Journal Article

Bacteremic Pneumococcal Pneumonia in Children

Pia Toikka, Raimo Virkki, Jussi Mertsola, Per Ashorn, Juhani Eskola and Olli Ruuskanen

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 29, issue 3, pages 568-572
Published in print September 1999 | ISSN: 1058-4838
Published online September 1999 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/598635
Bacteremic Pneumococcal Pneumonia in Children

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We carried out a nationwide retrospective study on bacteremic pneumococcal pneumonia diagnosed from 1985 to 1994 in Finland. The records of 85 children were reviewed for symptoms, signs, laboratory data, and response to antibiotic therapy. The chest radiographs were reevaluated. Bacteremic pneumococcal pneumonia was characterized by high fever (⩾39.0°C in 93%), leukocytosis (WBC count on admission of ⩾.15 × 109/L in 84%), and ill appearance (in 79%). Lobar or segmental consolidation was found in 79% of the chest radiographs. Of the patients, 28% had no respiratory symptoms, 6% presented with only gastrointestinal symptoms in addition to fever, and 4% had fever only. Tachypnea was recorded in 19% and rales in 14% of the patients. After onset of antimicrobial treatment, children became afebrile within an average of 22 hours. One patient developed pleural empyema, and none of the patients died.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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