Chlamydophila pneumoniae (also known as Chlamydia pneumoniae) is an obligate intracellular gram-negative bacterium causing atypical pneumonia in adolescents and young adults. Other r...
Chlamydophila pneumoniae is similar to other forms of CAP characterized by fever, cough, and shortness of breath.
Illness varies in clinical severity from mild, self-limited URI to ful...
Monitor patients weekly until well.
Follow-up CXR can document resolution.
Reinfection is possible.
Pneumonia is more likely to be life-th...
Consider C. pneumoniae in well-appearing young patients presenting with CAP.
Culture is the gold standard for diagnosis of C. pneumoniae. Serodiagnosis is used for acute infection.
Tetra...
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FIG. 11.27. Pneumonia with large pleural effusion. This child presented with bacterial pneumonia and respiratory distress, presumed to be caused in part by the large pleural effusion. In the emergency department, a pleural catheter ("pigtail") was placed for drainage, using the Seldinger technique.
FIG. 11.27. Pneumonia with large pleural effusion. This child presented with bacterial pneumonia and respiratory distress, presumed to be ...
FIG. 11.61. Varicella pneumonia. Severe pneumonia developed in this patient shortly after she developed vesicular skin lesions that were positive for varicella-zoster virus by direct fluorescent antibody. Varicella causes a diffuse, miliary pattern.
FIG. 11.61. Varicella pneumonia. Severe pneumonia developed in this patient shortly after she developed vesicular skin lesions that were p...