Severe community-acquired pneumonia

Authors

  • Sonia Marín-Real Servicio de Medicina Interna, Hospital General Universitario de Elda, Elda (Alicante), Spain
  • José Lorca-Barchin Servicio de Medicina Interna, Hospital General Universitario de Elda, Elda (Alicante), Spain
  • Rosa Bravo-Jover Servicio de Medicina Interna, Hospital General Universitario de Elda, Elda (Alicante), Spain
  • Reyes Pascual-Pérez Servicio de Medicina Interna, Hospital General Universitario de Elda, Elda (Alicante), Spain

DOI:

https://doi.org/10.32818/reccmi.a5n1a16

Keywords:

community-acquired pneumonia, CURB-65, FINE, legionella.

Abstract

Community-acquired pneumonia (CAP) is characterized by the concurrence of symptoms and signs of acute lower respiratory tract infection and pulmonary infiltrate on the chest x-ray or other imaging test. We present a clinical case of severe pneumonia and discuss some novel and controversial aspects of diagnosis and its treatment.

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References

2018 Surveillance of pneumonia in adults: diagnosis and management (NICE Guideline CG191). Accesible en: https://www.nice.org.uk/guidance/cg191/resources/2018-surveillance-of-pneumonia-in-adults-diagnosis-and-management-nice-guideline-cg191-pdf-8546423643637 (último acceso: marzo 2020).

Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, et al. Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019; 200(7): e45-e67. https://doi.org/10.1164/rccm.201908-1581ST.

Servicio de Vigilancia y Control Epidemiológico. Subdirección General de Epidemiología, Vigilancia de la Salud y Sanidad Ambiental. Dirección General de Salud Pública. Consellería de Sanitat Universal i Salut Pública. Informe Legionelosis. Vigilancia Epidemiológica del año 2018. Junio de 2018. Accesible en: https://webdgsp2.odec.es/DgspPortal/docs/Inf_Legionelosis_2018.pdf (último acceso: marzo 2020).

Stern A, Skalsky K, Avni T, Carrara E, Leibovici L, Paul M. Corticosteroids for pneumonia. Cochrane Database Syst Rev. 2017; 12: CD007720. https://doi.org/10.1002/14651858.CD007720.pub3.

Huang J, Guo J, Li H, Huang W, Zhang T. Efficacy and safety of adjunctive corticosteroids therapy for patients with severe community-acquired pneumonia: a systematic review and meta-analysis. Medicine (Baltimore). 2019; 98(13): e14636. https://doi.org/10.1097/MD.0000000000014636.

Briel M, Spoorenberg SMC, Snijders D, Torres A, Fernandez-Serrano S, Meduri GU, et al. Ovidius Study Group; Capisce Study Group; STEP Study Group. Corticosteroids in patients hospitalized with community- acquired pneumonia: systematic review and individual patient data metaanalysis. Clin Infect Dis. 2018 Jan 18; 66(3): 346-354. https://doi.org/10.1093/cid/cix801.

Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Crit Care Med. 2017; 45(3): 486-552. https://doi.org/10.1097/CCM.0000000000002255.

Ni YN, Chen G, Sun J, Liang BM, Liang ZA. The effect of corticosteroids on mortality of patients with influenza pneumonia: a systematic review and meta-analysis. Crit Care. 2019; 23(1): 99. https://doi.org/10.1186/s13054-019-2395-8.

Published

2020-04-30

How to Cite

1.
Marín-Real S, Lorca-Barchin J, Bravo-Jover R, Pascual-Pérez R. Severe community-acquired pneumonia. Rev Esp Casos Clin Med Intern [Internet]. 2020 Apr. 30 [cited 2024 Jul. 3];5(1):45-8. Available from: https://www.reccmi.com/RECCMI/article/view/529

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