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Research ArticleOriginal Research

Septicemia in Patients With AIDS Admitted to a University Health System: A Case Series of Eighty-Three Patients

Richard I. Haddy, Bradley W. Richmond, Felix M. Trapse, Kristopher Z. Fannin and Julio A. Ramirez
The Journal of the American Board of Family Medicine May 2012, 25 (3) 318-322; DOI: https://doi.org/10.3122/jabfm.2012.03.110106
Richard I. Haddy
MD
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Bradley W. Richmond
MD
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Felix M. Trapse
MD
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Kristopher Z. Fannin
MD
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Julio A. Ramirez
MD
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Article Figures & Data

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    Table 1. Leukocyte count, CD4 Count, and Viral Load Determinations in AIDS Patients With Septicemia
    Reported, n (%)MedianRange
    Leukocyte count (cells/mm3)82 (98.8)4.4<1–20.6
    CD4 (cells/mm3)69 (83.1)340–396
    Viral load (copies/mL)33 (39.8)81,273<50–750,000
    • View popup
    Table 2. Totals of Organisms and Totals in Patients With Unknown Portal of Entry (Primary Septicemia)*
    OrganismPatients With Unknown Portal of Entry, n (%)Total Patients, n (%)
    Methicillin-sensitive Staphylococcus aureus15 (23.1)21 (21.4)
    Mycobacterium avium complex4 (6.2)10 (10.2)
    Coagulase-negative Staphylococci4 (6.2)9 (9.2)
    Streptococcus pneumoniae5 (7.7)9 (9.2)
    Escherichia coli4 (6.2)7 (7.1)
    Pseudomonas aerugenosa3 (4.6)4 (4.1)
    Candida albicans3 (4.6)3 (3.1)
    Candida sp.1 (1.5)3 (3.1)
    Gram-negative bacilli, unspecified3 (4.6)3 (3.1)
    Gram-positive cocci, unspecified3 (4.6)3 (3.1)
    Histoplasma capsulatum2 (3.1)3 (3.1)
    Methicillin-resistant Staphylococcus aureus2 (3.1)3 (3.1)
    Mycobacterium tuberculosis2 (3.1)3 (3.1)
    Alpha-hemolytic streptococci2 (3.1)2 (2.0)
    Cryptococcus neoformans2 (3.1)2 (2.0)
    Group B beta-hemolytic streptococci1 (1.5)2 (2.0)
    Streptococcus feacalis1 (1.5)2 (2.0)
    Coagulase-negative Gram-positive cocci1 (1.5)1 (1.0)
    Cryptococcus vs Histoplasma sp.1 (1.5)1 (1.0)
    Enterobacter cloacae1 (1.5)1 (1.0)
    Group D Salmonella sp.1 (1.5)1 (1.0)
    Helicobacter pylori1 (1.5)1 (1.0)
    Hemophilus influenzae1 (1.5)1 (1.0)
    Micrococcus sp.1 (1.5)1 (1.0)
    Spirochetes1 (1.5)1 (1.0)
    Totals6598
    • ↵* The total number of isolates (98) is greater than the number of patients (83) because some cases of septicemia were polymicrobial.

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    Table 3. Polymicrobial Septicemia in Patients With AIDS
    OrganismsNo.
    Staphylococcus aureus, Mycobacterium avium complex2
    Streptococcus pneumoniae, S. aureus1
    Group D Salmonella sp., Gram-negative bacilli (unspecified)1
    Cryptococcus neoformans, alpha-hemolytic streptococci1
    Coagulase-negative Staphylococcus, Gram-positive cocci (unspecified)1
    Coagulase-negative staphylococci, Histoplasma sp.1
    Coagulase-negative S. aureus, Streptococcus faecalis1
    S. aureus, Streptococcus viridens1
    Candida albicans, S. aureus1
    Mycobacterium tuberculosis, Mycobacterium avium complex1
    Candida albicans, “spirochetes”1
    Total12
    • View popup
    Table 4. Portals of Entry for Septicemia in Patients With AIDS
    Portal of EntryNo. (%)
    Primary51 (61.5)
    Lung10 (15.9)
    Intravascular line7 (8.4)
    Skin4 (4.8)
    Urinary tract3 (3.6)
    Bone marrow3 (3.6)
    Meninges2 (2.4)
    Urinary catheter1 (1.2)
    Knee1 (1.2)
    Liver1 (1.2)
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The Journal of the American Board of Family     Medicine: 25 (3)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 3
May-June 2012
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Septicemia in Patients With AIDS Admitted to a University Health System: A Case Series of Eighty-Three Patients
Richard I. Haddy, Bradley W. Richmond, Felix M. Trapse, Kristopher Z. Fannin, Julio A. Ramirez
The Journal of the American Board of Family Medicine May 2012, 25 (3) 318-322; DOI: 10.3122/jabfm.2012.03.110106

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Septicemia in Patients With AIDS Admitted to a University Health System: A Case Series of Eighty-Three Patients
Richard I. Haddy, Bradley W. Richmond, Felix M. Trapse, Kristopher Z. Fannin, Julio A. Ramirez
The Journal of the American Board of Family Medicine May 2012, 25 (3) 318-322; DOI: 10.3122/jabfm.2012.03.110106
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