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Atypical pneumonia - Treatment

Alternative Names

Walking pneumonia; Chlamydophila pneumoniae; Community-acquired pneumonia - atypical

Treatment:

Take these steps at home:

  • Control your fever with aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen or naproxen), or acetaminophen. DO NOT give aspirin to children.
  • Do not take cough medicines without first talking to your doctor. Cough medicines may make it harder for your body to cough up the extra sputum.
  • Drink plenty of fluids to help loosen secretions and bring up phlegm.
  • Get a lot of rest. Have someone else do household chores.

Antibiotics are used to treat atypical pneumonia.

  • You may be able to take antibiotics by mouth at home.
  • 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 are used for 2 weeks or more

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 the right antibiotic therapy. P.Legionella can be severe, leading to problems such as kidney failure, diabetes, COPD, a weak immune system, and death.

Complications:

  • Brain and nervous system infections, such as meningitis, myelitis, and encephalitis
  • Hemolytic anemia, a condition in which there are not enough red blood cells in the blood because the body is destroying them
  • Severe lung damage

Calling your health care provider:

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

  • Reviewed last on: 9/15/2010
  • Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Baum SG. Mycoplasma pneumoniae and atypical pneumonia. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 184.

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