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Pneumococcal Pneumonia in Patients Requiring Hospitalization

Effects of Bacteremia and HIV Seropositivity on Radiographic Appearance

Rosita M. Shah1, Sanjay Gupta2, Elin Angeid-Backman3 and Judith O'Donnell4

1 Department of Radiology, Thomas Jefferson University Hospital, 111 S. 11th St., Ste. 3390 Gibbon, Philadelphia, PA 19107.
2 Department of Radiology, Yale University School of Medicine, 333 Cedar St., New Haven, CT 06520.
3 Department of Radiology, Medical College of Georgia, 1120 15th St., Augusta, GA 30912.
4 Department of Infectious Disease, Medical College of Pennsylvania, 3300 Henry Ave., Philadelphia, PA 19129.



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  		Fig. 1. —50-year-old HIV-negative woman with bacteremia. Chest radiograph reveals lobar pattern of Streptococcus pneumoniae. Note homogeneous, confluent air-space consolidation in right upper lobe.

 


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  		Fig. 2. —36-year-old HIV-negative man with bacteremia. Chest radiograph reveals bronchopneumonic pattern of Streptococcus pneumoniae. Note patchy nonconfluent consolidation in left lower lobe.

 


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  		Fig. 3. —47-year-old HIV-negative woman with bacteremia. Chest radiograph reveals multifocal lobar consolidation in both lower lobes.

 


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  		Fig. 4. —37-year-old HIV-positive man without bacteremia. Chest radiograph reveals multifocal bronchopneumonia in parahilar regions of both lungs.

 

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