Atypical Pneumonia Flashcards
Atypical Pneumonia S and S
Gradual, cough non productive, Flu like symptoms (fatigue, fever, weakness, nasal discharge, sore throat, earache, stomach, GI distress)
Atypical Pneumonia Interstitial
Fine areas of infiltrate leading to patchy diffuse through lung
Atypical Pneumonia Walking
Pneu thats mild enough to not be bedridden
Mycoplasma Pneu Clinical
Atypical pneu, walking pneu, +/- Raynauds phenomenon (cold agglutination). 5-40 age, distal extremities are necrotic. Assoc with skin rash and hemolysis. Interstitial pneu on lower lobe
Mycoplasma Pneu VF
P1 adhesins (attach to resp tract), Induces cilia-stasis. Perivascular and peribronchial infiltration of mononuc leukocytes. Tissue destruction by H2O2 release
Mycoplasma Pneu Char
Cell wall less rod
Mycoplasma Pneu Diag
Bronchial wash, culture with cholesterol (mulberry colonies), Ag serology (total Ig) with cold agglutinins
Legionella Pneumophilia Clin
Legionellosis Atypical Pneumonia, Pontial Fever (no GI manifestations or pneu, myalgia and fever), watery diarrhea, renal fail, somnolence
Legionella Pneumophilia Diag
Silver Stain, DFA, Ag in urine, Charcoal yeast agar (BCYE) with iron and lysteine
Legionella Pneumophilia RF
Aquatic habitiat, cooling towers, spas. Underlying diseases, males, middle aged, alch, smoke.
Legionella Pneumophilia Char
Gram neg bacillus
Legionella Pneumophilia VF
Porin - enhances phagocytosis
Chylamydia Pneumonia Clin
Atypical Pneumonia, persistent harsh dry cough with intra cytoplasmic inclusions, pharyngitis
Chylamydia Pneumonia RF
All year, 65-79 age
Chylamydia Pneumonia Char
Culture neg, Gram neg obligate intracell bacteria
