II. Epidemiology
- Most common cause of community acquired Pneumonia
III. Classic Symptoms
- Shaking rigors
- Fever
-
Purulent Sputum
- Rust colored
- Pleuritic Chest Pain
- Dyspnea
- Chest Splinting
IV. Lab
-
Complete Blood Count
- White Blood Cell Count elevated with Left Shift
-
Gram Stain
- Gram Positive encapsulated organisms
- Elongated lancet shaped diplococci
-
Blood Culture
- Positive in only 33% of cases
-
Sputum Culture
- Positive in only 40% of Pneumococcal Pneumonias
V. Radiology
-
Chest XRay
- Lobar consolidation (often lower lobe)
- Patchy infiltrates
VI. Management
- Increasing Penicillin Resistance
-
Penicillin Sensitive
- Ampicillin IV or Amoxicillin PO
- Erythromycin
- Azithromycin
- Clarithromycin
- Penicillin G IV
- Doxycycline
- Oral second generation Cephalosporin
- Parenteral third generation Cephalosporin
- High-Level Penicillin Resistance
- Broad spectrum Fluoroquinolone
- Levofloxacin
- Gatifloxacin
- Grepafloxacin
- Moxifloxacin
- Sparfloxacin
- Parenteral third generation Cephalosporin
- High dose Ampicillin
- Vancomycin IV with or without Rifampin
- Broad spectrum Fluoroquinolone
VII. References
- Gilbert (2001) Sanford Antimicrobial, p. 28
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| Concepts | Disease or Syndrome (T047) |
| MSH | D011014 |
| ICD10 | J18.1 |
| SnomedCT | 155550005, 266392005, 278516003, 54339004 |
| English | PNEUMONIA LOBAR, Lobar pneumonia, unspecified, lobar pneumonia, lobar pneumonia (diagnosis), Pneumonia, Lobar, Lobar Pneumonia, Lobar pneumonia NOS, Pneumonia lobar, pneumococcal pneumonia, Pneumonia;lobar, pneumonia pneumococcal, Lobar pneumonia, Lobar pneumonia (disorder), lobar; pneumonia, pneumonia; lobar |
| Portuguese | PNEUMONIA LOBAR, Pneumonia lobar NE, Pneumonia Lobar, Pneumonia lobar |
| Spanish | NEUMONIA LOBAR, Neumonía lobar NEOM, Neumonía Lobar, neumonía lobular (trastorno), neumonía lobular, Neumonía lobar |
| Dutch | lobaire pneumonie NAO, pneumonie lobair, lobair; pneumonie, pneumonie; lobair, Lobaire pneumonie, niet gespecificeerd, lobaire pneumonie |
| French | Pneumonie lobaire SAI, PNEUMONIE LOBAIRE, Pneumopathie lobaire, Pneumonie lobaire |
| German | Pneumonie lobulaer NNB, Lobaerpneumonie, nicht naeher bezeichnet, PNEUMONIE LOBAER, Lobaerpneumonie, Pneumonie, lobaere, Lobärpneumonie, Pneumonie, lobäre |
| Italian | Polmonite lobare NAS, Polmonite lobare |
| Japanese | 大葉性肺炎ＮＯＳ, 大葉性肺炎, ﾀﾞｲﾖｳｾｲﾊｲｴﾝ, ﾀﾞｲﾖｳｾｲﾊｲｴﾝNOS, ﾀｲﾖｳｾｲﾊｲｴﾝNOS, ﾀｲﾖｳｾｲﾊｲｴﾝ |
| Czech | Lobární pneumonie NOS, Lobární pneumonie, lobární pneumonie |
| Korean | 상세불명의 대엽성 폐렴 |
| Hungarian | lobaris pneumonia k.m.n., Pneumonia lobaris, Lobaris pneumonia |
