[Clinical characteristics of respiratory infection in patients with hematologic malignancy and neutropenia]. 2004

N P Domnikova, and E V Briakotnina

The aim of the study was a comparative assessment of clinical and laboratory findings characterizing the course of pneumonia or bronchitis in patients with hematological malignancy (HM) and neutropenia. The course of the respiratory infections (RI) was studied in 47 HM patients. RI in HM were found to develop in patients with a large tumor, in bone marrow involvement, in patients without a complete remission, more frequently pneumonia arises in acute leukemia, bronchitis--in patients with lymphoproliferative diseases. Among causative agents Gram-negative and Gram-positive microorganisms were detected at the same rate (44.2 and 45.9%, respectively), fungi were diagnosed in 9.8% cases. Enterobacteriaceae microorganisms were found more often in patients with pneumonia. Gram-positive agents occurred more frequently in bronchitis. Such clinical markers in neutropenic patients as dyspnea, dullness in the lung, weakened respiration, moist rales in the lungs and fever 39 degrees C and higher point to pneumonia. If the above markers are absent but there is cough, fever 38-39 degrees C, tough respiration, dry rales both pneumonia and bronchitis are possible.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011014 Pneumonia Infection of the lung often accompanied by inflammation. Experimental Lung Inflammation,Lobar Pneumonia,Lung Inflammation,Pneumonia, Lobar,Pneumonitis,Pulmonary Inflammation,Experimental Lung Inflammations,Inflammation, Experimental Lung,Inflammation, Lung,Inflammation, Pulmonary,Inflammations, Lung,Inflammations, Pulmonary,Lobar Pneumonias,Lung Inflammation, Experimental,Lung Inflammations,Lung Inflammations, Experimental,Pneumonias,Pneumonias, Lobar,Pneumonitides,Pulmonary Inflammations
D012135 Respiratory Sounds Noises, normal and abnormal, heard on auscultation over any part of the RESPIRATORY TRACT. Breathing Sounds,Crackles,Lung Sounds,Pleural Rub,Rales,Rhonchi,Stridor,Wheezing,Breathing Sound,Crackle,Lung Sound,Pleural Rubs,Rale,Respiratory Sound,Rhonchus,Rub, Pleural,Sound, Breathing,Sound, Lung,Sound, Respiratory,Sounds, Breathing,Sounds, Lung,Stridors,Wheezings
D001991 Bronchitis Inflammation of the large airways in the lung including any part of the BRONCHI, from the PRIMARY BRONCHI to the TERTIARY BRONCHI. Bronchitides
D005260 Female Females
D005334 Fever An abnormal elevation of body temperature, usually as a result of a pathologic process. Pyrexia,Fevers,Pyrexias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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