Guerra L G, Ho H, Verghese A
Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso.
Med Clin North Am. 1994 Sep;78(5):967-85. doi: 10.1016/s0025-7125(16)30114-6.
It appears that many commonly recognized syndromes such as the ARDS may well be caused by agents that have only recently emerged as respiratory pathogens. HPS represents one such entity. It appears likely that the increasing pressure of antibiotic use as well as the reemergence of certain pathogens will continue to challenge the clinician. Paramount to the identification and treatment of unusual pneumonias will be the degree with which an effort is made to make an etiologic diagnosis through sputum examination, transtracheal aspirate, bronchoscopy, or lung biopsy. Although pneumococcal pneumonia is the most common community-acquired pneumonia seen by practicing physicians, in all likelihood from time to time a physician will encounter pneumonia caused by one of the unusual pathogens described in this article or else by an altogether new pathogen.
许多常见的公认综合征，如急性呼吸窘迫综合征（ARDS），很可能是由最近才成为呼吸道病原体的病原体引起的。汉坦病毒肺综合征（HPS）就是这样一种病症。抗生素使用压力的增加以及某些病原体的再度出现似乎将继续给临床医生带来挑战。对于不寻常肺炎的识别和治疗，最为重要的将是通过痰液检查、经气管抽吸、支气管镜检查或肺活检来进行病因诊断的努力程度。虽然肺炎球菌肺炎是执业医生所见最常见的社区获得性肺炎，但医生很可能时不时会遇到由本文所述的不寻常病原体之一或全新病原体引起的肺炎。
