Last reviewed: November 2017
Last updated: August  2017

Summary

Definition

History and exam

Other diagnostic factors

  • overcrowding (risk factor)
  • illness in other family members
  • cough
  • fever
  • headache
  • rales
  • wheezes on chest auscultation
  • tachypnea
  • pleuritic chest pain
  • dullness to percussion/reduced air entry/decreased tactile fremitus

Risk factors

  • overcrowding

Diagnostic investigations

1st investigations to order

  • chest x-ray
  • WBC count with differential
Full details

Investigations to consider

  • C pneumoniae culture of nasopharynx, sputum, or pleural fluid
  • C pneumoniae antibody
  • PCR for C pneumoniae in nasopharyngeal swabs or aspirates, sputum or pleural fluid
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Pediatrics and Medicine

Director

Division of Pediatric Infectious Diseases

SUNY Downstate Medical Center

Brooklyn

NY

Disclosures

MRH is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Associate Professor of Clinical Medicine

Division of Pulmonary/Critical Care Medicine

School of Medicine

University of Missouri-Columbia

Columbia

MO

Disclosures

YO declares that he has no competing interests.

Professor of Respiratory Medicine

Honorary Consultant Physician in Allergy and Respiratory Medicine

Department of Respiratory Medicine

Imperial College School of Medicine

London

UK

Disclosures

SJ has received fees for speaking, and research and consultant fees from Sanofi Pasteur, Aventis, GlaxoSmithKline, AstroZeneca, Merck, Pfizer, Centocor, and Synergen.

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