Abstract:
:A prospective study of community-acquired pneumonia in Hong Kong was carried out between January and December, 1988. Ninety adults (57 male) with a mean age of 57.3 years were admitted to the Prince of Wales Hospital with community-acquired pneumonia. The etiologic diagnosis of pneumonia was made in 37 cases (41 percent). Pneumococcal infection was diagnosed in 11 patients (12 percent). The same number of patients had pulmonary tuberculosis presenting as acute pneumonia. It could not be differentiated from other causes of pneumonia on clinical and radiologic grounds, although pleural effusion and upper lobe involvement were more common in patients with tuberculosis. Chlamydia species were identified in five patients (6 percent) and Mycoplasma pneumoniae was identified in three patients (3 percent). There was no case of Legionnaires' disease. The etiologic agent could not be identified in 59 percent of cases. The low incidence of etiologic diagnosis of community-acquired pneumonia was probably related to the widespread use of antibiotics in private practice. Tuberculosis is an important cause of community-acquired pneumonia in Hong Kong and this diagnosis should be considered in patients who fail to respond to first-line antibiotics.
journal_name
Chestjournal_title
Chestauthors
Chan CH,Cohen M,Pang Jdoi
10.1378/chest.101.2.442subject
Has Abstractpub_date
1992-02-01 00:00:00pages
442-6issue
2eissn
0012-3692issn
1931-3543pii
S0012-3692(16)33773-4journal_volume
101pub_type
杂志文章相关文献
CHEST文献大全abstract:BACKGROUND:Diabetes mellitus is recognized as a stroke risk factor in atrial fibrillation (AF). Patients with diabetes with retinopathy have an increased risk for systemic cardiovascular complications, and severe diabetic retinopathy predisposes to ocular bleeding. We hypothesized that patients with diabetes, retinopat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-2096
更新日期:2015-04-01 00:00:00
abstract::Collagenases in bronchoalveolar lavage fluid (BALF) of patients with bronchiectasis and healthy subjects were characterized using specific functional and immunologic assays. The BAL fluid contained interstitial collagenase and collagenolytic proteinases of bacterial origin. Collagenase activities, obtained after organ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.6.1641
更新日期:1995-06-01 00:00:00
abstract:STUDY OBJECTIVE:Oral theophylline treatment may be helpful in controlling severe asthma during pregnancy. This treatment, however, has been suspected of causing both complications and malformations. The objective of this investigation was to study the influence of theophylline treatment on the course of pregnancy and d...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.3.642
更新日期:1995-03-01 00:00:00
abstract:OBJECTIVE:The improved lung deposition of hydrofluoroalkane-134a beclomethasone dipropionate (HFA-BDP) extrafine aerosol compared with chlorofluorocarbon beclomethasone dipropionate (CFC-BDP) suggests that lower doses of HFA-BDP may be required to provide equivalent asthma control. The present study was undertaken to t...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.115.2.343
更新日期:1999-02-01 00:00:00
abstract::An asymptomatic cremator was found incidentally to have lymphocytic alveolitis by bronchoalveolar lavage, and the basis for this finding was investigated. No known causes of lymphocyte alveolitis including sarcoidosis, hypersensitivity pneumonitis, berylliosis, tuberculosis, or fungal diseases of the lung were found. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.2.617
更新日期:1994-02-01 00:00:00
abstract::The literature contains many reports of the echocardiographic findings in left atrial myxoma and clot; however, descriptions of left ventricular thrombus or tumor are rare. We discuss here the echocardiographic findings in a patient with a large apical left ventricular thrombus which was confirmed both angiographicall...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.71.3.417
更新日期:1977-03-01 00:00:00
abstract::Individuals continue to smoke despite its numerous proven adverse health effects. Now viewed as a chronic medical condition, health-care professionals are more involved in cessation efforts. Physicians are often the first line of defense, providing intervention through prescription management and counseling. Some insu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.4.1231
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:It is unclear whether an abnormal swallowing reflex affects COPD exacerbations. This study investigated the prevalence of abnormal swallowing reflexes and its relationship with COPD exacerbation prospectively. We also clarified its association with gastroesophageal reflux disease (GERD) and airway bacterial ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-0482
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Disease progression in COPD is associated with a decline in exercise performance over time. We assessed whether tiotropium might mitigate this by determining its effect on treadmill endurance time (ET) over 2 years. METHODS:This was a randomized, double-blind, placebo-controlled trial of tiotropium, 18 μg d...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.12-2613
更新日期:2013-08-01 00:00:00
abstract::The clinical course of congestive heart failure (CHF) and mitral valve stenosis (MVS) is accompanied by episodes of dyspnea, wheezing, and cough, symptoms also observed in patients with bronchial hyperreactivity. However, it is still controversial whether bronchial hyperreactivity is demonstrable in patients with chro...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.5.1477
更新日期:1993-05-01 00:00:00
abstract:BACKGROUND:IV hydration before and after cardiac catheterization is effective in preventing contrast-associated renal dysfunction for patients with mild-to-moderate renal insufficiency, but necessitates overnight hospital admission. We tested an outpatient oral precatheterization hydration strategy in comparison with o...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.114.6.1570
更新日期:1998-12-01 00:00:00
abstract::Previous studies on the bronchodilating effect of nitrates yielded conflicting results. We hypothesized that the concomitant bronchial vasodilatation induced by nitrates may limit the increase of airway patency due to bronchial smooth muscle relaxation. To test this hypothesis, we evaluated the bronchodilating effect ...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.107.1.169
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to characterize the practice of routinely obtaining tracheal aspirate cultures in children with tracheostomy tubes and to analyze the appropriateness of using this information to guide antibiotic selection for treatment of subsequent lower respiratory infections. METHODS:Pediatric ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-2539
更新日期:2012-03-01 00:00:00
abstract::Mitral, aortic, and coronary arterial disease have been described in the various mucopolysaccharidoses. We report the first successful combined aortic and mitral valve replacement in an adult female patient with severe aortic and mitral stenosis due to Scheie's syndrome, a mucopolysaccharide storage disease. Both annu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.1.209
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND:The hypoxia test can be performed to identify potential hypoxia that might occur in an at-risk individual during air travel. In 2004, the British Thoracic Society increased the hypoxia test cutoff guideline from 85 to 90% in young children. The aim of this study was to investigate how well the cutoff values ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-1198
更新日期:2008-04-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the safety and efficacy of additional minocycline pleurodesis after thoracoscopic treatment of primary spontaneous pneumothorax. DESIGN:Retrospective comparative study with a historical control. SETTING:Thoracic surgical division of a university-affiliated tertiary medical center. PATIENT...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.1.50
更新日期:2004-01-01 00:00:00
abstract:STUDY OBJECTIVES:Evaluation of the effectiveness of negative-pressure ventilation (NPV) with the use of the iron lung vs noninvasive positive-pressure ventilation (NIPPV) in the treatment of COPD patients with acute on chronic respiratory failure. DESIGN:A retrospective case-control study. SETTING:Four Italian respir...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.121.1.189
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Characterizing acute exacerbations of COPD (AECOPD) and individualizing therapy is challenging. Key exacerbation therapies include antibiotics and systemic corticosteroids. Blood eosinophils, when either low or high, may offer a simple, inexpensive distinction to predict beneficial responses to these therapi...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1016/j.chest.2019.02.406
更新日期:2019-07-01 00:00:00
abstract::Asthma and COPD are common respiratory diseases that are caused by the interaction of genetic susceptibility with environmental factors. Environmental influences are important in both diseases, and although there are differences in genetic susceptibilities, there are also similarities. Three examples of interest for b...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.126.2_suppl_1.105S
更新日期:2004-08-01 00:00:00
abstract::We tested the response characteristics of a dual transcutaneous (tc) PO2/PCO2 monitoring system in healthy subjects who breathed various gas mixtures, and we compared steady-state tc readings to simultaneous arterial blood gas analysis in 20 stable respiratory outpatients. The electrodes were simple to apply, required...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.5.1211
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:Induced sputum cytology and protein biomarkers can be used to assess airways inflammation. Increases in sputum iron have been described in inflammatory lung disease. We hypothesized that other sputum metals may be affected by airways inflammation and investigated their potential value as biomarkers. METHODS...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.09-1047
更新日期:2010-03-01 00:00:00
abstract::A radioaerosol procedure using 99mcTc-DTPA (diethylene triamine penta acetate) was used to evaluate the permeability of the pulmonary epithelium in smokers and nonsmokers. The average clearance of this indicator from the lungs of smokers without significant airway obstruction exceeded that found in normal subjects by ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.83.1.6
更新日期:1983-01-01 00:00:00
abstract:STUDY OBJECTIVES:Poor dental hygiene has been linked to respiratory pathogen colonization in residents of long-term care facilities. We sought to investigate the association between dental plaque (DP) colonization and lower respiratory tract infection in hospitalized institutionalized elders using molecular genotyping....
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.126.5.1575
更新日期:2004-11-01 00:00:00
abstract::We developed a Rapid Tuberculosis Screening Program for use in women who have not had prenatal care. All patients who presented for delivery without a documented tuberculin skin test (TBN-ST) were given a symptom questionnaire. Those who had a positive response to any of the questions received a chest roentgenogram to...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.2.364
更新日期:1993-02-01 00:00:00
abstract::Antiphospholipid syndrome is an autoimmune disorder characterized by a hypercoagulable state, leading to arterial and venous thrombosis. We present a 23-year-old patient, suspected of having Budd-Chiari syndrome due to antiphospholipid syndrome, who developed severe and progressive hypoxemia, requiring prolonged mecha...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-2879
更新日期:2014-11-01 00:00:00
abstract::In airway diseases such as asthma and COPD, specific structural changes may be observed, very likely secondary to an underlying inflammatory process. Although it is still controversial, airway remodeling may contribute to the development of these diseases and to their clinical expression and outcome. Airway remodeling...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.129.4.1068
更新日期:2006-04-01 00:00:00
abstract::A 62-year-old woman had had kyphoscoliosis since age 12 years. Respiratory failure developed at age 35 years following a respiratory infection. A tracheostomy was done and she required assisted ventilation using a respiratory (Bird). Many attempts at weaning her from the ventilator were unsuccessful. She has remained ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.5.1297
更新日期:1990-11-01 00:00:00
abstract::To evaluate the effect of inhaled diuretics, furosemide and amiloride, on cough induced by acid inhalation challenge in asthmatic children, a double-blind, randomized, placebo-controlled study was conducted. On separate days, 12 asthmatic children (10.3 +/- 0.7 [SEM] years) underwent acetic acid (AD) inhalation challe...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.107.2.413
更新日期:1995-02-01 00:00:00
abstract:BACKGROUND:The protein deacetylase sirtuin-1 (SIRT1) is an antiaging molecule that is decreased in the lung in patients with COPD. Recently, SIRT1 was reported to be detectable in serum, but serum SIRT1 (s120S) levels have not yet been reported in patients with COPD. METHODS:Serum SIRT1 protein of all samples was meas...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2017.05.004
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:In chronic obstructive pulmonary disease, both smaller and larger airways are affected. FEV1 mainly reflects large airways obstruction, while the later fraction of forced exhalation reflects reduction in terminal expiratory flow. In this study, the objective was to evaluate the relationship between spirometr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2016.06.047
更新日期:2016-11-01 00:00:00