RESUMEN
An outbreak of pneumonia that caused 34 deaths among 221 legionnaires was reported in 1977 at the American Legion Convention in Philadelphia. The causative agent was eventually recognized and named Legionella pneumophila. Legionellosis is a worldwide disease, but in Mexico there is only one report of Legionnaires' disease, possibly because it is not thought of as a cause of community-acquired pneumonia. We report a previously healthy patient who required admittance to our ICU with community-acquired Legionnaires' disease.
Asunto(s)
Enfermedad de los Legionarios/epidemiología , Adulto , Antibacterianos/uso terapéutico , Infecciones Comunitarias Adquiridas , Femenino , Estudios de Seguimiento , Humanos , Enfermedad de los Legionarios/diagnóstico por imagen , Enfermedad de los Legionarios/tratamiento farmacológico , México/epidemiología , Radiografía Torácica , Factores de TiempoRESUMEN
We examined the relationship between measured colloid osmotic pressure (COP), and COP calculated from serum total protein concentration (TP). Serum COP and TP were measured in 40 patients with severe abdominal sepsis. Measured COP values were not significantly different from values calculated using three separate formulas. The correlation rate between measured COP and TP (r = .83, p less than .01) was lower than that between calculated COP and TP (r = .99, p less than .01). All three formulas were fairly reliable. Alternatively, a table of predicted COP values may be useful in severely ill patients.