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Atypical pneumonia - Treatment

Alternative Names

Walking pneumonia; Chlamydophila pneumoniae

Treatment:

Antibiotics are used to treat atypical pneumonia. If you have a mild case, you may be able to take antibiotics by mouth. If you have severe atypical pneumonia, you will likely be admitted to a hospital where you will be given antibiotics through a vein (intravenously), as well as oxygen.

Antibiotics used to treat atypical pneumonia include:

  • Azithromycin
  • Clarithromycin
  • Erythromycin
  • Fluoroquinolones and their derivatives (such as levofloxacin)
  • Tetracyclines (such as doxycycline)

Expectations (prognosis):

Most patients with pneumonia due to mycoplasma or chlamydophila do well with appropriate antibiotic therapy, although there is a small chance that the infection will return if antibiotics are used for less than 2 weeks.

While atypical pneumonias are commonly associated with milder forms of pneumonia, pneumonia due to Legionella, in particular, can be quite severe, especially among the elderly and those with chronic diseases and weakened immune systems. It is associated with a higher death rate.

Complications:

Calling your health care provider:

Contact your health care provider if you develop a fevers, cough, or shortness of breath. There are numerous causes for these symptoms. The doctor will need to rule out pneumonia.

  • Reviewed last on: 9/24/2008
  • Benjamin Medoff, MD, Assistant Professor of Medicine, Harvard Medical School, Pulmonary and Critical Care Unit, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Limper AH. Overview of Pneumonia. In: Goldman L, Ausiello D. Goldman: Cecil Medicine. Philadelphia, Pa: Saunders; 2007:chap 97.

Mandell LA, Wunderink RG, Anzueto A, et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007 Mar 1;44 Suppl 2:S27-72.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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