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November 1983

Bacteremic Pneumonia due to Gram-negative Bacilli

Author Affiliations

From the Section of Infectious Diseases, the Departments of Pathology (Dr Williams) and Medicine (Drs Phair and Bassaris and Ms Metzger), Northwestern University Medical School and Veterans Administration Lakeside Medical Center, Chicago. Dr Bassaris is currently affiliated with the University of Patra, Patra, Greece. Dr Williams is currently affiliated with the Department of Pathology, Mt Sinai Hospital, Milwaukee.

Arch Intern Med. 1983;143(11):2147-2149. doi:10.1001/archinte.1983.00350110133027

• Bacteremic pneumonia due to aerobic gram-negative bacilli was diagnosed in 27 patients during a 20-month period. The mortality was high (81.5%) among these elderly patients (mean age, 61.2 years) with serious underlying disease, in spite of amikacin sulfate therapy that was appropriate as determined by susceptibility testing. Bacteremic pneumonia accounted for 14.1% of patients with gram-negative bacteremia but was responsible for 39.4% of the deaths in the total group of 191 patients. The worsened prognosis of patients with pneumonia was unrelated to the species of infecting organisms or the underlying conditions or disease.

(Arch Intern Med 1983;143:2147-2149)

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