Investigations
- chest radiology
- white cells - raised; often greater than 15 x 10^9 per litre
- ESR - raised; may exceed 100 mm in an hour
- CRP - raised
Sputum examination and culture, and blood culture - positive in 25-40% of cases, are essential in management of a patient with pneumonia. It may possible to demonstrate pneumococcal antigen in both blood and sputum.
Song JY et al. Diagnosis of Pneumococcal Pneumonia: Current Pitfalls and the Way Forward. Infection and Chemotherapy Dec 2013.
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