Allen M B, Prowse K
Dept. of Respiratory Physiology, City General Hospital, Stoke on Trent, Staffs, UK.
Eur Respir J. 1988 Dec;1(10):929-31.
Bacteraemia with Haemophilus pneumonia is uncommon. To determine its incidence and features case notes of patients in whom Haemophilus spp. were isolated from blood and pleural fluid over a five-year period were reviewed. Eight adult patients with H. influenzae bacteraemia were identified, five of whom had pneumonia on clinical and radiographic criteria. Only one patient had a predisposing factor, chronic obstructive lung disease. Two patients had beta-lactamase producing isolates, one of whom developed an empyema, following treatment with ampicillin, which required surgical drainage. Four patients were elderly, aged 69-80 yrs and were clinically in shock at the time of diagnosis. Seven of the eight patients survived.
由肺炎嗜血杆菌引起的菌血症并不常见。为确定其发病率和特征，我们回顾了在五年期间从血液和胸腔积液中分离出嗜血杆菌属的患者的病历。确定了8例成人流感嗜血杆菌菌血症患者，其中5例根据临床和影像学标准诊断为肺炎。只有1例患者有易感因素，即慢性阻塞性肺疾病。2例患者的分离株产β-内酰胺酶，其中1例在接受氨苄西林治疗后发生脓胸，需要手术引流。4例患者为老年人，年龄在69 - 80岁之间，诊断时临床上处于休克状态。8例患者中有7例存活。
