Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- age <50 years
- persistent cough
- dry cough
- long duration of symptoms
Outros fatores diagnósticos
- recent community exposure
- throat involvement
- fever
- headache
- diarrhea
- bullous myringitis
- lung rales/crepitations
- rash
Fatores de risco
- close community settings
- immunosuppression
- cigarette smoking
- chronic lung disease
- travel
- male sex
- immunomodulating drugs
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- oxygen saturation in air
- WBC count
- hemoglobin
- Liver function tests (LFTs)
- BUN level
- real-time reverse transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2
- chest x-ray
Investigações a serem consideradas
- urinary Legionella antigen
- sputum culture
- molecular diagnosis of Mycoplasma pneumoniae or Chlamydophila pneumoniae
- nasopharyngeal PCR
Algoritmo de tratamento
presumed atypical bacterial pneumonia: nonpregnant adult
presumed atypical bacterial pneumonia: pregnant or child
Colaboradores
Autores
Lorenzo Di Francesco, MD, SFHM, FACP
Professor of Medicine
Department of Medicine
Division of General Internal Medicine
Emory University School of Medicine
GA
Declarações
LDF is a Gen Medicine/Point of Care Editorial Board Member for ClinicalKey.
Revisores
Mark Woodhead, BSc, DM, FRCP
Honorary Senior Lecturer (University of Manchester)
Consultant in General & Respiratory Medicine
Department of Respiratory Medicine
Manchester Royal Infirmary
Manchester
UK
Declarações
MW is an author of a reference cited in this topic.
Ethan Rubinstein, MD
H.E. Sellers Research Chair in Infectious Diseases
Head
Section of Adult Infectious Diseases
Department of Internal Medicine
Department of Medical Microbiology
University of Manitoba
Winnipeg
Canada
Declarações
At the time of the peer review, Professor Rubinstein declared no competing interests. We were made aware that Professor Rubinstein is now deceased.
George L. Anesi, MD, MSCE, MBE
Assistant Professor
Medicine, Division of Pulmonary, Allergy, and Critical Care
Perelman School of Medicine
University of Pennsylvania
PA
Declarações
GLA receives research funding from the National Institutes of Health (K23HL161353), the CDC Foundation, the Society of Critical Care Medicine (SCCM), and the University of Pennsylvania Perelman School of Medicine Thomas B. McCabe and Jeannette E. Laws McCabe Fund. GLA reports payments for authoring chapters for UpToDate and for expert witness consulting, including involving COVID-19, and reports that his spouse is employed by the U.S. Food and Drug Administration (FDA).
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Declarações
As afiliações e declarações dos pareceristas referem--se ao momento da revisão.
Referências
Principais artigos
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
Lim WS, Baudouin SV, George RC, et al; Pneumonia Guidelines Committee of the BTS Standards of Care Committee. BTS guidelines for the management of community acquired pneumonia in adults: update 2009. Thorax. 2009 Oct;64 Suppl 3:iii1-55.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
- Guidelines for the management of community acquired pneumonia in adults
Mais DiretrizesFolhetos informativos para os pacientes
Pneumonia
Mais Folhetos informativos para os pacientesCalculadoras
Community-acquired pneumonia severity index (PSI) for adults
CURB-65 pneumonia severity score
Mais CalculadorasVideos
Tracheal intubation: animated demonstration
Bag-valve-mask ventilation: animated demonstration
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