Que faire quand une pneumonie persiste? [How to handle a non-resolving pneumonia?]

Détails

ID Serval
serval:BIB_429660D8230E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Que faire quand une pneumonie persiste? [How to handle a non-resolving pneumonia?]
Périodique
Revue medicale suisse
Auteur(s)
Lechartier B., Prella M., Manuel O., Nicod L.P.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
16/11/2016
Peer-reviewed
Oui
Volume
12
Numéro
539
Pages
1942-1947
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Persistent pneumonias are frequent both in hospital and primary care settings. Several parameters have to be taken into account. Firstly the appropriateness of treatment; secondly the immune status of the host; and finally infectious complications need to be ruled out. Several non-infectious diagnoses can mimic a persistent infiltrate, such as neoplastic disorders, organising pneumonias, interstitial disorders and drug - or radiation-induced lung diseases. Uncommon pathogens will not respond to common treatment, for instance atypical bacteria, mycobacteria, fungi including Pneumocystis as well as viruses. Referral to a pulmonologist should be considered to perform a fiberoptic bronchoscopy.

Mots-clé
Bronchoscopy/methods, Diagnosis, Differential, Humans, Lung Diseases/diagnosis, Pneumonia/diagnosis, Pneumonia/etiology, Pneumonia/therapy
Pubmed
Création de la notice
02/08/2017 15:44
Dernière modification de la notice
19/04/2018 20:27
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