Meningococcal Pneumonia: Characterization and Review of Cases Seen Over the Past 25 Years. Winstead, J. M., McKinsey, D. S., Tasker, S., Groote, M. A. D., & Baddour, L. M. Clinical Infectious Diseases, 30(1):87–94, January, 2000.
Meningococcal Pneumonia: Characterization and Review of Cases Seen Over the Past 25 Years [link]Paper  doi  abstract   bibtex   
Fifty-eight cases of meningococcal pneumonia were included in this review. Fifty cases previously described in the literature from 1974 through 1998 and 8 new cases were included in this series. The median age of patients was 57.5 years, and pleuritic chest pain was described in 21 (53.9%) of 39 cases. Blood cultures were positive in 42 (79.3%) of 53 cases for which results were mentioned. Despite the presence of bacteremia, patients did not develop the syndrome of meningococcemia with its associated complications. Serogroup Y meningococci were most commonly recovered and accounted for 44.2% of identified isolates. Therapy has dramatically changed over the past 25 years; prior to 1991, penicillin antibiotics were most often used. Since 1991, 12 (80%) of 15 patients received cephalosporin antibiotics. Only 5 (8.62%) of 58 patients died. Secondary cases of meningococcal infections following exposure to patients with meningococcal pneumonia were noted in 2 instances.
@article{winstead_meningococcal_2000,
	title = {Meningococcal {Pneumonia}: {Characterization} and {Review} of {Cases} {Seen} {Over} the {Past} 25 {Years}},
	volume = {30},
	issn = {1058-4838, 1537-6591},
	shorttitle = {Meningococcal {Pneumonia}},
	url = {http://cid.oxfordjournals.org/content/30/1/87},
	doi = {10.1086/313617},
	abstract = {Fifty-eight cases of meningococcal pneumonia were included in this review. Fifty cases previously described in the literature from 1974 through 1998 and 8 new cases were included in this series. The median age of patients was 57.5 years, and pleuritic chest pain was described in 21 (53.9\%) of 39 cases. Blood cultures were positive in 42 (79.3\%) of 53 cases for which results were mentioned. Despite the presence of bacteremia, patients did not develop the syndrome of meningococcemia with its associated complications. Serogroup Y meningococci were most commonly recovered and accounted for 44.2\% of identified isolates. Therapy has dramatically changed over the past 25 years; prior to 1991, penicillin antibiotics were most often used. Since 1991, 12 (80\%) of 15 patients received cephalosporin antibiotics. Only 5 (8.62\%) of 58 patients died. Secondary cases of meningococcal infections following exposure to patients with meningococcal pneumonia were noted in 2 instances.},
	language = {en},
	number = {1},
	urldate = {2014-09-13},
	journal = {Clinical Infectious Diseases},
	author = {Winstead, Johnathan M. and McKinsey, David S. and Tasker, Sybil and Groote, Mary Ann De and Baddour, Larry M.},
	month = jan,
	year = {2000},
	pmid = {10619738},
	pages = {87--94},
}

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