Evidence-Based Complementary and Alternative Medicine / 2013 / Article / Tab 10

Research Article

Inpatient Treatment of Community-Acquired Pneumonias with Integrative Medicine

Table 10

Patients pretreated with antibiotics before admission (group 1).

Nr.SexAgeRisk classTemperatureFirst day subfebrile temp.Leukocyte beginLc. endCRP
(1–3 days)
(4–9 days)
CRP endComorbiditiesMedical history and findings on admissionChest X-ray

994829.7Dementia, cachexia, exsiccosis, breast cancer, mildhyperthyroidism, and large pleural effusionRecurrent 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.

level, hepatitisFever, 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.

255.05.2Gastric carcinoma, hypothyroidismOne 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.

7053.77.4Chronic 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.

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