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Bacterial pneumonia causes

Introduction

Overview

Overview

Bacterial pneumonia may be due to a variety of underlying causes. The microorganisms responsible are divided into typical and atypical. Typical bacteria often result in a classic pneumonia whereas atypical bacteria lead to a much milder presentation often referred to as “walking pneumonia“. These patients appear near normal but have extensive findings on chest x-ray. Apart from typical and atypical classifications, bacterial pneumonia can be categorized based on demographics by differentiating into neonates (<4 weeks old), toddlers (2 – 4 years), children (4 weeks – 18 years), adults (18 – 65 years), and the elderly (>65 years). Underlying characteristics may also help determine the specific cause. These include alcoholics, those at risk of aspiration, cystic fibrosis, intravenous drug users, and those that are immunocompromised or at risk of nosocomial pneumonia.

Causes

Causes

According to Microorganisms

Typical Pneumonia[1] Atypical Pneumonia
Streptococcus pneumoniae Legionella
Staphylococcus aureus Mycoplasma pneumoniae
Haemophilus influenzae Chlamydia pneumoniae
Listeria monocytogenes Chlamydia psittaci
Group A streptococci Chlamydia Trachomatis
Moraxella catarrhalis
Anaerobes and aerobic gram-negative bacteria

According to Demographics

Age Group Most common organism
Neonates (<4 weeks old) [2][3] Group B streptococci, Escherichia coli, Listeria monocytogenes
Toddlers (2 – 4 years) [3] Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis
Children (4 weeks – 18 years) [3] Streptococcus pneumoniae, Mycoplasma pneumoniae, Haemophilus influenzae
Adults (18 – 65 years) [4] Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae, Klebsiella, Pseudomonas aeruginosa, Legionella, Mycoplasma pneumoniae, Chlamydia pneumoniae
Elderly (>65 years) [5] Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae, Legionella, Gram Negative Rods (Escherichia coli, Klebsiella, Enterobacter species, Pseudomonas aeruginosa)

According to Specific Groups

Group Description Most common organism
Alcoholics [6][7] Streptococcus Pneumoniae, Oral anaerobes, Klebsiella Pneumoniae, Acinetobacter
Aspiration [6][7] Oral anaerobes, Pseudomonas aeruginosa, Gram-Negative Rods (Escherichia coli, Klebsiella, Enterobacter species)
Cystic fibrosis [6][7] Pseudomonas Aeruginosa, Burkholderia Cepacia, Staphylococcus Aureus
Immunocompromised [6][7] Streptococcus Pneumoniae, Haemophilus Influenzae
Intravenous drug users [6][7] Staphylococcus Aureus, Oral anaerobes, Streptococcus Pneumoniae
Nosocomial (hospital acquired) [8] Staphylococcus aureus (MRSA), Streptococcus species, Pseudomonas aeruginosa, Gram-Negative Rods (Escherichia coli, Klebsiella, Enterobacter species), Acinetobacter species
Postviral [9] Staphylococcus aureus, Streptococcus Pneumoniae

Less likely to be Haemophilus influenzae

References

References

  1. ↑ “StatPearls”. 2021. PMIDΒ 30020693.
  2. ↑ Webber S, Wilkinson AR, Lindsell D, Hope PL, Dobson SR, Isaacs D (1990). “Neonatal pneumonia”. Arch Dis Child. 65 (2): 207–11. doi:10.1136/adc.65.2.207. PMCΒ 1792235. PMIDΒ 2107797.
  3. ↑ 3.0 3.1 3.2 Nguyen TK, Tran TH, Roberts CL, Graham SM, Marais BJ (2017). “Child pneumonia – focus on the Western Pacific Region”. Paediatr Respir Rev. 21: 102–110. doi:10.1016/j.prrv.2016.07.004. PMCΒ 7106312 Check |pmc= value (help). PMIDΒ 27569107.
  4. ↑ Eshwara VK, Mukhopadhyay C, Rello J (2020). “Community-acquired bacterial pneumonia in adults: An update”. Indian J Med Res. 151 (4): 287–302. doi:10.4103/ijmr.IJMR_1678_19. PMCΒ 7371062 Check |pmc= value (help). PMIDΒ 32461392 Check |pmid= value (help).
  5. ↑ Henig O, Kaye KS (2017). “Bacterial Pneumonia in Older Adults”. Infect Dis Clin North Am. 31 (4): 689–713. doi:10.1016/j.idc.2017.07.015. PMCΒ 7127502 Check |pmc= value (help). PMIDΒ 28916385.
  6. ↑ 6.0 6.1 6.2 6.3 6.4 {{https://www.wikidoc.org/index.php/Pneumonia_risk_factors}}
  7. ↑ 7.0 7.1 7.2 7.3 7.4 {{https://academic.oup.com/cid/article/44/Supplement_2/S27/372079}}
  8. ↑ “StatPearls”. 2021. PMIDΒ 30571062.
  9. ↑ Prasso JE, Deng JC (2017). “Postviral Complications: Bacterial Pneumonia”. Clin Chest Med. 38 (1): 127–138. doi:10.1016/j.ccm.2016.11.006. PMCΒ 5324726. PMIDΒ 28159155.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S