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Titolo:
The spectrum of pulmonary infections in cancer patients
Autore:
Rolston, KVI;
Indirizzi:
Univ Texas, MD Anderson Canc Ctr, Infect Dis Sect, Houston, TX 77030 USA Univ Texas Houston TX USA 77030 r, Infect Dis Sect, Houston, TX 77030 USA
Titolo Testata:
CURRENT OPINION IN ONCOLOGY
fascicolo: 4, volume: 13, anno: 2001,
pagine: 218 - 223
SICI:
1040-8746(200107)13:4<218:TSOPII>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
MARROW TRANSPLANT RECIPIENTS; RAPIDLY GROWING MYCOBACTERIA; STEM-CELL TRANSPLANTATION; INVASIVE ASPERGILLOSIS; NEUTROPENIA; PNEUMONIA; SUSCEPTIBILITY; BACTEREMIA; PATHOGENS; BLOOD;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Rolston, KVI Univ Texas, MD Anderson Canc Ctr, Infect Dis Sect, 1400 Holcombe Blvd,Box 402, Houston, TX 77030 USA Univ Texas 1400 Holcombe Blvd,Box 402 Houston TX USA 77030 SA
Citazione:
K.V.I. Rolston, "The spectrum of pulmonary infections in cancer patients", CURR OPIN O, 13(4), 2001, pp. 218-223

Abstract

The lung is a common site of infection in patients with cancer. The spectrum of pulmonary infection depends on the underlying immunologic deficit or deficits. In neutropenic patients, gram-negative bacterial infections predominate early, whereas fungal infections (Aspergillus, Zygomycetes, Fusariumspecies) are common if neutropenia persists. In patients with impaired cellular immunity, viral infections (cytomegalovirus, other herpes viruses) predominate and may coexist with bacterial (Legionella, Nocardia), mycobacterial, and fungal (Aspergillus, Histoplasma, etc.) infections. Pneumocystis carinii pneumonia is also common in this setting. Infections caused by Streptococcus pneumoniae and Haemophilus influenzae are the primary bacterial infections encountered in patients with impaired humoral immunity. In patients with primary or metastatic pulmonary neoplasms, postobstructive pneumonitis, lung abscess, and occasionally empyema of mixed bacterial etiology (Staphylococcus species, gram-negative bacilli, anaerobes) are frequent. Patients with brain tumors and head and neck cancer develop aspiration pneumonitis, which is usually caused by organisms living in the oropharynx and upper airways. Several immunologic deficits might be present in the same patient,making such a patient susceptible to a wide variety of opportunistic pathogens.(C) 2001 Lippincott Williams & Wilkins, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 00:06:53