Which exam findings are associated with a specific etiology for bacterial pneumonia?

Updated: Sep 30, 2020
  • Author: Justina Gamache, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

Examination findings that may indicate a specific etiology for consideration are as follows:

  • Bradycardia may indicate a Legionella etiology.

  • Periodontal disease may suggest an anaerobic and/or polymicrobial infection.

  • Bullous myringitis may very rarely indicate Mycoplasma pneumoniae infection (largely disproven).

  • Physical evidence of risk for aspiration may include a decreased gag reflex.

  • Cutaneous nodules, especially in the setting of central nervous system (CNS) findings may suggestion Nocardia infection.


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