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A chest x-ray of a patient with severe viral pneumonia due to SARS. In adults, viruses account for about one third of pneumonia cases, [12] and in children for about 15% of them. [44] Commonly implicated agents include rhinoviruses, coronaviruses, influenza virus, respiratory syncytial virus (RSV), adenovirus, and parainfluenza.
It is the most common bacterial pneumonia found in adults, the most common type of community-acquired pneumonia, and one of the common types of pneumococcal infection. The estimated number of Americans with pneumococcal pneumonia is 900,000 annually, with almost 400,000 cases hospitalized and fatalities accounting for 5-7% of these cases. [2]
Diagnosis is typically based on the presenting history, symptoms, chest X-ray, and sputum culture. [1] [2] Differentiating from other types of pneumonia may be difficult. [1] Treatment is typically with antibiotics such as clindamycin, meropenem, ampicillin/sulbactam, or moxifloxacin. [1]
Pneumonia as seen on chest X-ray. A: Normal chest X-ray. B: Abnormal chest X-ray with consolidation from pneumonia in the right lung, middle or inferior lobe (white area, left side of image). Specialty: Pulmonology
In some cases, chest CT can reveal pneumonia not seen on x-rays. However, congestive heart failure or other types of lung damage can mimic CAP on x-ray. [15] When signs of pneumonia are discovered during evaluation, chest X-rays and examination of the blood and sputum for infectious microorganisms may be done to support a diagnosis of CAP.
Pneumonia as seen on chest x-ray. A: Normal chest x-ray.B: Abnormal chest x-ray with shadowing from pneumonia in the right lung (left side of image).. Hospital-acquired pneumonia (HAP) or nosocomial pneumonia refers to any pneumonia contracted by a patient in a hospital at least 48–72 hours after being admitted.
Although he was seen by staff for a chest X-ray and a blood test, he had to call 111 for a prescription after waiting 12 hours overnight to receive results and further treatment.
The chest x-ray is distinctive with features that appear similar to an extensive pneumonia, with both lungs showing widespread white patches. The white patches may seem to migrate from one area of the lung to another as the disease persists or progresses.
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