eMedicine Specialties > Pediatrics: General Medicine > Infectious Disease

Pneumonia: Multimedia

Author: Nicholas John Bennett, MB, BCh, PhD, Fellow in Pediatric Infectious Disease, Department of Pediatrics, State University of New York Upstate Medical University
Coauthor(s): Joseph Domachowske, MD, Professor of Pediatrics, Microbiology and Immunology, Department of Pediatrics, Division of Infectious Diseases, State University of New York-Upstate Medical University; Isabel Virella-Lowell, MD, Department of Pediatrics, Division of Pulmonary Diseases, Pediatric Pulmonology, Allergy and Immunology
Contributor Information and Disclosures

Updated: Jan 12, 2009

Multimedia

(A) Gram stain demonstrating gram-positive cocci ...Media file 1: (A) Gram stain demonstrating gram-positive cocci in pairs and chains and (B) culture positive for Streptococcus pneumoniae.
(A) Gram stain demonstrating gram-positive cocci ...

(A) Gram stain demonstrating gram-positive cocci in pairs and chains and (B) culture positive for Streptococcus pneumoniae.

Right lower lobe consolidation in a patient with ...Media file 2: Right lower lobe consolidation in a patient with bacterial pneumonia.
Right lower lobe consolidation in a patient with ...

Right lower lobe consolidation in a patient with bacterial pneumonia.

A patient with bacterial pneumonia (same patient ...Media file 3: A patient with bacterial pneumonia (same patient as in Media file 2) a few days later. This radiograph reveals progression of pneumonia into the right middle lobe and the development of a large parapneumonic pleural effusion.
A patient with bacterial pneumonia (same patient ...

A patient with bacterial pneumonia (same patient as in Media file 2) a few days later. This radiograph reveals progression of pneumonia into the right middle lobe and the development of a large parapneumonic pleural effusion.

A breakdown of test results and recommended treat...Media file 4: A breakdown of test results and recommended treatment for pneumonia with effusion.
A breakdown of test results and recommended treat...

A breakdown of test results and recommended treatment for pneumonia with effusion.

More on Pneumonia

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Differential Diagnoses & Workup: Pneumonia
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Follow-up: Pneumonia
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References

References

  1. Denny FW, Clyde WA Jr. Acute lower respiratory tract infections in nonhospitalized children. J Pediatr. May 1986;108(5 Pt 1):635-46. [Medline].

  2. Wubbel L, Muniz L, Ahmed A, et al. Etiology and treatment of community-acquired pneumonia in ambulatory children. Pediatr Infect Dis J. Feb 1999;18(2):98-104. [Medline].

  3. Falade AG, Mulholland EK, Adegbola RA, Greenwood BM. Bacterial isolates from blood and lung aspirate cultures in Gambian children with lobar pneumonia. Ann Trop Paediatr. Dec 1997;17(4):315-9. [Medline].

  4. Waris ME, Toikka P, Saarinen T, et al. Diagnosis of Mycoplasma pneumoniae pneumonia in children. J Clin Microbiol. Nov 1998;36(11):3155-9. [Medline].

  5. Siempos et al. Adjunctive therapies for community-acquired pneumonia: a systematic review. Journal of Antimicrobial Therapy. July 2008;epub ahead of print. [Medline][Full Text].

  6. Berger R, Arango L. The value and safety of percutaneous lung aspiration for children with serious pulmonary infections. Pediatr Pulmonol. Nov-Dec 1985;1(6):309-13. [Medline].

  7. Bogin RM, Simon J, Buschman DL. Bilateral extrapleural effusions complicating bilateral pneumonia. Chest. Apr 1989;95(4):933-5. [Medline].

  8. Chonmaitree T, Powell KR. Parapneumonic pleural effusion and empyema in children. Review of a 19-year experience, 1962-1980. Clin Pediatr (Phila). Jun 1983;22(6):414-9. [Medline].

  9. Committee on Infectious Diseases. Tuberculosis. In: 2000 Red Book Report of the Committee on Infectious Diseases in Children. 25th ed. 2000:593-613.

  10. Correa AG, Stark JR. Bacterial pneumonias. In: Kendig's Disorders of the Respiratory Tract in Children. 6th ed. 1998:238-264.

  11. Denny FW, Clyde WA Jr, Glezen WP. Mycoplasma pneumoniae disease: clinical spectrum, pathophysiology, epidemiology, and control. J Infect Dis. Jan 1971;123(1):74-92. [Medline].

  12. Foulongne V, Guyon G, Rodiere M, Segondy M. Human metapneumovirus infection in young children hospitalized with respiratory tract disease. Pediatr Infect Dis J. Apr 2006;25(4):354-9. [Medline][Full Text].

  13. Freij BJ, Kusmiesz H, Nelson JD, McCracken GH Jr. Parapneumonic effusions and empyema in hospitalized children: a retrospective review of 227 cases. Pediatr Infect Dis. Nov-Dec 1984;3(6):578-91. [Medline].

  14. Goulin GD, Kaya KM, Bradley JS. Severe pulmonary hypertension associated with shock and death in infants infected with Bordetella pertussis. Crit Care Med. Nov 1993;21(11):1791-4. [Medline].

  15. Grant JP. The State of the World's Children. Oxford University Press; 1983:15.

  16. Hacimustafaoglu M, Celebi S, Aynaci E, Sinirtas M, et al. The progression of maternal RSV antibodies in the offspring. Arch Dis Child. Jan 2004;89(1):52-53. [Medline][Full Text].

  17. Hoff SJ, Neblett WW, Edwards KM, et al. Parapneumonic empyema in children: decortication hastens recovery in patients with severe pleural infections. Pediatr Infect Dis J. Mar 1991;10(3):194-9. [Medline].

  18. Hyman CL, Roblin PM, Gaydos CA, et al. Prevalence of asymptomatic nasopharyngeal carriage of Chlamydia pneumoniae in subjectively healthy adults: assessment by polymerase chain reaction-enzyme immunoassay and culture. Clin Infect Dis. May 1995;20(5):1174-8. [Medline].

  19. King VJ, Viswanathan M, Bordley WC, et al. Pharmacologic treatment of bronchiolitis in infants and children: a systematic review. Arch Pediatr Adolesc Med. Feb 2004;158(2):127-37. [Medline].

  20. Klein JO. Diagnostic lung puncture in the pneumonias of infants and children. Pediatrics. Oct 1969;44(4):486-92. [Medline].

  21. Klein JO, Schlesinger PC, Karasic RB. Management of the febrile infant three months of age or younger. Pediatr Infect Dis. Jan-Feb 1984;3(1):75-9. [Medline].

  22. Knight J, Murphy TM, Browning I. The lung in sickle cell disease. Pediatr Pulmonol. Sep 1999;28(3):205-16. [Medline].

  23. Law BJ. Pertussis. In: Kendig's Disorders of the Respiratory Tract in Children. 6th ed. 1998:1018-1025.

  24. Leventhal JM. Clinical predictors of pneumonia as a guide to ordering chest roentgenograms. Clin Pediatr (Phila). Dec 1982;21(12):730-4. [Medline].

  25. Levine OS, Farley M, Harrison LH, et al. Risk factors for invasive pneumococcal disease in children: a population-based case-control study in North America. Pediatrics. Mar 1999;103(3):E28. [Medline].

  26. Lewis KT, Bukstein DA. Parapneumonic empyema in children: diagnosis and management. Am Fam Physician. Nov 1992;46(5):1443-55. [Medline].

  27. Malley R, DeVincenzo J, Ramilo O, et al. Reduction of respiratory syncytial virus (RSV) in tracheal aspirates in intubated infants by use of humanized monoclonal antibody to RSF F protein. J Infect Dis. 1998;178(6):1555-1561. [Medline][Full Text].

  28. MedImmune Inc. 2006 Analyst and Investor Day. MedImmune Website. Available at http://www.medimmune.com/pdf/investors/analyst_day_120606.pdf. Accessed 4/10/2007.

  29. Menendez R, Cordoba J, de La Cuadra P, et al. Value of the polymerase chain reaction assay in noninvasive respiratory samples for diagnosis of community-acquired pneumonia. Am J Respir Crit Care Med. Jun 1999;159(6):1868-73. [Medline].

  30. Mimica I, Donoso E, Howard JE, Ledermann GW. Lung puncture in the etiological diagnosis of pneumonia. A study of 543 infants and children. Am J Dis Child. Oct 1971;122(4):278-82. [Medline].

  31. Montgomery M. Air and Liquid in the Pleural Space. In: Kendig's Disorders of the Respiratory Tract in Children. 6th ed. 1998:389-411.

  32. Ogilvie MM, Vathenen AS, Radford M, Codd J, Key S. Maternal antibody and respiratory syncytial virus infection in infancy. J Med Virol. 1981;7(4):263-71. [Medline].

  33. Perrotta C, Ortiz Z, Roque M. Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev. 2005;2:CD004873. [Medline][Full Text].

  34. Peter G. The Child with Pneumonia: Diagnostic and Therapeutic Considerations. 7. 1988:453-6.

  35. Ramnath RR, Heller RM, Ben-Ami T, et al. Implications of early sonographic evaluation of parapneumonic effusions in children with pneumonia. Pediatrics. Jan 1998;101(1 Pt 1):68-71. [Medline].

  36. Sasse S, Nguyen TK, Mulligan M, et al. The effects of early chest tube placement on empyema resolution. Chest. Jun 1997;111(6):1679-83. [Medline][Full Text].

  37. Schidlow DV, Callahan CW. Pneumonia. Pediatr Rev. Sep 1996;17(9):300-9; quiz 310. [Medline].

  38. Wait MA, Sharma S, Hohn J, Dal Nogare A. A randomized trial of empyema therapy. Chest. Jun 1997;111(6):1548-51. [Medline][Full Text].

  39. Wilmott RW, Fiedler MA, Stark JR. Host defense mechanisms. In: Kendig's Disorders of the Respiratory Tract. 6th ed. 1998:485-502.

  40. Zukin DD, Hoffman JR, Cleveland RH, Kushner DC, Herman TE. Correlation of pulmonary signs and symptoms with chest radiographs in the pediatric age group. Ann Emerg Med. Jul 1986;15(7):792-6. [Medline].

Further Reading

Keywords

pneumonia, lower respiratory tract infection, bronchopneumonia, pneumonitis, severe acute respiratory syndrome, SARS, impaired cough reflex, ciliary dyskinesia, bronchial obstruction, gastric fluid aspiration, altered pulmonary blood flow, pulmonary edema, obstruction of the airway, ventilation/perfusion mismatch, V/Q mismatch, hypoxemia, tachypnea, hypoxia, retractions, positive end-expiratory pressure, PEEP, nasal flaring, rales, pleural friction rub, respiratory syncytial virus, RSV, parainfluenza, aspiration pneumonia, Haemophilus influenzae infection, group B Streptococcus, Listeria monocytogenes, gram-negative rods, Escherichia coli, Klebsiella pneumoniae, Chlamydia pneumoniae, Ureaplasma urealyticum, Mycoplasma hominis, cytomegalovirus, Pneumocystis carinii, adenovirus, enterovirus, rhinovirus, coronavirus, herpesvirus

Contributor Information and Disclosures

Author

Nicholas John Bennett, MB, BCh, PhD, Fellow in Pediatric Infectious Disease, Department of Pediatrics, State University of New York Upstate Medical University
Nicholas John Bennett, MB, BCh, PhD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Pediatrics
Disclosure: Nothing to disclose.

Coauthor(s)

Joseph Domachowske, MD, Professor of Pediatrics, Microbiology and Immunology, Department of Pediatrics, Division of Infectious Diseases, State University of New York-Upstate Medical University
Joseph Domachowske, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Society for Microbiology, Infectious Diseases Society of America, Pediatric Infectious Diseases Society, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Isabel Virella-Lowell, MD, Department of Pediatrics, Division of Pulmonary Diseases, Pediatric Pulmonology, Allergy and Immunology
Isabel Virella-Lowell, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Chest Physicians, and American Thoracic Society
Disclosure: Nothing to disclose.

Medical Editor

José Rafael Romero, MD, Director of Pediatric Infectious Diseases Fellowship Program, Associate Professor, Department of Pediatrics, Combined Division of Pediatric Infectious Diseases, Creighton University/University of Nebraska Medical Center
José Rafael Romero, MD is a member of the following medical societies: American Academy of Pediatrics, American Society for Microbiology, Infectious Diseases Society of America, New York Academy of Sciences, and Pediatric Infectious Diseases Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Leslie L Barton, MD, Professor, Program Director, Department of Pediatrics, University of Arizona School of Medicine
Leslie L Barton, MD is a member of the following medical societies: American Academy of Pediatrics, Association of Pediatric Program Directors, Infectious Diseases Society of America, and Pediatric Infectious Diseases Society
Disclosure: Nothing to disclose.

CME Editor

Robert W Tolan Jr, MD, Chief, Division of Allergy, Immunology and Infectious Diseases, The Children's Hospital at Saint Peter's University Hospital; Clinical Associate Professor of Pediatrics, Drexel University College of Medicine
Robert W Tolan Jr, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, American Society for Microbiology, American Society of Tropical Medicine and Hygiene, Infectious Diseases Society of America, Pediatric Infectious Diseases Society, Phi Beta Kappa, and Physicians for Social Responsibility
Disclosure: GlaxoSmithKline Honoraria Speaking and teaching; MedImmune Honoraria Speaking and teaching; Merck Honoraria Speaking and teaching; sanofi pasteur Honoraria Speaking and teaching; Baxter Healthcare Honoraria Speaking and teaching

Chief Editor

Russell W Steele, MD, Head, Division of Pediatric Infectious Diseases, Ochsner Children's Health Center; Clinical Professor, Department of Pediatrics, Tulane University School of Medicine
Russell W Steele, MD is a member of the following medical societies: American Academy of Pediatrics, American Association of Immunologists, American Pediatric Society, American Society for Microbiology, Infectious Diseases Society of America, Louisiana State Medical Society, Pediatric Infectious Diseases Society, Society for Pediatric Research, and Southern Medical Association
Disclosure: None None None

 
 
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