Pneumonia III - Other causes of pneumonia Flashcards

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1
Q

List other bacteria that cause pneumonia

A

Haemophilius influenza
S. aureus
Klebsiella pneumonia

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2
Q

Who is at risk of these ‘less likely’ infections?

A

People who have a defect in their respiratory defenses

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3
Q

Hospitalised patients are at risk of_______________

A

resistant hospital-acquired bacteria

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4
Q

What part of the lung does lobar pneumonia affect?

A

Delineated segments of lobe of the lung

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5
Q

What is the common culprit for lobar pneumonia? and who is at risk?

A

S. pneumoniae
Otherwise healthy young adults

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6
Q

What symptoms are associated with lobar pneumonia?

A

rigors, chills, high fever, pleurisy

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7
Q

Describe how bronchopneumonia looks like

A

Patchy distribution
Centred on inflamed bronchi and bronchioles with spread into surrounding alveoli
* Bronchi filled with pus and acute inflammation seen in bronchi and surrounding alveoli

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8
Q

Bacteria causing bronchopneumonia

A

S. pneumonia, H. influenza, S. aureus

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9
Q

T/F Lobar pneumonia is more common than bronchopneumonia

A

F

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10
Q

Problems with atypical bacteria

A

Don’t grow on routine laboratory media
* Don’t respond to beta-lactam antibiotics
* Can sometimes be associated with some unusual systemic features

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11
Q

Causes of atypical bacterial pneumonia (bacteria involved)

A

Mycoplasma pneumoniae
* Chlamydophila pneumoniae
* Chlamydophila psittaci
* Legionella pneumophila

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12
Q

Chlamydia psittaci is associated with what condition?

A

Parrot fever

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13
Q

Which bacteria is more dangerous and can cause outbrakes in both the community and hospitals?

A

Legionella pneumophila

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14
Q

Where is legionella pneumophila normally found?

A

In warm water systems

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15
Q

How does legionella pneumophila enter the human body?

A

Inhalation of contaminated aerosols causes disease
* e.g. showers, sprinklers, de-misters, cooling towers, jacuzzis,

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16
Q

Who is more at risk of legionella pneumophila?

A

people with underlying chronic conditions

17
Q

How to diagnose legionella pneumophila

A

serology
PCR
Urinary antigen test

18
Q

which other bacteria can cause lobar pneumonia, although rarely?

A

Klebsiella pneumonia