MRCEM Notes

Respiratory pathogens

The table below lists the more common respiratory pathogens:

PathogenAssociated condition
Respiratory syncytial virusBronchiolitis
Parainfluenza virusCroup
RhinovirusCommon cold
Influenza virusFlu
Streptococcus pneumoniaeThe most common cause of community-acquired pneumonia
Haemophilus influenzaeCommunity-acquired pneumonia
Most common cause of bronchiectasis exacerbations
Acute epiglottitis
Staphylococcus aureusPneumonia, particularly following influenza
Mycoplasma pneumoniaeAtypical pneumonia

Flu-like symptoms classically precede a dry cough. Complications include haemolytic anaemia and erythema multiforme
Legionella pneumophiliaAtypical pneumonia

Classically spread by air-conditioning systems, causes dry cough. Lymphopenia, deranged liver function tests and hyponatraemia may be seen
Pneumocystis jiroveciCommon cause of pneumonia in HIV patients. Typically patients have few chest signs and develop exertional dyspnoea
Mycobacterium tuberculosisCauses tuberculosis. A wide range of presentations from asymptomatic to disseminated disease are possible. Cough, night sweats and weight loss may be seen
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