最近审阅: 八月 2020
最近更新: 十二月  2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 年龄<50岁
  • 持续咳嗽
  • 干咳
  • 症状持续时间长

其他诊断因素

  • 近期社区暴露
  • 咽痛受累
  • 发热
  • 头痛
  • 腹泻
  • 大疱性鼓膜炎
  • 肺啰音和湿啰音
  • 皮疹

危险因素

  • 人口密集的社区环境
  • 免疫抑制
  • 吸烟
  • 慢性肺疾病
  • 旅行
  • 男性
  • 免疫调节药物

诊断性检查

首要检查

  • 胸部 X 线检查
  • 白细胞计数
  • 血红蛋白
  • 肝功能检查 (LFT)
  • 吸入空气时的血氧饱和度
  • 血清尿素水平
更多 首要检查

需考虑的检查

  • 尿军团菌抗原
  • 痰军团菌培养
  • 肺炎支原体或肺炎衣原体的分子诊断
  • 非典型病原体的血清学检查
  • 鼻咽病毒培养
更多 需考虑的检查

治疗流程

撰稿人

Ran Nir-Paz

Associate Professor in Medicine

Department of Clinical Microbiology and Infectious Diseases

Hadassah Hebrew University Medical Center

Jerusalem

Israel

利益声明

RNP has received research grants from US-Israel Binational Science Foundation, Hebrew University, Rosetrees Trust, and SpeeDx. He is chair of the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Mycoplasma and Chlamydia Infections (ESGMAC). RNP is a consultant for and has stocks in eDAS Healthcare. 

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Honorary Senior Lecturer (University of Manchester)

Consultant in General & Respiratory Medicine

Department of Respiratory Medicine

Manchester Royal Infirmary

Manchester

UK

利益声明

MW is an author of a reference cited in this topic.

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

利益声明

At the time of the peer review, Professor Rubinstein declared no competing interests. We were made aware that Professor Rubinstein is now deceased.

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