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Old 05-10-2011
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X Ray The most common rediological pattern of pneumococcal pneumonia?

Hi frnds!! I read kaplan and was looking at a board review book, and now I'm getting confused about something.

In pneumococcal pneumonia, what is more common radiographically? lobar or bronchopneumonic pattern?

Thank you
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Old 05-10-2011
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Arrow Children more likely to have bronchopneumonia

The typical chest radiography finding in adolescents and adults with pneumococcal pneumonia is lobar consolidation.


Infants and young children with pneumococcal pneumonia more often have a pattern of scattered parenchymal consolidation and bronchopneumonia.


Other chest radiography findings may include air bronchograms, pleural effusions/empyema, pneumatoceles, and, rarely, abscesses.


Cavitation is not a feature of S pneumoniae pneumonia and, if present, should prompt investigation for other pathogens.


Reference:
http://emedicine.medscape.com/articl...1-workup#a0720
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Old 05-10-2011
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Quote:
Originally Posted by Oodesh View Post
Hi frnds!! I read kaplan and was looking at a board review book, and now I'm getting confused about something.

In pneumococcal pneumonia, what is more common radiographically? lobar or bronchopneumonic pattern?

Thank you
according to me for p. pneumonia the classical picture is consolidated lobar pattern.but equally bronchopneumonic patchy pattern is also present. so consider both type of picture for p.pneumonia.to diagnose sputum culture or blood culture is required.
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Old 05-11-2011
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Thank you!!
I read from board review book:
The classic physical and radiographic findings of lobar consolidation may be absent in patients with pneumococcal pneumonia. In fact, a bronchopneumonic pattern is radiographically more common than lobar consolidation.
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Quote:
Originally Posted by Oodesh View Post
Thank you!!
I read from board review book:
The classic physical and radiographic findings of lobar consolidation may be absent in patients with pneumococcal pneumonia. In fact, a bronchopneumonic pattern is radiographically more common than lobar consolidation.
thank you for correcting me. thanks for the information. i think i read it from radiological book.so board review book information is what we should go with. once again thanks.
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Infectious-Diseases, Pulmonology-, Radiology-

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