atypical pneumonia

Question 1

s.pneumoniae

Answer 1

inc age acute onset, high fever, and pleuritic pain most frequent

Question 2

Pneumocystic carnii/jirovecii

Answer 2

seen in IC patients

Question 3

legionella

Answer 3

holiday, air conditioning

Question 4

legionella test

Answer 4

urine for antigens

Question 5

legionella symptoms

Answer 5

• Presents insidiously with flu like symptoms, followed by dry cough
• Diarrhoea and atypical chest signs.
• Chest symptoms may be absent – more G.I. upset (multisystem disease)

Question 6

chlamydia psittaci passed from

Answer 6

birds

Question 7

chlamydia psittaci features

Answer 7

longer duration pro symptoms prior to admission, headache

Question 8

mycoplasma presentation

Answer 8

• flu like symptoms followed by dry cough an atypical chest signs skin
• joint problems
• cold agglugtinins

Question 9

mycoplasma - type of people

Answer 9

young patients, prior antibiotics

Question 10

what dermatological syndromes does mycoplasma pneumoniae cause

Answer 10

• erythema multiforme
  
  • also caused by HSV
  • presents with multiple target lesions
• SJS
  
  • most common infectious cause, also caused by drugs
  • rare, acute, serious and potentially fatal
  • abrupt onsete of rash that leads to skin detachment

Question 11

mycoplasma CXR

Answer 11

reticular-nodular shadowing, or patchy consolidation often of one lower lobe.

Question 12

klebsiella patient

Answer 12

occurs in the elderly, diabetics and ALCOHOLICS

causes a cavitating pneumonia

Question 13

klebsiella sputum

Answer 13

red jelly

Question 14

pseudomonas aeruginaosa

Answer 14

seen in patients with CF and bronchiectasis

Question 15

rusty sputum

Answer 15

pneumococcal pneumonia

Question 16

staphylococcal

Answer 16

• recent influenza like illness
• occurs in the young, elderly or IV drug user or patients with underlying disease eg CF, lymphoma

Question 17

chlamydia trachomatis

Answer 17

• an STI that can cause infantile pneumonia