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Bacteremic and leukopenic pneumococcal pneumonia: successful treatment with antibiotics, pulse steroid, and continuous hemodiafiltration

  • Case Report
  • Published:
Journal of Infection and Chemotherapy

Abstract

We describe a case of bacteremic, leukopenic pneumococcal pneumonia with respiratory failure, accompanied by diabetic ketoacidosis and hypothermia. Pulmonary leukostasis may play a role in the pathogenesis of the acute respiratory distress syndrome (ARDS) in pneumococcal pneumonia. The patient recovered with mechanical ventilation, intravenous antibiotics, pulse-steroid therapy, and continuous hemodiafiltration (CHDF). In particular, administration of steroid and the use of CHDF may improve the status of pulmonary leukostasis in leukopenic pneumococcal infection.

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Authors and Affiliations

  1. First Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan, Japan

    Toshinobu Yokoyama, Hisamichi Aizawa & Kotaro Oizumi

  2. Emergency and Critical Care Medical Center, Kurume University School of Medicine, Fukuoka, Japan, Japan

    Teruo Sakamoto, Norihiko Shida, Toshifumi Shimada & Nobuo Kaku

Authors
  1. Toshinobu Yokoyama
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  2. Teruo Sakamoto
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  3. Norihiko Shida
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  4. Toshifumi Shimada
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  5. Nobuo Kaku
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  6. Hisamichi Aizawa
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  7. Kotaro Oizumi
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Additional information

Received: October 22, 2001 / Accepted: March 14, 2002

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Cite this article

Yokoyama, T., Sakamoto, T., Shida, N. et al. Bacteremic and leukopenic pneumococcal pneumonia: successful treatment with antibiotics, pulse steroid, and continuous hemodiafiltration. J Infect Chemother 8, 247–251 (2002). https://doi.org/10.1007/s10156-002-0173-y

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  • DOI: https://doi.org/10.1007/s10156-002-0173-y

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