Pulmonology Book

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Pneumococcal PneumoniaAka: Streptococcus Pneumoniae

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  1. See Also
    1. Bacterial Pneumonia
  2. Epidemiology
    1. Most common cause of community acquired Pneumonia
  3. Classic Symptoms
    1. Shaking rigors
    2. Fever
    3. Purulent Sputum
      1. Rust colored
    4. Pleuritic Chest Pain
    5. Dyspnea
    6. Chest splinting
  4. Lab
    1. Complete Blood Count
      1. White Blood Cell Count elevated with Left Shift
    2. Gram Stain
      1. Gram Positive encapsulated organisms
      2. Elongated lancet shaped diplococci
    3. Blood Culture
      1. Positive in only 33% of cases
    4. Sputum Culture
      1. Positive in only 40% of pneumococcal Pneumonias
  5. Radiology
    1. Chest XRay
      1. Lobar consolidation (often lower lobe)
      2. Patchy infiltrates
  6. Management
    1. Increasing Penicillin Resistance
      1. See Penicillin Resistant Pneumococcus
    2. Penicillin Sensitive
      1. Ampicillin IV or Amoxicillin PO
      2. Erythromycin
      3. Azithromycin
      4. Clarithromycin
      5. Penicillin G IV
      6. Doxycycline
      7. Oral second generation Cephalosporin
      8. Parenteral third generation Cephalosporin
    3. High-Level Penicillin Resistance
      1. Broad spectrum Fluoroquinolone
        1. Levofloxacin
        2. Gatifloxacin
        3. Grepafloxacin
        4. Moxifloxacin
        5. Sparfloxacin
      2. Parenteral third generation Cephalosporin
      3. High dose Ampicillin
      4. Vancomycin IV with or without Rifampin
  7. References
    1. Gilbert (2001) Sanford Antimicrobial, p. 28

Pneumonia, Pneumococcal (C0032300)

Definition (MSH)A febrile disease caused by STREPTOCOCCUS PNEUMONIAE. This condition is characterized by inflammation of one or more lobes of the lungs and symptoms include chills, fever, rapid breathing, and cough.
ConceptsDisease or Syndrome (T047)
ICD9481
EnglishChest infection - pneumococcal pneumonia, Lobar -pneumococcal -pneumonia, Lobar Pneumonia, Lobar Pneumonias, Pneumococcal lobar pneumonia, Pneumococcal pneumonia, Pneumococcal Pneumonias, PNEUMONIA LOBAR, Streptococcus pneumoniae pneumonia
Spanishneumonia lobar neumococica, neumonia lobular, neumonia neumococica, neumonia por neumococos
Parent ConceptsPneumonia (except that caused by TB or STD) (C0810014), Influenza with pneumonia NOS (C0155870), Pneumonia, Bacterial (C0004626), Pneumococcal Infections (C0032269), Pneumonia (C0032285), Pneumonia, Pneumococcal (C0032300), Streptococcal pneumonia (C0155862), Ambiguous concept (C1274012)
SourcesCCS, COSTAR, CST, DXP, ICD9CM, LCH, MSH, MTHICD9, NDFRT, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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