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Pneumococcal Pneumonia
Aka: Pneumococcal Pneumonia, Streptococcus Pneumoniae, Streptococcal Pneumonia
- See Also
- Bacterial Pneumonia
- Epidemiology
- Most common cause of Community Acquired Pneumonia
- Classic Symptoms
- Shaking rigors
- Fever
- Purulent Sputum
- Rust colored
- Pleuritic Chest Pain
- Dyspnea
- Chest Splinting
- 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
- Radiology
- Chest XRay
- Lobar consolidation (often lower lobe)
- Patchy infiltrates
- Management
- Increasing Penicillin Resistance
- See Penicillin Resistant Pneumococcus
- 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
- References
- Gilbert (2001) Sanford Antimicrobial, p. 28