PNEUMONIA

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Last Updated : 3/5/2007
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Ira Shah
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Sequelae
- Most children with uncomplicated pneumonia recover without sequelae. Persistent effusions and empyemas are the most common serious complications of bacterial pneumonia.
- Pulmonary abscess
- Respiratory distress
- Sepsis
- Pneumatoceles especially with staphylococcal infections

In children who have recurrent or chronic symptoms, further testing including skin testing to identify fungal pathogens, sweat chloride estimation to identify Cystic fibrosis, titers against rare organisms, and bronchoscopy may be required.

Prognosis
The prognosis for most forms of pneumonia is excellent.
- Most cases of viral pneumonia resolve without treatment; common bacterial pathogens and atypical organisms respond to antimicrobial therapy.
- The prognosis for varicella pneumonia is somewhat more guarded.
- Staphylococcal pneumonia, although rare, can be very serious despite treatment.
- Immunocompromised children, those with underlying lung disease, and neonates are at high risk for severe sequelae.
- Some forms of viral pneumonia, particularly adenoviral disease, tend to cause bronchiolitis obliterans and hyperlucent lung syndrome.



Contributor Information and Disclosures Ira Shah
Consultant Pediatrician, B.J.Wadia Hospital for Children, Mumbai, India


First Created : 1/2/2001
References
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