Community-acquired pneumonia: Difference between revisions
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* Bacteria |
* Bacteria |
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** Typical organisms |
** Typical organisms |
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| − | *** ''Streptococcus pneumoniae'' |
+ | *** ''[[Streptococcus pneumoniae]]'' |
| − | *** ''Haemophilus influenzae'' |
+ | *** ''[[Haemophilus influenzae]]'' |
| − | *** ''Staphylococcus aureus'' |
+ | *** ''[[Staphylococcus aureus]]'' |
*** Group A streptococci |
*** Group A streptococci |
||
| − | *** ''Moraxella catarrhalis'' |
+ | *** ''[[Moraxella catarrhalis]]'' |
*** Anaerobes and aerobic gram-negative bacteria |
*** Anaerobes and aerobic gram-negative bacteria |
||
| − | **** ''Klebsiella pneumonia'' |
+ | **** ''[[Klebsiella pneumonia]]'' |
| − | **** ''Pseudomonas aeruginosa'' |
+ | **** ''[[Pseudomonas aeruginosa]]'' |
| − | **** ''Acinetobacter baumannii'' |
+ | **** ''[[Acinetobacter baumannii]]'' |
** Atypical organisms |
** Atypical organisms |
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| − | *** ''Legionella'' spp. |
+ | *** ''[[Legionella]]'' spp. |
| − | *** ''Mycoplasma pneumoniae'' |
+ | *** ''[[Mycoplasma pneumoniae]]'' |
| − | *** ''Chlamydia pneumoniae'' |
+ | *** ''[[Chlamydia pneumoniae]]'' |
| − | *** ''Chlamydia psittaci'' |
+ | *** ''[[Chlamydia psittaci]]'' |
** Others |
** Others |
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| − | *** ''Coxiella burnetti'' |
+ | *** ''[[Coxiella burnetti]]'' |
* Viral |
* Viral |
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| − | ** Influenza |
+ | ** [[Influenza virus]] |
| − | ** Parainfluenza |
+ | ** [[Parainfluenza virus]] |
| − | ** RSV |
+ | ** [[RSV]] |
| − | ** Adenovirus |
+ | ** [[Adenovirus]] |
** Human metapneumovirus |
** Human metapneumovirus |
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** Middle East respiratory syndrome virus (MERS-CoV) |
** Middle East respiratory syndrome virus (MERS-CoV) |
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Revision as of 19:58, 2 October 2019
Microbiology
- Bacteria
- Typical organisms
- Streptococcus pneumoniae
- Haemophilus influenzae
- Staphylococcus aureus
- Group A streptococci
- Moraxella catarrhalis
- Anaerobes and aerobic gram-negative bacteria
- Atypical organisms
- Others
- Typical organisms
- Viral
- Influenza virus
- Parainfluenza virus
- RSV
- Adenovirus
- Human metapneumovirus
- Middle East respiratory syndrome virus (MERS-CoV)
- Rhinovirus
- Fungi
- Cryptococcus spp.
- Histoplasma capsulatum
- Coccidioides
- Clinically-important but uncommon organisms
- Legionella species
- Influenza A and B, including avian influenza A H5N1 and avian influenza A H7N9
- MERS-CoV and severe acute respiratory syndrome coronavirus (SARS-CoV)
- Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA)
Clinical Presentation
- If effusion, consider Legionella
Investigations
- Always add Legionella testing in immunocompromised, critical illness, recent travel, significant alcohol, and consider when pleural effusion is present
Management
Prognosis
Further Reading
References
- ^ Joshua P. Metlay, Grant W. Waterer, Ann C. Long, Antonio Anzueto, Jan Brozek, Kristina Crothers, Laura A. Cooley, Nathan C. Dean, Michael J. Fine, Scott A. Flanders, Marie R. Griffin, Mark L. Metersky, Daniel M. Musher, Marcos I. Restrepo, Cynthia G. Whitney. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. American Journal of Respiratory and Critical Care Medicine. 2019;200(7):e45-e67. doi:10.1164/rccm.201908-1581st.
