Intracellular causative agents of community - acquired pneumonia in young people: etiological significance, clinical and laboratory features, optimization of empirical antibiotic therapy

The study aimed to assess the etiological role of intracellular (atypical) pathogens (Mycoplasma pneumoniae, Chlamydophila pneumoniae) in developing community - acquired pneumonia in young people. It is shown that these pathogens for the period 2015-2019 were the cause of community - acquired pneumonia in 21.7% of cases, mainly in young recruits and military personnel with a service life of fewer than six months. Clinically, community - acquired pneumonia was characterized by moderate fever (body temperature £38 °С) on admission, unproductive cough, and poor auscultatory picture in the lungs. According to the laboratory examination results in favor of community - acquired pneumonia, with a high probability of caused by intracellular pathogens, the unexpressed components of the systemic inflammatory response syndrome (leukocytosis, the level of C-reactive protein) testify. Radiographically, unilateral infiltration of lung tissue, mainly of a small (up to 3 segments) volume, is more characteristic.

community-acquired pneumonia, mycoplasma, chlamydia, diagnosis