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 tests
1st tests to order
- chest x-ray
- WBC count with differential
Tests to consider
- C pneumoniae culture of nasopharynx, sputum, or pleural fluid
- C pneumoniae antibody
- Nucleic acid amplification tests for C pneumoniae
Treatment algorithm
adults
children
Contributors
Authors
Margaret R. Hammerschlag, MD
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
Yuji Oba, MD, FCCP
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.
Sebastian Johnston, MB, BS, PhD, FRCP
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.
Differentials
- Coronavirus disease 2019 (COVID-19)
- Mycoplasma pneumoniae pneumonia
- Pneumonia, bacterial
More DifferentialsGuidelines
- Diagnosis and treatment of adults with community-acquired pneumonia
More GuidelinesPatient information
Pneumonia
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