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. 1978 Feb 4;1(6108):276-8.
doi: 10.1136/bmj.1.6108.276.

Bronchopulmonary infection due to Branhamella catarrhalis: 11 cases assessed by transtracheal puncture

G Ninane, J Joly, M Kraytman

Bronchopulmonary infection due to Branhamella catarrhalis: 11 cases assessed by transtracheal puncture

G Ninane et al. Br Med J. .

Abstract

Transtracheal punctures were performed in 193 miners of anthracosilicotic coal who presented with an acute exacerbation of chronic bronchitis. The transtracheal aspirates were bacteriologically positive in 104 patients. Branhamella catarrhalis was isolated in 15 patients; 10 of these responded to chemotherapy, as shown by the resolution of all symptoms and the disappearance of the organism on a repeat transtracheal puncture performed 48 hours after the end of treatment. One ampicillin-treated patient, whose bronchial secretions yielded a beta-lactamase-producing B catarrhalis, showed no improvement. But subsequent treatment with cefuroxime was followed by clinical and bacteriological recovery. B catarrhalis probably acted as an opportunistic respiratory pathogen in these patients, who were probably compromised hosts in view of their clinical history. B catarrhalis normally responds to the penicillins commonly used for respiratory infections, but if treatment fails a transtracheal puncture is essential to identify the strain and determine an appropriate antibiotic.

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References

    1. N Engl J Med. 1963 Sep 26;269:664-6 - PubMed
    1. N Engl J Med. 1975 Mar 13;292(11):563-71 - PubMed
    1. Lancet. 1977 Jul 16;2(8029):149 - PubMed
    1. J Antimicrob Chemother. 1977 Jul;3(4):374-5 - PubMed
    1. Antimicrob Agents Chemother. 1977 Apr;11(4):599-604 - PubMed

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