Young infants below 3
months with pneumonia may present with poor feeding,
vomiting, or irritability, minimal systemic disturbance
and despite tachypnoea, cough may be absent. On the
other hand, systemic disturbance, toxicity, and specific
respiratory symptoms and signs are common in infants
and pre-school children with a bacterial aetiology. Infants
and toddlers with staphylococcal pneumonia are usually
toxic and may anaemic at presentation. Furthermore,
there may be features of an underlying severe malnutrition,
an ongoing or recent measles infection, and/or
soft-tissue staphylococcal lesions like impetigo or furunculosis.
19,24,25 Respiratory signs are hardly discriminative
of staphylococcal aetiology, but empyema and air-leak
respiratory lesions like pneumatoceles, pyopneumothorax are commonly seen.
Young infants below 3months with pneumonia may present with poor feeding,vomiting, or irritability, minimal systemic disturbanceand despite tachypnoea, cough may be absent. On theother hand, systemic disturbance, toxicity, and specificrespiratory symptoms and signs are common in infantsand pre-school children with a bacterial aetiology. Infantsand toddlers with staphylococcal pneumonia are usuallytoxic and may anaemic at presentation. Furthermore,there may be features of an underlying severe malnutrition,an ongoing or recent measles infection, and/orsoft-tissue staphylococcal lesions like impetigo or furunculosis.19,24,25 Respiratory signs are hardly discriminativeof staphylococcal aetiology, but empyema and air-leakrespiratory lesions like pneumatoceles, pyopneumothorax are commonly seen.
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