Which studies are indicated in unresponsive cases of bacterial pneumonia?

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

Diagnostic testing may require more complex studies when the cause of disease is less apparent. Unresponsive cases of pneumonia may require fiberoptic bronchoscopy or open lung biopsy for definitive diagnosis. Bronchoscopy helps evaluate for airway obstruction due to a foreign body or neoplasm. Transbronchial biopsy may be helpful in some cases. Lung biopsy may need to be performed if all other procedures do not establish a diagnosis and the illness continues. The lung biopsy may be performed under CT guidance, by thoracoscopy, or with open thoracotomy. See Workup.


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