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Pneumonia, Pediatric

Pneumonia, Pediatric is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Mechanism is often unknown.
  • Source is oropharyngeal aspiration (most common) or hematogenous.
  • Distribution depends on the organism: Interstitial (Mycoplasma pneumoniae, virus), lobar (Streptococcus pneumoniae), abscesses (Staphylococcus aureus), or diffuse (Pneumocystis carinii)

Etiology

  • <2 wk:
    • Group B Streptococcus species
    • Enteric gram-negative organisms
    • Respiratory syncytial virus (RSV)
    • Herpes simplex virus
    • S. aureus
  • 2 wk–3 mo:
    • Chlamydia trachomatis
    • Parainfluenza virus
    • RSV
    • S. pneumoniae
    • S. aureus
    • H. influenza
    • Bordetella pertussis
  • 3 mo–8 yr:
    • Viral (predominate):
      • RSV
      • Parainfluenza virus
      • Influenza virus
      • Adenovirus
    • S. pneumoniae
    • H. influenza in unimmunized children
    • Group A streptococcus
    • S. aureus
    • B. pertussis
  • >8 yr:
    • M. pneumoniae most common
    • Viral
    • S. pneumoniae
  • Recent immigrants from developing countries:
    • Mycoplasma tuberculosis
    • H. influenza
    • B. pertussis
  • Immunocompromised (e.g., HIV, cancer):
    • P. carinii
    • Mycoplasma avium complex
    • M. tuberculosis
    • Klebsiella pneumoniae
    • Pseudomonas aeruginosa
  • Less common:
    • Fungal (coccidioidomycosis, histoplasmosis)
    • Rickettsia (Q fever)

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Citation

Rosen, Peter, et al., editors. "Pneumonia, Pediatric." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307510/0.1/Pneumonia_Pediatric.
Pneumonia, Pediatric. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307510/0.1/Pneumonia_Pediatric. Accessed June 25, 2019.
Pneumonia, Pediatric. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307510/0.1/Pneumonia_Pediatric
Pneumonia, Pediatric [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 June 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307510/0.1/Pneumonia_Pediatric.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Pneumonia, Pediatric ID - 307510 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307510/0.1/Pneumonia_Pediatric PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -