Empyema and bacteremic pneumococcal pneumonia in children under five years of age

• Autor(a) principal: Cardoso, Maria Regina Alves
• Data de Publicação: 2014
• Outros Autores: Nascimento-Carvalho, Cristiana Maria Costa [UNIFESP], Ferrero, Fernando, Berezin, Eitan Naaman [UNIFESP], Ruvinsky, Raul, Sant'Anna, Clemax Couto, Brandileone, Maria Cristina de Cunto [UNIFESP], March, Maria de Fatima Bazhuni Pombo, Maggi, Ruben, Feris-lglesias, Jesus, Benguigui, Yehuda, Camargos, Paulo Augusto Moreira, CARIBE Group
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000mch4
• Texto Completo: http://dx.doi.org/10.1590/S1806-37132014000100010; http://repositorio.unifesp.br/handle/11600/44157
• topic: Empyema, pleural; Pneumonia, pneumococcal; Pneumococcal infections

We compared bacteremic pneumococcal pneumonia (BPP) and pneumococcal empyema (PE), in terms of clinical, radiological, and laboratory findings, in under-fives. A cross-sectional nested cohort study, involving under-fives (102 with PE and 128 with BPP), was conducted at 12 centers in Argentina, Brazil, and the Dominican Republic. Among those with PE, mean age was higher; disease duration was longer; and tachypnea, dyspnea, and high leukocyte counts were more common. Among those with BPP, fever and lethargy were more common. It seems that children with PE can be distinguished from those with BPP on the basis of clinical and laboratory findings. Because both conditions are associated with high rates of morbidity and mortality, prompt diagnosis is crucial.