Peer Reviewed
Feature Article Respiratory medicine
Investigating the patient with recurrent pneumonia
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Lung diseases
Lung diseases
Abstract
Investigation of recurrent pneumonia should be directed at assessment of the current episode to guide management and a search for the cause of recurring episodes.
Key Points
- Recurrent pneumonia is pneumonia occurring at least twice in 12 months or three times during a lifetime.
- It can affect all ages but the underlying causes differ according to age.
- Investigation involves assessment of the current episode so it can be managed properly and a search for the underlying cause of the pneumonia.
- Appropriate investigations include a chest x-ray, thoracic CT scan, identification of the causative organism and, as indicated, bronchoscopy and tests of swallowing, immune and cilial functions.
- Specialist assistance is usually required for the management of recurrent pneumonia.
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