II. Epidemiology

  1. Most common cause of Community Acquired Pneumonia

III. Classic Symptoms

  1. Shaking rigors
  2. Fever
  3. Purulent Sputum
    1. Rust colored
  4. Pleuritic Chest Pain
  5. Dyspnea
  6. Chest Splinting

IV. Lab

  1. Complete Blood Count
    1. White Blood Cell Count elevated with Left Shift
  2. Gram Stain
    1. Gram Positive encapsulated organisms
    2. Elongated lancet shaped diplococci
  3. Blood Culture
    1. Positive in only 33% of cases
  4. Sputum Culture
    1. Positive in only 40% of Pneumococcal Pneumonias

V. Radiology

  1. Chest XRay
    1. Lobar consolidation (often lower lobe)
    2. Patchy infiltrates

VII. References

  1. Gilbert (2001) Sanford Antimicrobial, p. 28

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