Infectious Diseases in Critical Care Medicine

ventriculoencephalitis and dementia in the immunocompromised. HSV6 can cause enceph- alitis similar to HSV1 and has been associa ...

contact with the face, including trying to drink (hydrophobia). Hallucinations and fluctuating consciousness proceed to coma, pa ...

possibility of neurologic disease must be assessed simultaneously with the assessment of the patient’s overall medical status. A ...

Heyes MP, Lackner A. Increased cerebrospinal fluid quinolinic acid, kynurenic acid and L-kynurenine in acute septicemia. J Neur ...

10 Severe Community-Acquired Pneumonia in Critical Care Burke A. Cunha Infectious Disease Division, Winthrop-University Hospital ...

Pulmonary Factors Elderly adults with decreased lung function have diminished pulmonary reserve, and decompensation of pulmonary ...

CLINICAL APPROACH TO SEVERE CAP Normal Hosts Normal hosts presenting with severe CAP are those with impaired cardiac/pulmonary f ...

pathogens causing CAP. It is a common clinical misconception that because a patient is immunocompromised, the pathogen range is ...

superimposed Staphylococcus aureus pneumonia, or unrelated systemic disorder causing hypotension/shock, i.e., acute MI, pulmonar ...

Disorders Associated with Impaired T-Lymphocyte Function (CMI) Patients with impaired T-lymphocyte/macrophage function have decr ...

CLINICAL APPROACH TO SEVERE CAP BY CXR PATTERN AND DEGREE OF HYPOXEMIA Normal hosts with CAP and without significant preexisting ...

occur with HIV or TNF-aantagonists. Clinically, cavitation<72 hours occurring in a patient with CAP is limited toS. aureusorP ...

infiltrates.S. aureus(MSSA/CA-MRSA) CAP occurs only with influenza pneumonia and not alone. The third clinical presentation of i ...

presenting with influenza pneumonia A may have an unremarkable CXR early, even with hypoxemia present. Bilateral segmental inter ...

Normal hosts do not present withP. aeruginosaCAP.P. aeruginosaCAP is rare, nearly always fatal, and occurs virtually only in the ...

laboratory tests. In CAP patients unresponsive to apparently appropriate antibiotic therapy, transbronchial or open lung biopsy ...

Lim WS, van der Eerden M, Laing R, et al. Defining community-acquired pneumonia severity on presentation to hospital: an intern ...

Gotoh S, Nishimura T, Takahashi O, et al. Adrenal function in patients with community-acquired pneumonia. Eur Respir J. 2008; 3 ...

11 Nosocomial Pneumonia in Critical Care Emilio Bouza Clinical Microbiology and Infectious Diseases Department, Hospital General ...

byPseudomonas aeruginosaorAcinetobacterspp.; medical rather than surgical illnesses; and ineffective antibiotic therapy (18–22). ...