Pulmonology Book


Gram Negative Pneumonia

Aka: Gram Negative Pneumonia, Coliform Pneumonia
  1. See Also
    1. Bacterial Pneumonia
  2. Etiologies:
    1. Klebsiella
    2. Escherichia coli
    3. Enterobacter
    4. Proteus
    5. Pseudomonas aeruginosa
  3. Epidemiology
    1. Represents <15% of all Community Acquired Pneumonia
  4. Risk Factors
    1. Debilitated Patients
    2. Chronically ill patients
    3. Alcoholism
  5. Diagnosis
    1. Pleuritic Chest Pain (Sudden onset)
    2. Hemoptysis
      1. Thick Bloody Sputum
  6. Complications
    1. Tissue Necrosis
    2. Lung cavitation
    3. Empyema
    4. Similar to Pneumococcal Pneumonia
  7. Course
    1. Virulent infection with frequent complications
  8. Labs: Gram Stain
    1. Gram Negative Bacilli
  9. Radiology: Chest XRay
    1. Upper lobes most frequently involved
  10. Management
    1. Third Generation Cephalosporin
    2. Cefoxitin
    3. Imipenem
    4. Ticarcillin-Clavulanate (Timentin)
    5. Piperacillin-Tazobactam (Zosyn)
    6. Amoxicillin-Clavulanate (Augmentin)

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