Pneumokokkeninfektion

Zuletzt aktualisiert: 2022-11-16

Autor(en): Anzengruber F., Navarini A.

ICD11: CA40.07

  • Tuberkulose

Fraenkel, 1886.

Infektion mit dem α-hämolysierenden Streptococcus pneumoniae.

  • In der Schweiz kommt es zu ca. 1000 schweren Erkrankungen pro Jahr
  • Infektionen treten meist im Winter auf

S. pneumoniae kolonisiert den oberen Respirationstrakt bei ca. 50% aller Menschen. Im Rahmen einer Pneumokokkeninfektion kommt es zur Infektion der Lunge.

  • Es zeigt sich eine akute Lobärpneumonie
  • Bei Kindern ist die Manifestation einer Otitis media, Meningitis und Orbitalphlegmone möglich
  • Bei Immunsuppression können (bullöse) Erysipele nach einer Pneumonie auftreten

  • Klinik
  • Blasenflüssigkeit grampositive Diplokokken
  • Blutkulturen

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  2. Suzuki K, Hayashi Y, Otsuka H, et al. [Invasive pneumococcal disease of serotype 6C with skin and soft tissue infections in an immunocompetent adult]. Kansenshogaku Zasshi 2014;88:849-54.
  3. Ponvert C, Scheinmann P, de Blic J. Anaphylaxis to the 23-valent pneumococcal vaccine: a second explored case by means of immediate-reading skin tests with pneumococcal vaccines. Vaccine 2010;28:8256-7.
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  8. Combe P, Raffi A, Cortell G. [Bullous pneumonia & pneumococcal meningitis in an infant with a positive tuberculin skin reaction]. Pediatrie 1957;12:685-7.
  9. San-Tjiang B. [Lupus erythematosus, pneumococcal peritonitis and necrosis of skin due to anticoagulants]. Ned Tijdschr Geneeskd 1956;100:643-6.
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  12. Macleod CM, Hoagland CL, Beeson PB. The Use of the Skin Test with the Type Specific Poly-Saccharides in the Control of Serum Dosage in Pneumococcal Pneumonia. J Clin Invest 1938;17:739-44.
  13. Robert-Koch Institut. (2015). Rki.de. Retrieved 13 May 2016, from https://www.rki.de/DE/Content/Infekt/EpidBull/Archiv/2015/Ausgaben/34_15.pdf?__blob=publicationFile
  14. Bundesamt für Gesundheit - Pneumokokken-Erkrankungen. (2015). Bag.admin.ch. Retrieved 13 May 2016, from http://www.bag.admin.ch/themen/medizin/00682/00684/01097/?lang=de