Korean J Pediatr Infect Dis.
1998 Nov;5(2):276-282. 10.14776/kjpid.1998.5.2.276.
5 Cases of Staphylococcal Pneumonia in Infancy
- Affiliations
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- 1Department of Pediatrics, Seoul Adventist Hospital, Seoul, Korea.
- KMID: 2440294
- DOI: http://doi.org/10.14776/kjpid.1998.5.2.276
Abstract
- Staphylococcal pneumonia caused by staphylococcus aureus can be characterized by its severity and rapid progress as a bacterial infection. The disease shows a high mortality in younger patients, especially in infants unless early and appropriate treatment is carried out. Treatment can be made of medical method alone but in cases of surgical interventions are needed, immediate surgical methods such as closed or open drainage of pleural fluid, lobectomy and decortication should be followed with combination of medical therapy. The choice of antibiotic should be made by proper antibiotic sensitivities tests. For a methicillin sensitive S. aureus(MSSA), the penicillase resistant penicillin would be the first choice and for a methicillin resistant S. aureus(MRSA), the glycopeptides such as vancomycin would be the first one. Other drugs can also be used if the bacterial agents show any sensitivities to these drugs. Commonly, the chest roentgenographic findings reveal infiltrations, empyema, pneumothorax, pleural effusion, atelectasis or pneumatoceles in staphylococcal pneumonia and this fact easily can lead the physicians to its diagnosis as soon as possible. We experienced 5 cases of staphylococcal pneumonia in infants, proven by through bacterial cultures and report them with brief review of the related literatures.
