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Community Acquired Pneumonia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Community Acquired Pneumonia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Community Acquired Pneumonia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
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Community Acquired Pneumonia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

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This book describes Community Acquired Pneumonia, Diagnosis and Treatment and Related Diseases

Community-acquired pneumonia (CAP) is one of the most frequent infectious diseases and is an important cause of disease and death worldwide.

Numerous other micro-organisms can produce CAP in the proper medical situation.

Epidemiologic data may provide indications to the specific organism causing CAP such as:

1. The most frequent bacterial pathogen generally is S pneumoniae, even though, in some situations, including in the USA, its incidence is reducing, possibly due to vaccination.

2. Underlying chronic obstructive pulmonary disease (COPD: H influenzae or M catarrhalis

3. Recent influenza infection: Staphylococcus aureus or S pneumoniae

4. Alcoholic patient manifesting with “currant jelly” sputum: Klebsiella pneumoniae

Also, the atypical CAP pathogens are really frequent sources of CAP and were initially classified as atypical since they are not easily detectable on Gram stain or cultivated on bacteriologic media.

CAP is normally obtained by inhalation or aspiration of a pathogenic organism.

Aspiration pneumonia is often induced by multiple micro-organisms (e.g., aerobic/anaerobic oral organisms).

Typical community-acquired pneumonia

Typical bacterial pathogens that cause CAP are:
1. Streptococcus pneumoniae,
2. Haemophilus influenzae, and
3. Moraxella catarrhalis.

With the introduction of novel diagnostic methods, viral respiratory pathogens are more often being identified as frequent causes of CAP.

The most frequent viral micro-organisms obtained from hospitalized patients with CAP are:
1. Human rhinovirus and
2. Influenza.

Atypical community-acquired pneumonia

The medical manifestation of “atypical” CAP is often sub-acute and often gradual.

Also, patients with atypical CAP may present with more subtle pulmonary signs, non-lobar infiltrates on radiography, and numerous extra-pulmonary presentations (e.g., diarrhea, otalgia).

Atypical CAP pathogens are:
1. Mycoplasma pneumoniae
2. Chlamydophila ( Chlamydia) pneumoniae
3. Legionella pneumophila (Legionnaires disease)
4. Respiratory viruses such as:
a. Influenza A and B
b. Rhinovirus
c. Respiratory syncytial virus
d. Human metapneumovirus
e. Adenovirus 4 and 7
f. Parainfluenza virus

Other rare CAP pathogens are:
1. Viruses
a. Coxsackievirus
b. Echovirus
c. Coronavirus (MERS-CoV, SARS)
d. Hantavirus
e. Epstein-Barr virus
f. Cytomegalovirus
g. Herpes simplex virus
h. Human herpesvirus 6
i. Varicella-zoster virus
j. Metapneumovirus

2. Bacteria
a. Chlamydophila psittaci (psittacosis)
b. Coxiella burnetii (Q fever)
c. Francisella tularensis (tularemia)
d. Mycobacteria
e. Mycobacteria tuberculosis
f. Non-tuberculous mycobacteria (uncommon)

3. Endemic fungi
a. Histoplasma capsulatum
b. Cryptococcus neoformans and neoformans gattii
c. Coccidioides immitis

The most frequent symptoms of CAP are:
a. Cough that may bring up green, yellow, or bloody mucus
b. Fever, which may be mild or high with chills, or severe shaking
c. Shortness of breath
d. Breathing and heartbeat that is faster than usual
e. Sharp or stabbing chest pain that gets worse when the patient breathes in or cough
f. Fatigue and loss of appetite
g. Trouble thinking clearly
h. Excess sweating and clammy skin
i. Headache
j. Loss of appetite, low energy, and fatigue
k. Malaise
l. White nail syndrome, or leukonychia

The doctor must first determine whether the patient needs to be in the hospital.

If the patient is treated in the hospital, the patient will receive:
1. Fluids and antibiotics
2. Oxygen therapy
3. Breathing treatment

TABLE OF CONTENT
Introduction
Chapter 1 Community Ac

LanguageEnglish
PublisherKenneth Kee
Release dateJun 4, 2020
ISBN9780463985212
Community Acquired Pneumonia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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    Book preview

    Community Acquired Pneumonia, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Community Acquired Pneumonia,

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2020 Smashwords Edition

    Published by Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes Community Acquired Pneumonia, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What You Need to Treat Community Acquired Pneumonia)

    This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Introduction

    I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

    My purpose in writing these simple guides was for the health education of my patients.

    Health Education was also my dissertation for my Ph.D (Healthcare Administration).

    I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

    This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

    From which many free articles from the blog was taken and put together into 800 eBooks.

    Some people have complained that the simple guides are too simple.

    For their information they are made simple in order to educate the patients.

    The later books go into more details of medical disorders.

    The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

    Since 2013, I have tried to improve my spelling and writing.

    As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

    My diagnosis and treatment capability has improved tremendously from my continued education.

    Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

    I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

    I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

    I apologize if these repetitions are irritating to some readers.

    Chapter 1

    Community-acquired pneumonia

    What is Community-acquired pneumonia?

    Community-acquired pneumonia (CAP) is one of the most frequent infectious diseases and is an important cause of disease and death worldwide.

    Numerous other micro-organisms can produce CAP in the proper medical situation.

    Epidemiologic data may provide indications to the specific organism causing CAP such as:

    1. The most frequent bacterial pathogen generally is S pneumoniae, even though, in some situations, including in the USA, its incidence is reducing, possibly due to vaccination.

    2. Underlying chronic obstructive pulmonary disease (COPD: H influenzae or M catarrhalis

    3. Recent influenza infection: Staphylococcus aureus or S pneumoniae

    4. Alcoholic patient manifesting with currant jelly sputum: Klebsiella pneumoniae

    Also, the atypical CAP pathogens are really frequent sources of CAP and were initially classified as atypical since they are not easily detectable on Gram stain or cultivated on bacteriologic media.

    CAP is normally obtained by inhalation or aspiration of a pathogenic organism.

    Aspiration pneumonia is often induced by multiple micro-organisms (e.g., aerobic/anaerobic oral organisms).

    What the causes of Community-acquired pneumonia?

    Causes

    Risk Factors

    Risk factors that increase the chance of getting pneumonia include:

    1. Chronic lung disease (COPD, bronchiectasis, cystic fibrosis)

    2. Cigarette smoking

    3. Brain disorders such as dementia, stroke, brain injury, cerebral palsy, or other brain disorders

    4. Weakened immune system (during cancer treatment, or due to HIV/AIDS, organ transplant, or other diseases)

    5. Recent surgery or trauma

    6. Surgery for cancer of the mouth, throat, or neck

    7. Other serious illnesses, such as heart disease, liver cirrhosis, or diabetes

    Typical community-acquired pneumonia

    Typical bacterial pathogens that cause CAP are:

    1. Streptococcus pneumoniae,

    2. Haemophilus influenzae, and

    3. Moraxella catarrhalis.

    With the introduction of novel diagnostic methods, viral respiratory pathogens are more often being identified as frequent causes of CAP.

    The most frequent viral micro-organisms obtained from hospitalized patients with CAP are:

    1. Human rhinovirus and

    2. Influenza.

    Atypical community-acquired pneumonia

    The medical manifestation of atypical CAP is often sub-acute and often gradual.

    Also, patients with atypical CAP may present with more subtle pulmonary signs, non-lobar infiltrates on radiography, and numerous extra-pulmonary presentations (e.g., diarrhea, otalgia).

    Atypical CAP pathogens are:

    1. Mycoplasma pneumoniae

    2. Chlamydophila ( Chlamydia) pneumoniae

    3. Legionella pneumophila (Legionnaires disease)

    4. Respiratory viruses such as:

    a. Influenza A and B

    b. Rhinovirus

    c. Respiratory syncytial virus

    d. Human metapneumovirus

    e. Adenovirus 4 and 7

    f. Parainfluenza virus

    Other rare CAP pathogens are:

    1. Viruses

    a. Coxsackievirus

    b. Echovirus

    c. Coronavirus (MERS-CoV, SARS)

    d. Hantavirus

    e. Epstein-Barr virus

    f. Cytomegalovirus

    g. Herpes simplex virus

    h. Human herpesvirus 6

    i. Varicella-zoster virus

    j. Metapneumovirus

    2. Bacteria

    a. Chlamydophila psittaci (psittacosis)

    b. Coxiella burnetii (Q fever)

    c. Francisella tularensis (tularemia)

    d. Mycobacteria

    e. Mycobacteria tuberculosis

    f. Non-tuberculous mycobacteria (uncommon)

    3. Endemic fungi (causing sub-acute or chronic pneumonia)

    a. Histoplasma capsulatum

    b. Cryptococcus neoformans and neoformans gattii

    c. Coccidioides immitis

    What the symptoms of Community-acquired pneumonia?

    Symptoms

    The most frequent symptoms of CAP are:

    a. Cough that may bring up green, yellow, or bloody mucus

    b. Fever, which may be mild or high with

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