Do not miss the mimickers of Community Acquired Pneumonia:

[Imad Hassan]

Do not miss the mimickers of Community Acquired Pneumonia:

Hypothetical Scenario

Patient with acute “Pneumonic” illness: febrile, cough, sputum, shortness of breath, new lung infiltrate (Lobar Pneumonia, Lobular (bronchopneumonia), Interstitial Pneumonia):

Antibiotic Responsive (penicillins, cephalosporins, respiratory quinolones, macrolides):

1.      Simple community acquired pneumonia

Non-antibiotic Responsive (no response to usual CAP cover):

1.      Influenza, adenoviral, RSV, Corona, CMV, PCP, HIV, TB, Brucella, resistant CAP organisms

2.      Steroid-Responsive;

1.      Vasculitis: lupus pneumonitis, Wegener’s, BOOP

2.      Acute Fibrosing Alveolitis (Hamman-Rich)-response may be poor.

3.      Acute Extrinsic Allergic Alveolitis: Bird Breeders, Farmers etc

4.      Drug/Chemical Induced Pneumonitis

5.      Eosinophilic Pneumonias

6.      Infection-related Inflammatory response (plus antibiotic cover): TB, PCP, VZV pneumonia etc

 

Remember systemic infections with significant respiratory symptoms:

Malaria, Typhoid, Brucella

[محمد ال عبدالله‎]

Thanks alot Dr.Hassan very interesting

2013/6/10 Imad Hassan <imadsa...@gmail.com>

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