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9 Cards in this Set
- Front
- Back
Atypical Pneumonia |
- atypical presentation - organisms not detectable on Gram stain - organisms cannot be cultured. |
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Epidemiology |
- children - adolescents - young adults - specific RFs |
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Symptoms |
- 3-4 day prodrome of malaise, headache, fever, dry cough - constitutional Sx usually predominate over respiratory findings. - may have moderate amounts of sputum |
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Signs |
- typically sparse |
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Lab Findings |
- typically limited - need high level of suspicion - little or no consolidation - small increases in WCC - minimal if any alveolar exudate |
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Pathogens |
1. Mcyoplasma pneumoniae (70%)
2. Chlamydia pneumoniae 3. Legionella pneumophilia 4. Influenza A and B esp during epidemics 5. Adenovirus |
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Radiology |
- typically diffuse - interstitial pattern |
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Treatment (non-pregnant adult) |
- Macrolide - azithromycin OR clarithromycin OR erythromycin OR - Tetracycline - doxycycline |
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Treatment (pregnant or child) |
- Macrolide as above (diff dose) - Tetracycline if benefits outweigh risks |