Treatment of Viral Pneumonia

Question 1

What characteristics of pneumonia suggest viral cause?

Answer 1

• younger than 5 YO
• slow onset
• rhinitis, wheezing

Question 2

What characteristics of pneumonia suggest bacterial cause?

Answer 2

• rapid onset
• adults
• high fever, tachypnea

Question 3

Distinguishing bacterial vs viral etiology based on WBC count

Answer 3

viral- less than 10x10^9 cells/L

bacterial- greater than 15x10^9 cells/L

Question 4

Distinguishing bacterial vs viral etiology based on CRP

Answer 4

viral- less than 20mg/L

bacterial- more than 60mg/L

Question 5

Distinguishing bacterial vs viral etiology based on Pro-calcitonin

Answer 5

viral- less than 0.1ug/L

bacterial- more than 0.5ug/L

Question 6

Distinguishing bacterial vs viral etiology based on chest radiograph

Answer 6

viral-sole interstitial infiltrates

bacterial- lobar alveolar infiltrates

Question 7

Treatment of Influenza A and B cause of pneumonia?

Answer 7

Oseltamivir PO or Zanamivir

Question 8

Treatment of Influenza A cause of pneumonia?

Answer 8

-Amantadine or Rimantadine PO

Question 9

Treatment of Respiratory syncytial virus cause of pneumonia?

Answer 9

Ribavirin (inhalation, IV)

Question 10

Prevention of Respiratory syncytial virus?

Answer 10

Palivizumab IM

Question 11

Treatment of Adenovirus cause of pneumonia?

Answer 11

Cidofovir

Question 12

Prevention of Rhinovirus?

Answer 12

Alfa interferon (intranasal), Ribavirin

Question 13

Treatment of Human Metapneumovirus and Hantavirus cause of pneumonia?

Answer 13

Ribavirin

Question 14

Treatment of varicella-zoster virus cause of pneumonia?

Answer 14

Acyclovir and Valacyclovir