Community acquired methicillin resistant Staphylococcus aureus soft tissue infection complicated by septicaemia, necrotizing pneumonia, deep vein thrombosis and pyomyositis

Liyanage, Guwani; Adhikaram, S G S; Chandrasiri, Shirani; Aqiff, M

doi:10.4038/sljch.v46i1.8228

Cited by 2 publications

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References 11 publications

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“…Presence of pneumatocoeles, round opacifications, pleural effusions and empyema indicate a bacterial aetiology 9 . Staphylococcus aureus is known to cause necrotising pneumonia 10 . Hilar or subcarinal lymphadenopathy is associated with mycobacterium tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

Childhood community-acquired pneumonia: the complexities and challenges of aetiological diagnosis

Liyanage

2021

Sri Lanka J Child Health

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The author has declared that there are no conflicts of interest Personal funding was used for the project. Open Access Article published under the Creative Commons Attribution CC-BY License Determining the aetiological diagnosisThis section clarifies the microbial aetiology based on clinical, radiological, and laboratory evidence, emphasising the complexities of assigning causation. Clinical featuresClinical manifestations of bacterial, atypical bacterial and viral pneumonia frequently overlap and therefore may not reliably distinguish between the various aetiologies. An ill child with high fever, marked tachypnoea, myalgia, and localised auscultatory findings commonly indicates a bacterial cause 3,4 . In contrast, a child with lowgrade fever, runny nose, wheezing and bilateral, diffuse lung signs point more towards a viral cause 4 . Wheeze is common with viral or atypical bacterial pneumonia (Mycoplasma pneumoniae and Chlamydophila pneumoniae). In Mycoplasma infection, commonly the symptoms appear gradually with initial pharyngitis. Subsequent hoarseness and intractable cough indicates extension of the infection into the lower airways. Symptoms are milder than with other bacterial pneumonias and it is thus called "walking pneumonia". Although the cough is initially dry, it later becomes productive 5 . Children are more susceptible to get mycoplasma pneumonia. It has been reported in 10 to 40% of CAP among children, more common in older than younger children 6 . Coryza is unusual. However, in younger children less than five years, coryzal symptoms may be present 5 . On auscultation of the chest, scattered or localised rales and expiratory wheezes may be found. Consolidation is uncommon. Extrapulmonary manifestations such as arthritis, lymphadenitis, hepatosplenomegaly and haemolytic anaemia may also suggest mycoplasma infection 5 . However, these clinical features are not specific and can be found with Chlamydophila pneumoniae or viral infections as well 7 . Also, absence of these signs does not exclude mycoplasma infection. Chest x-rayChest x-ray (CXR) may provide a clue to the aetiology. However, routine CXRs are not warranted for patients with suspected CAP.

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Section: Introductionmentioning

confidence: 99%

Childhood community-acquired pneumonia: the complexities and challenges of aetiological diagnosis

Liyanage

2021

Sri Lanka J Child Health

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Bolalarda Kasalxonadan Tashqari Pnevmoniya Tashxisining Retrospektiv Tahlili

Каримджанов¹,

Рахманова²

2023

IJSP

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Bolalar orasida kasallanish ko‘rsatkichi va asoratlari bo‘yicha nafas olish tizimi kasalliklari pediatriyada dolzarb muammolardan biri sifatida qolmoqda. Tadqiqot maqsadi - bolalarda kasalxonadan tashqari pnevmoniya tashxisini retrospektiv tahlil qilish. Material va uslublar. Kasalxonadan tashqari pnevmoniya tashxisi bilan TTA ko`p tarmoqli klinikasi bolalar pulmonologiyasi bo`limida 2019-2022yy. davolagan 3-18 yoshdagi bolalarning kasallik tarixini retrospektiv tahlil qilindi. Natijalar.Ma`lum bo`ldiki, bugungi kunda klinik amaliyot uchun kasalxonadan tashqari bacterial pnevmoniyani virusli turidan farqlashda quyidagi o`z echimini talab etuvchi qiyinchiliklar mavjud: ya`ni antibiotiklarni bacterial ekmadan oldin qo'llash; kichik yoshdagi bolalarda nafas olish yollaridan balgamning ishonchli namunasini olishning qiyinligi; molekulyar tashxis usulining tor doirada qo`llanilishi. Bemor bolalarda pnevmoniya etiologiyasini aniqlashda yuqori darajada o'ziga xoslik va sezuvchanlikka ega bo'lgan tashxis testlarini ishlab chiqish tibbiy yordam muassasalari faoliyati uchun yuqori samara bo`lib hisoblanadi.

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Community acquired methicillin resistant Staphylococcus aureus soft tissue infection complicated by septicaemia, necrotizing pneumonia, deep vein thrombosis and pyomyositis

Cited by 2 publications

References 11 publications

Childhood community-acquired pneumonia: the complexities and challenges of aetiological diagnosis

Childhood community-acquired pneumonia: the complexities and challenges of aetiological diagnosis

Bolalarda Kasalxonadan Tashqari Pnevmoniya Tashxisining Retrospektiv Tahlili

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