Wednesday, August 12, 2015

Non-Resolving Pneumonia

Respirology Morning Report

The case discussed involved a person with non-resolving pneumonia, dermatomyositis and related pulmonary complications.  Here are some of the learning points:

-Non-resolving pneumonia was discussed with an acronym for a differential diagnosis:

A – Antibiotic – wrong choice of therapy
B – Bug – atypical or resistant organism (TB, fungus, MRSA)
C – Comorbidities (HIV, ESRD, DM, advanced age) that delay resolution
D – Diagnosis – not pneumonia – mimickers include malignancy, eosinophilic pneumonia, COP, connective tissue disease, drug reactions, exposures/hypersensitivity reactions
E – Empyema – complications of a pneumonia or abscess


Further Reading:

Finch, S., & Chalmers, J. D. BRIEF CLINICAL REVIEW: NON-RESPONDING PNEUMONIA.

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