Protocolo diagnóstico de las neumonías de lenta resolución o recidivantes
ISSN: 0304-5412
Año de publicación: 2022
Título del ejemplar: Patología respiratoria (IV)
Serie: 13
Número: 66
Páginas: 3905-3908
Tipo: Artículo
Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado
Resumen
Poor progress is considered to be the persistence or progression of clinical, analytical, or radiological manifestations related to pneumonia despite treatment. When the failure is early, the cause tends to be related to the severity of the initial infection. When the failure is late, the causes tend to be the factors related to the host, complications or superinfections, unusual germs, or non-infectious causes. Management requires reviewing microbiological tests, assessing and intensifying treatment, indicating a computed tomography scan of the chest, and considering a fibrobronchoscopy. Recurrent pneumonia in different locations tends to be due to comorbidities, immunodeficiency, aspiration, or non-infectious diseases. When it is in the same location, local causes must be ruled out. We propose a sequential management algorithm for poorly progressing community-acquired pneumonia.
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