Diarrhea as a symptom in bacteremic pneumococcal pneumonia

Research output: Contribution to journalArticle

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Abstract

BACKGROUND: The pneumococcus is a common cause of community-acquired infections. We recently encountered a patient whose chief complaint was diarrhea and who was ultimately found to have bacteremic pneumococcal pneumonia. We sought to determine the significance of diarrhea as a symptom of invasive pneumococcal infections. METHODS: Cases of pneumococcal bacteremia occurring in our institution during 2002 were identified by reviewing microbiology records; the hospital charts were reviewed for demographics, medical history, symptomatology, initial laboratory and radiological findings, clinical course, and outcome. The results were analyzed statistically. RESULTS: Fifty patients who met the criteria had their records reviewed. Twenty-four percent had diarrhea. Of age, race, sex, mortality, site of infection, need for ICU admission, mean WBC count, and chest radiograph findings, the only statistically significant association with diarrhea accompanying bacteremic pneumococcal pneumonia was a younger age. CONCLUSIONS: Diarrhea may be a presenting symptom of bacteremic pneumococcal pneumonia. When present, it is more likely to occur in younger patients. Awareness of this entity as a clinical clue to the diagnosis may aid in appropriate treatment of the patient.

Original languageEnglish (US)
Pages (from-to)35-37
Number of pages3
JournalInfectious Diseases in Clinical Practice
Volume15
Issue number1
DOIs
StatePublished - Jan 1 2007

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Pneumococcal Pneumonia
Diarrhea
Community-Acquired Infections
Pneumococcal Infections
Bacteremia
Streptococcus pneumoniae
Microbiology
Thorax
Demography
Mortality
Infection

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Diarrhea as a symptom in bacteremic pneumococcal pneumonia. / Cleveland, Kerry; Gelfand, Michael; Goswami, Rekha.

In: Infectious Diseases in Clinical Practice, Vol. 15, No. 1, 01.01.2007, p. 35-37.

Research output: Contribution to journalArticle

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