Sharma Lokesh, Losier Ashley, Tolbert Thomas, Dela Cruz Charles S, Marion Chad R
Section of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, 300 Cedar Street, TAC S440, New Haven, CT 06510, USA.
Department of Internal Medicine, Norwalk Hospital, 34 Maple Street, Norwalk, CT 06856, USA.
Clin Chest Med. 2017 Mar;38(1):45-58. doi: 10.1016/j.ccm.2016.11.011. Epub 2016 Dec 24.
Community-acquired pneumonia (CAP) has multiple causes and is associated with illness that requires admission to the hospital and mortality. The causes of atypical CAP include Legionella species, Chlamydophila, and Mycoplasma. Atypical CAP remains a diagnostic challenge and, therefore, likely is undertreated. This article reviews the advancements in the evaluation and treatment of patients and discusses current conflicts and controversies of atypical CAP.
社区获得性肺炎(CAP)有多种病因,与需要住院治疗的疾病及死亡率相关。非典型CAP的病因包括军团菌属、嗜衣原体属和支原体。非典型CAP仍然是一个诊断难题,因此可能治疗不足。本文综述了患者评估和治疗方面的进展,并讨论了非典型CAP当前存在的争议。