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Pneumoniile (COMPLICATII (Haemophilus Influenzae (meningita, epiglotita,…
Pneumoniile
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ETIOLOGIE
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SITUATII SPECIALE
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spitalizare = bacili G-, Klebsiella, E.Coli, Proteus
deficit imun = pseudomonas, bacili G-, BK, Legionella, Pneumocistis
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Nou Nascuti
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enterobacteriacee
Klebsiella
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abcese, empiem, cavitati, adeziuni
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Cefa III, Quinolone, Imipenem + Aminoglicozide 14 zile
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1-3 luni
Chlamydia trachomatis
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evolutie prelungita - fara condesnare segmentara = aspect pneumonie intestitiala
tuse in accese ~ tuse convulsiva
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4 luni - 5 ani
Haemophilus Influenzae, infectii virale
antigene specifice, medii de cultura speciale = Augumentin / cefalosporine 10 zile
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Mycoplasma
si manifestari cutanate, musculo-scheletice, nervoase, hemoragice (hemoliza, tbpenie)
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CLINIC
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VIRAL / BACTERIAN
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fizic pulmonar - matitate/submatitate, raluri crepitante / subcrepitante, murmur vezicular diminuat
PNEUMONIA STAFILOCOCICA
debut infectie CRS, hematogena, digestiva - de la mama cu abces mamar
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teicoplanina, carbapenemi, vancomicina, aminoglicozide (+/-), drenaj pleural activ
febra inalta cu debut brutal, dispnee, tuse, frisoane, tulburari hemodinamice
PNEUMOCISTIS CARINII
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RX: voalare inomogena, ingrosare septuri - geam mat, accidente mecanice
histologie: infiltrat interstitial, exudat spumos in alveole
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PNEUMONIA PNEUMOCOCICA
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debut brusc cu febra inalta, dispnee, durere toracica, tuse mucosanguinolenta
SIADH, diseminare hematogena, SHU
Amoxicilina, Cefa 2/3, Macrolide
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CANDIDA ALBICANS
izolare din LCR, sange, lichid plueral
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COMPLICATII
Toxice = anemie hemolitica, CID, Hepatita toxica, Nefropatie toxica
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MYCOPLASMA
Asocieri
artralgii, mialgii, exanteme, AHAI Coombs +
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rezistenta la B lactamine, incubatie 2-3 saptamani
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pneumonie severa, diagnostic incert, evolutie prelungita neinfluentata de AB, plurezie / abces pulmonat