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Updated: Aug 10, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
Bacteremic pneumococcal pneumonia. A community hospital experience
M L Lippmann1, S K Goldberg, M D Walkenstein
1Albert Einstein Medical Center, Philadelphia, PA 19141, USA.
Bacteremic pneumococcal pneumonia (BPP) is a serious infection, but treatable with supportive care. Bronchopneumonia patterns on X-ray correlate with mortality, while penicillin resistance does not impact survival with prompt treatment.
Area of Science:
- Infectious Diseases
- Pulmonology
- Critical Care Medicine
Background:
- Bacteremic pneumococcal pneumonia (BPP) is a significant cause of morbidity and mortality.
- Understanding risk factors and clinical presentation is crucial for effective management.
Purpose of the Study:
- To review the clinical experience with BPP at a community teaching hospital.
- To identify factors associated with mortality and treatment outcomes.
Main Methods:
- Retrospective review of 26 BPP cases over one year.
- Analysis of patient demographics, symptoms, risk factors, radiographic findings, and outcomes.
Main Results:
- Common symptoms include cough, sputum, fever, and altered mental status.
- Key risk factors identified were drug abuse, HIV, smoking, diabetes, and cancer.
- Bronchopneumonia radiographic pattern was linked to all mortality; penicillin resistance did not increase mortality.
Conclusions:
- BPP is a serious but treatable infection requiring comprehensive supportive care.
- Radiographic patterns, specifically bronchopneumonia, are critical indicators of prognosis.
- Early recognition and appropriate antibiotic use are vital for favorable outcomes, even with resistant strains.
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