05/15/2002 By David Loshak
Most children with alveolar pneumonia, especially those with lobar infiltrates, have bacterial infection.
There are interstitial infiltrates in both viral and bacterial pneumonias.
These are the key findings of a study undertaken by investigators in Turku, Finland.
They studied the differential diagnostic role of chest radiography findings, total white blood cell count, erythrocyte sedimentation rate and serum C reactive protein in 254 consecutive children admitted to hospital with community acquired pneumonia between 1993 and 1995. White blood cell count, erythrocyte sedimentation rate and C reactive protein levels were determined on admission. The investigators searched for 17 infectious agents – 10 viruses and seven bacteria. Chest radiographs were reviewed by three paediatric radiologists retrospectively and separately.
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