Inpatient Treatment of Community-Acquired Pneumonias with Integrative Medicine

Table 10

Patients pretreated with antibiotics before admission (group 1).

Nr.	Sex	Age	Risk class	Temperature	First day subfebrile temp.	Leukocyte begin	Lc. end	CRP; (1–3 days)	CRP; (4–9 days)	CRP end	†	Comorbidities	Medical history and findings on admission	Chest X-ray
1	F	86	V	38.6	4	Normal; level		99	48	29.7		Dementia, cachexia, exsiccosis, breast cancer, mildhyperthyroidism, and large pleural effusion	Recurrent fever up to 39°C while on antibiotics; multiple pretreated with antibiotics (cephalosporins, quinolone).; Very poor general status, malnutrition, and attenuation of the breathing sounds.	Large pleural effusion, large infiltrate on the right lung.
2	F	57	II	37	1	Normal; level		56.0	11.4	0.0		Hypothyroidism, hepatitis	Fever, cough with sputum and fatigue 3 d prior to admission. Antibiotic pretreatment of 2 d.; Poor general status, cyanosis of the lips, cold sweat, and abnormal breath sounds of right lung.	Infiltrate right upper part of lungs.
3	F	68	IV	40.8	5	Normal; level		25	5.0	5.2		Gastric carcinoma, hypothyroidism	One week of fever, up to 39°C 3 d prior to admission. Antibiotic pretreatment of 3 d (quinolone), no crackling sound on the lungs.	Infiltrate of the lower right segment.
4	F	66	II	38.5	8	Normal; level		70	53.7	7.4		Chronic obstructive pulmonary disease(COPD), coronary heart disease, arterial hypertension, spinal syndromes with paralysis ofthe legs, and chronic heart failure (NYHA II-III)	2a of COPD with dry cough and dyspnea, temperature up to 38.5°C, and cough for one week prior to admission. Antibiotic pre-treatment of 2 d (cefaclor).; Poor general status, obesity, and crackling sound on both lower parts of the lungs.	Infiltration right lower lung.

Sex: F: female; M: male; risk class after Fine et al. [32]. “temperature” is the highest measured temperature within the first three days outlined. First day sub-febrile temperature: the first day the patient shows temperatures below 38.0°C. Leucocytes: highest number of leucocytes within the first three days. Lc. end: the count of leucocytes at discharge of the hospital. In case of normal leucocytes, no further recording was performed. CRP 1st and 3rd days: highest value within the first three days as in-patients. CRP days 4 till 9: the lowest value within this time span. CRP end: CRP at end of treatment. †: Death.