Bacteremia and fungemia in patients with acquired immunodeficiency syndrome Journal Article


Authors: Whimbey, E.; Gold, J. W. M.; Polsky, B.; Dryjanski, J.; Hawkins, C.; Blevins, A.; Brannon, P.; Kiehn, T. E.; Brown, A. E.; Armstrong, D.
Article Title: Bacteremia and fungemia in patients with acquired immunodeficiency syndrome
Abstract: Forty-nine episodes of bacteremia and fungemia occurred in 38 of 336 patients with the acquired immunodeficiency syndrome seen at our institution since 1980. There were five types of infections. Infections commonly associated with a T-cell immunodeficiency disorder comprised 16 episodes and included those with Salmonella species, Listeria monocytogenes, Cryptococcus neoformans, and Histoplasma capsulatum. Infections commonly associated with a B-cell immunodeficiency disorder included those with Streptoococcus pneumoniae and Haemophilus influenzae. Infections occurring with neutropenia were caused by Pseudomonas aeruginosa, Staphylococcus epidermidis, and Streptococcus faecalis. Other infections occurring in the hospital were caused by Candida albicans, Staphylococcus epidermidis, enteric gram-negative rods, Staphylococcus aureus, and mixed S. aureus and group G streptococcus. Other infections occurring out of the hospital included those with S. aureus, Clostridium perfringens, Shigella sonnei, Pseudomonas aeruginosa, and group B streptococcus. Because two thirds of the septicemias were caused by organisms other than T-cell opportunists, these pathogens should be anticipated during diagnostic evaluation when formulating empiric therapy.
Keywords: clinical article; neutropenia; t lymphocyte; b lymphocyte; bacteremia; acquired immune deficiency syndrome; drug therapy; therapy; fungus; listeria monocytogenes; intravenous drug administration; amoxicillin; salmonella; candida; ampicillin; amphotericin b; staphylococcus; fungemia; human; priority journal; listeria
Journal Title: Annals of Internal Medicine
Volume: 104
Issue: 4
ISSN: 0003-4819
Publisher: American College of Physicians  
Date Published: 1986-04-01
Start Page: 511
End Page: 514
Language: English
DOI: 10.7326/0003-4819-104-4-511
PROVIDER: scopus
PUBMED: 3485396
DOI/URL:
Notes: Article -- Export Date: 18 August 2021 -- Source: Scopus
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MSK Authors
  1. Bruce Polsky
    69 Polsky
  2. Timothy E Kiehn
    92 Kiehn
  3. Arthur E Brown
    74 Brown
  4. Donald Armstrong
    228 Armstrong
  5. Jonathan W. M. Gold
    66 Gold