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Serratia pneumonia

J P Balikian, P G Herman, J J Godleski

    Radiology
    |November 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Serratia marcescens infections in hospitalized patients often present as bronchopneumonia on chest X-rays. Necropsy findings reveal necrotizing bronchopneumonia, correlating with clinical and radiological signs.

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    Area of Science:

    • Infectious Diseases
    • Pulmonary Medicine
    • Pathology

    Background:

    • Serratia marcescens is an opportunistic pathogen.
    • Hospital-acquired infections pose significant clinical challenges.

    Purpose of the Study:

    • To correlate clinical and radiological findings with necropsy results in patients with Serratia marcescens infection.
    • To understand the spectrum of lung pathology caused by Serratia marcescens.

    Main Methods:

    • Retrospective analysis of 18 patients who died from Serratia marcescens infection.
    • Correlation of clinical data, radiological imaging (chest X-rays), and autopsy findings.

    Main Results:

    • Focal necrotizing bronchopneumonia was the predominant pathological finding (14/18 patients).

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  • Radiological findings included focal bronchopneumonia (13/18), diffuse infiltrates (10/18), and pleural effusion (7/18).
  • Disseminated infection occurred in some cases, affecting organs like the brain and kidneys.

    • Conclusions:

    • Serratia marcescens infection can lead to severe pulmonary disease, including necrotizing bronchopneumonia and abscess formation.
    • Radiological findings are often consistent with the pathological changes observed at autopsy.
    • Prompt recognition and management are crucial for patients with Serratia marcescens infections.