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Chronic Bacterial Pneumonia

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Community-Acquired Pneumonia

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Summary

Chronic bacterial pneumonias are more common than previously recognized. They often present in the absence of fever and purulent sputum production. Although cough is the most common symptom, constitutional symptoms such as fatigue and weight loss are also frequent. H. influenzae and are the predominant bacterial pathogens in patients both with and without predisposing illness. Sixty-five percent of patients with chronic bacterial pneumonia will have a recognizable predisposing disease. The roentgenographic appearance is variable and nonspecific. Bronchoscopic evaluation is essential. Short courses of therapy have a high incidence of recurrence, despite initial symptomatic improvement. Thus, successful treatment requires prolonged therapy.

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  1. Section of Pulmonary and Critical Care Medicine, Virginia Mason Medical Center, Seattle, Washington, 98111

    Steven H. Kirtland & Richard H. Winterbauer

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  1. University of Alberta, Edmonton, Alberta, Canada

    Thomas J. Marrie

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Kirtland, S.H., Winterbauer, R.H. (2002). Chronic Bacterial Pneumonia. In: Marrie, T.J. (eds) Community-Acquired Pneumonia. Springer, Boston, MA. https://doi.org/10.1007/0-306-46834-4_22

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