ABSTRACT
El presente artículo no revisa únicamente aquellos aspectos de la neumonía adquirida en la comunidad fundamentales para la práctica clínica diaria, sino que incide en los temas polémicos, y aporta la información más novedosa disponible. Se considera la neumonía adquirida en la comunidad en un sentido amplio, sin excluir ciertas variantes que, durante los últimos años, algunos autores han llegado a deslindar, como la neumonía asociada a cuidados sanitarios. Esta última no es más que la misma enfermedad que incide en pacientes más frágiles, con un mayor número de factores de riesgo, compartiendo ambas un planteamiento global común (AU)
This article not only reviews the essential aspects of community-acquired pneumonia for daily clinical practice, but also highlights the controversial issues and provides the newest available information. Community-acquired pneumonia is considered in a broad sense, without excluding certain variants that, in recent years, a number of authors have managed to delineate, such as healthcare-associated pneumonia. The latter form is nothing more than the same disease that affects more frail patients, with a greater number of risk factors, both sharing an overall common approach (AU)
Subject(s)
Female , Humans , Male , Community-Acquired Infections/epidemiology , Community-Acquired Infections/prevention & control , Pneumonia/epidemiology , Pneumonia/prevention & control , Risk Factors , Prognosis , Biomarkers , Radiography, Thoracic/instrumentation , Radiography, Thoracic/methods , Pneumococcal Infections/epidemiology , Pneumococcal Infections/prevention & control , Streptococcus pneumoniae/isolation & purificationABSTRACT
In September 2013, leptospirosis was diagnosed in two Spanish travellers returning from Thailand. The first case walked in floodwater in the Phi Phi Islands in pouring rain: 20 days later he presented with fever and acute hepatitis. The second presented with fever and renal failure 17 days after visiting the islands. These cases remind clinicians to consider leptospirosis in febrile patients with a history of contact with flood or fresh water while travelling to tropical countries.
