Pneumonia laboratory findings: Difference between revisions
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/* Urine Antigen Test{{cite journal| author=Couturier MR, Graf EH, Griffin AT| title=Urine antigen tests for the diagnosis of respiratory infections: legionellosis, histoplasmosis, pneumococcal pneumonia. | journal=Clin Lab Med | year= 2014 | volume= 3... |
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===Other Laboratory Tests=== | ===Other Laboratory Tests=== | ||
====Urine Antigen Test<small><small><ref name="pmid24856525">{{cite journal| author=Couturier MR, Graf EH, Griffin AT| title=Urine antigen tests for the diagnosis of respiratory infections: legionellosis, histoplasmosis, pneumococcal pneumonia. | journal=Clin Lab Med | year= 2014 | volume= 34 | issue= 2 | pages= 219-36 | pmid=24856525 | doi=10.1016/j.cll.2014.02.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24856525 }} </ref></small></small>==== | ====Urine Antigen Test <small><small><ref name="pmid24856525">{{cite journal| author=Couturier MR, Graf EH, Griffin AT| title=Urine antigen tests for the diagnosis of respiratory infections: legionellosis, histoplasmosis, pneumococcal pneumonia. | journal=Clin Lab Med | year= 2014 | volume= 34 | issue= 2 | pages= 219-36 | pmid=24856525 | doi=10.1016/j.cll.2014.02.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24856525 }} </ref></small></small>==== | ||
*Used to diagnose [[Legionella]] disease. | *Used to diagnose [[Legionella]] disease. | ||
*The presence of the antigen in urine can be detected in 24 hours since the onset of the symptoms | *The presence of the antigen in urine can be detected in 24 hours since the onset of the symptoms |
Revision as of 16:03, 4 November 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
Laboratory Tests
Routine Tests
Findings in routine blood tests are based on the severity of the disease and the cause, they can include the following:[1]
- Leukocytosis or leukopenia
- Eosinophilia (in cases of eosinophilic pneumonia)
- Anemia
- Hyponatremia
- Thrombocytopenia
- Elevated BUN
- Findings of lactic acidosis (decreased HCO3, increased lactic acid levels)
Sputum Gram Stain and Culture
- Sputum samples should be obtained of all patients with productive cough
- Gram-stain and culture should be performed to assess the causative agent and guide the therapy.
Other Laboratory Tests
Urine Antigen Test [2]
- Used to diagnose Legionella disease.
- The presence of the antigen in urine can be detected in 24 hours since the onset of the symptoms
- The severity of Legionella disease increases the sensitivity of the urinary antigen test.
References
- ↑ Solomon, Caren G.; Wunderink, Richard G.; Waterer, Grant W. (2014). "Community-Acquired Pneumonia". New England Journal of Medicine. 370 (6): 543–551. doi:10.1056/NEJMcp1214869. ISSN 0028-4793.
- ↑ Couturier MR, Graf EH, Griffin AT (2014). "Urine antigen tests for the diagnosis of respiratory infections: legionellosis, histoplasmosis, pneumococcal pneumonia". Clin Lab Med. 34 (2): 219–36. doi:10.1016/j.cll.2014.02.002. PMID 24856525.