• MMW Fortschr Med · Jan 2006

    [Management of community-acquired pneumonia in the physician's office].

    • H M Lode, R Erbes, and A Linnhoff.
    • Helios Klinikum Emil von Behring, Department Lungenklinik Heckeshorn. haloheck@zedat.fu-berlin.de
    • MMW Fortschr Med. 2006 Jan 12; 148 (1-2): 32-5.

    AbstractThe classical form of a community-acquired pneumonia is that caused by infection with pneumococcus, and differs clinically from atypical pneumonia in particular by fever-related differences. The diagnosis is based on the five cardinal symptoms: fever, cough, sputum production, pleuritic chest pain and a pulmonary infiltrate. Depending on whether there are further risk factors involved, a more or less comprehensive clinical and laboratory diagnostic work-up is needed. As a rule, oral antibiotic treatment with aminopenicillin, macrolides, fluorchinolones, ketolides or cephalosporins is applied, but decision-taking is also codetermined, for example, by whether an atypical pneumonia is suspected, or whether additional risk factors need to be taken into account.

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