A Novel Diagnostic Scoring System to Differentiate between Legionella pneumophila Pneumonia and Streptococcus pneumoniae Pneumonia
| العنوان: | A Novel Diagnostic Scoring System to Differentiate between Legionella pneumophila Pneumonia and Streptococcus pneumoniae Pneumonia |
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| المؤلفون: | Mitsuru Sada, Haruyuki Ishii, Yukari Ogawa, Masaki Tamura, Hajime Goto, Daisuke Kurai, Manami Inoue, Kojiro Honda, Takuma Yokoyama, Takayasu Watanabe, Miku Oda, Hajime Takizawa, Kosuke Ohkuma, Hirokazu Kimura, Hiroki Nunokawa, Takeshi Saraya |
| المصدر: | Internal Medicine. 57:2479-2487 |
| بيانات النشر: | Japanese Society of Internal Medicine, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, biology, business.industry, Hazard ratio, Area under the curve, General Medicine, biology.organism_classification, medicine.disease, Legionella pneumophila, Gastroenterology, Confidence interval, 03 medical and health sciences, Pneumonia, chemistry.chemical_compound, 0302 clinical medicine, Respiratory failure, chemistry, Internal medicine, Lactate dehydrogenase, Internal Medicine, Medicine, 030212 general & internal medicine, business, Hyponatremia, 030217 neurology & neurosurgery |
| الوصف: | Objective We investigated a novel diagnostic scoring system to differentiate Legionella pneumophila pneumonia from Streptococcus pneumoniae pneumonia. Methods We retrospectively reviewed the clinical data of 62 patients with L. pneumophila pneumonia (L-group) and 70 patients with S. pneumoniae pneumonia (S-group). Results The serum sodium (Na) levels tended to be lower according to the severity [age, dehydration, respiratory failure, orientation disturbance, low blood pressure (A-DROP)] score in the L-group. On a multivariate analysis, we found that four factors were independent predictive markers for inclusion in the L-group: relative bradycardia [hazard ratio (HR) 5.177, 95% confidence interval (CI): 1.072-24.993, p=0.041], lactate dehydrogenase (LDH) levels ≥292 IU/L (HR 6.804, 95% CI: 1.629-28.416, p=0.009), C-reactive protein (CRP) levels ≥21 mg/dL (HR 28.073, 95% CI: 5.654-139.462, p |
| تدمد: | 1349-7235 0918-2918 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::94480240ad507e273a56faf103f2870eTest https://doi.org/10.2169/internalmedicine.0491-17Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........94480240ad507e273a56faf103f2870e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13497235 09182918 |
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