Pneumonia
Primary<unk>  pneumonia
Most severe and least common type of pneumonia
Rare in otherwise healthy adults
Consider in patients with persistent and worsening symptoms (esp high fever, shortness of breath, cyanosis)
CXR shows bilateral opacities with or with out superimposed consolidation
Secondary bacterial pneumonia
Exacerbation of fever and respiratory symptoms after initial improvement
Higher fever, productive cough, radiographic evidence of infiltrates
Microbiology
Pneumococcus and S. aureus (including MRSA) most common (35% and 28%, respectively)
MRSA associated with necrotizing cavitary infections with high mortality rate in previously healthy young people
Otitis Media
More common in children
Myositis and rhabdomyolysis
More common in children
Extreme tenderness of affected muscles (most commonly in the legs)
Pericarditis/myocarditis
Rare complication
Primary<unk>  pneumonia
Most severe and least common type of pneumonia
Rare in otherwise healthy adults
Consider in patients with persistent and worsening symptoms (esp high fever, shortness of breath, cyanosis)
CXR shows bilateral opacities with or with out superimposed consolidation
Secondary bacterial pneumonia
Exacerbation of fever and respiratory symptoms after initial improvement
Higher fever, productive cough, radiographic evidence of infiltrates
Microbiology
Pneumococcus and S. aureus (including MRSA) most common (35% and 28%, respectively)
MRSA associated with necrotizing cavitary infections with high mortality rate in previously healthy young people
Most severe and least common type of pneumonia
Rare in otherwise healthy adults
Consider in patients with persistent and worsening symptoms (esp high fever, shortness of breath, cyanosis)
CXR shows bilateral opacities with or with out superimposed consolidation
Exacerbation of fever and respiratory symptoms after initial improvement
Higher fever, productive cough, radiographic evidence of infiltrates
Microbiology
Pneumococcus and S. aureus (including MRSA) most common (35% and 28%, respectively)
MRSA associated with necrotizing cavitary infections with high mortality rate in previously healthy young people
Higher fever, productive cough, radiographic evidence of infiltrates
Pneumococcus and S. aureus (including MRSA) most common (35% and 28%, respectively)
MRSA associated with necrotizing cavitary infections with high mortality rate in previously healthy young people
MRSA associated with necrotizing cavitary infections with high mortality rate in previously healthy young people
More common in children
More common in children
Extreme tenderness of affected muscles (most commonly in the legs)
Rare complication
Influenza
Pertussis
URI
Rubella
Pneumonia
Anthrax
Sinusitis
Diphtheria