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Distribution of diplococcus pneumoniae types in acute otitis media in children and influence of the types on the clinical course in penicillin V therapy

Kamme, Carl ; Ageberg, Mats and Lundgren, Kaj (1970) In Scandinavian Journal of Infectious Diseases 2(3). p.183-190
Abstract

Pneumococci isolated from the ear exudate in 245 children under 10 years of age afflicted with acute otitis media were typed. Types 3, 6, 14, 18, 19 and 23 were found in 80% of the cases. In the remaining cases, 15 other types were found. Five strains were not typable with the antisera used. Types 14 and 23 were found twice as often in the age group 0-3 years as in the higher age groups, whereas the opposite was true for type 3. The relapse frequency was highest after types 14 and 19 infections. The frequency of residual secretory otitis was highest after type 14 infections. Types 19 and 23 were never found in infections followed by secretory otitis. Patients with type 14 infections, healed or unhealed, showed the same blood group... (More)

Pneumococci isolated from the ear exudate in 245 children under 10 years of age afflicted with acute otitis media were typed. Types 3, 6, 14, 18, 19 and 23 were found in 80% of the cases. In the remaining cases, 15 other types were found. Five strains were not typable with the antisera used. Types 14 and 23 were found twice as often in the age group 0-3 years as in the higher age groups, whereas the opposite was true for type 3. The relapse frequency was highest after types 14 and 19 infections. The frequency of residual secretory otitis was highest after type 14 infections. Types 19 and 23 were never found in infections followed by secretory otitis. Patients with type 14 infections, healed or unhealed, showed the same blood group distribution within the ABO and Lewis systems as a normal Swedish population. Penicillin V therapy failed to eliminate the pneumococcal strain from the nasopharynx in 40% of consecutive cases of otitis media. Relapse after penicillin-treated pneumococcal otitis is to be regarded as a new complication of the primary infection and not as a reinfection from the environment.

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author
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publishing date
type
Contribution to journal
publication status
published
subject
keywords
diplococcus pneumoniae, penicillin V therapy
in
Scandinavian Journal of Infectious Diseases
volume
2
issue
3
pages
8 pages
publisher
Informa Healthcare
external identifiers
  • scopus:84961467983
  • pmid:25607577
ISSN
0036-5548
DOI
10.3109/inf.1970.2.issue-3.06
language
English
LU publication?
no
id
df46013f-41e3-45c6-93c5-b66b77ed0667
date added to LUP
2016-05-19 15:34:05
date last changed
2024-01-04 04:07:11
@article{df46013f-41e3-45c6-93c5-b66b77ed0667,
  abstract     = {{<p>Pneumococci isolated from the ear exudate in 245 children under 10 years of age afflicted with acute otitis media were typed. Types 3, 6, 14, 18, 19 and 23 were found in 80% of the cases. In the remaining cases, 15 other types were found. Five strains were not typable with the antisera used. Types 14 and 23 were found twice as often in the age group 0-3 years as in the higher age groups, whereas the opposite was true for type 3. The relapse frequency was highest after types 14 and 19 infections. The frequency of residual secretory otitis was highest after type 14 infections. Types 19 and 23 were never found in infections followed by secretory otitis. Patients with type 14 infections, healed or unhealed, showed the same blood group distribution within the ABO and Lewis systems as a normal Swedish population. Penicillin V therapy failed to eliminate the pneumococcal strain from the nasopharynx in 40% of consecutive cases of otitis media. Relapse after penicillin-treated pneumococcal otitis is to be regarded as a new complication of the primary infection and not as a reinfection from the environment.</p>}},
  author       = {{Kamme, Carl and Ageberg, Mats and Lundgren, Kaj}},
  issn         = {{0036-5548}},
  keywords     = {{diplococcus pneumoniae; penicillin V therapy}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{183--190}},
  publisher    = {{Informa Healthcare}},
  series       = {{Scandinavian Journal of Infectious Diseases}},
  title        = {{Distribution of diplococcus pneumoniae types in acute otitis media in children and influence of the types on the clinical course in penicillin V therapy}},
  url          = {{http://dx.doi.org/10.3109/inf.1970.2.issue-3.06}},
  doi          = {{10.3109/inf.1970.2.issue-3.06}},
  volume       = {{2}},
  year         = {{1970}},
}