Community-Acquired Pneumonia

General
Facts and Figures
Classification

Presentation
History
Physical Exam
Labs
Radiology

Diagnosis
Criteria for diagnosis
Differential

Microbiology
General
Specific organisms

Pharmacology
Drug classes
Mechanism of action
Resistance

Treatment
General
Site of care
Medication
Duration
Assessment of response
Prevention

References
Literature cited
Complete bibliography

Links
More...






Diagnosis

Differential
  • a large number of bacteria cause pneumonia; the most common are Streptococcus pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, Chlamydia pneumoniae, Legionella pneumophila, Moraxella catarrhalis, Klebsiella pneumoniae (see the Microbiology - Specific Organisms section for a review); exact incidences are difficult to ascertain

  • non-bacterial pathogens in the differential include many viruses (influenza, adenovirus, rhinovirus, etc.) and fungi (Aspergillus spp., Candida spp., Coccidioides immitis, etc.)

  • noninfectious conditions can also present as pneumonia and include: CHF, pulmonary infiltrates with eosinophilia, pulmonary hemorrhage, TB, Goodpasture's syndrome, pulmonary embolism, neoplastic disease, radiation injury, inhalation injury, pulmonary contusion, bronchiolitis obliterans with organizing pneumonia (BOOP), Wegener's granulomatosis, collagen-vascular disorders (including rheumatoid lung disease, SLE, scleroderma), amyloidosis, sarcoidosis, interstitial pneumonitis (e.g., farmers, bird breeders), and drug reactions (e.g., hydrochlorothiazide, asbestos, silicosis, etc.)
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medschool.ucsd.edu/curricular_resources/MED/CAP/index.html   3/30/99