗及可能的重症监护情况，回顾了诸如脾功能不全（镰状细胞贫血及脾切除术后）等预后因素以及针对肺炎球菌的免疫防御情况。
