Summary
Definition
História e exame físico
Principais fatores diagnósticos
- persistent cough
- dry cough
- prolonged symptoms
- fever
- adventitious sounds on physical exam
- exposure to a person with respiratory tract infection
Outros fatores diagnósticos
- throat involvement
- rash
- headache
- bullous myringitis
- hepatitis
Fatores de risco
- close community settings
- recent exposure
- cigarette smoking
- age <30 years
- immunosuppression
- asplenia
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- WBC count
- hemoglobin
- LFTs
- pulse oximetry
- BUN and electrolytes
- C-reactive protein
- chest x-ray
Investigações a serem consideradas
- nucleic acid amplification test (NAAT)
- serology
- culture±/Gram stain
Novos exames
- antigen test
Algoritmo de tratamento
with pneumonia
Colaboradores
Autores
Ran Nir-Paz, MD

Professor in Medicine and Clinical Microbiology
Department of Clinical Microbiology and Infectious Diseases
Hadassah-Hebrew University Medical Center
Jerusalem
Israel
Declarações
RNP declares that he has no competing interests. RNP is an author of several references cited in this topic.
Takeshi Saraya, MD, PhD
Associate Professor
Department of Respiratory Medicine
Kyorin University School of Medicine
Tokyo
Japan
Declarações
TS declares that he has no competing interests.
Revisores
Enno Jacobs, MD
Director
Institute for Medical Microbiology and Hygiene
Dresden
Germany
Declarações
EJ declares that he has no competing interests.
Laura J. Christie, MD
Research Scientist
Pediatric Infectious Disease
California Department of Public Health
Viral and Rickettsial Disease Laboratory
Richmond
CA
Declarações
LC declares that she has no competing interests.
Referências
Principais artigos
British Thoracic Society. BTS guidelines for the management of community acquired pneumonia in adults: update 2009. Jan 2015 [internet publication].Texto completo
Metlay JP, Waterer GW, Long AC, et al. Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-67.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Coronavirus disease 2019 (COVID-19)
- Typical bacterial pneumonia
- Viral pneumonia
Mais Diagnósticos diferenciaisDiretrizes
- Diagnosis and treatment of adults with community-acquired pneumonia
- Pneumonia (community-acquired): antimicrobial prescribing
Mais DiretrizesFolhetos informativos para os pacientes
Pneumonia
Pneumonia: do I need a vaccine?
Mais Folhetos informativos para os pacientesCalculadoras
CURB-65 pneumonia severity score
Community-acquired pneumonia severity index (PSI) for adults
Mais CalculadorasConectar-se ou assinar para acessar todo o BMJ Best Practice
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