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Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
Published on: February 23, 2014
[Pulmonary infection in immunocompromised hosts]
Tsuneo Suzuki1, Takeo Kawashiro
1National Hospital Organization Higashi Saitama Hospital, Saitama, Japan.
Abstract:
While typical pulmonary infections can be cured with antimicrobial agents, three types require surgical lung resection: those in immunocompromised patients; those with acquired resistance to medication; and those caused by microorganisms against which there are no effective drugs. We discuss these three types from the viewpoint of physicians. With the development of chemotherapy for malignant disease, patients with leukemia can be cured with bone marrow transplantation. During the leukopenia accompanying chemotherapy, Aspergillus sp. can infect the lungs. Aspergillus infections are resistant to antimicrobial agents, and thus surgical resection is necessary. Aspergillus infections may occur in previous sites of pulmonary tuberculosis lesions after the tuberculosis is cured producing massive hemoptysis. In this case, surgical resection is also needed. When patients who are immunocompromised due to various underlying diseases become infected with multidrug-resistant tuberculosis, they require surgical resection. Finally, when lesions of nontubercular mycobacterial infection are found, these patients also require surgical lung resection.
Insights
Surgical lung resection is necessary for specific pulmonary infections, including those in immunocompromised patients, drug-resistant cases, and infections with no effective treatments like Aspergillus and multidrug-resistant tuberculosis.
Area of Science:
- Pulmonary Medicine
- Infectious Diseases
- Surgical Oncology
Background:
- Most pulmonary infections are treatable with antimicrobial agents.
- Certain complex infections necessitate surgical intervention.
- Advancements in cancer therapy increase immunocompromised patient populations.
Purpose of the Study:
- To outline the indications for surgical lung resection in pulmonary infections.
- To discuss specific challenging microbial pathogens requiring surgical management.
- To highlight the physician's perspective on these complex cases.
Main Methods:
- Review of clinical scenarios requiring surgical lung resection for pulmonary infections.
- Discussion of cases involving immunocompromised patients.
- Analysis of infections with antimicrobial resistance or lack of effective drugs.
Main Results:
- Surgical lung resection is indicated for pulmonary infections in immunocompromised patients.
- Infections caused by drug-resistant microorganisms, such as multidrug-resistant tuberculosis and Aspergillus species, often require surgery.
- Massive hemoptysis from Aspergillus infections in prior tuberculosis sites necessitates resection.
Conclusions:
- Surgical lung resection is a critical treatment modality for select pulmonary infections.
- Indications include immunocompromised status, antimicrobial resistance, and untreatable pathogens.
- Prompt surgical intervention is vital for managing severe complications like hemoptysis.
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