M. Honkinen, E. Lahti, R. Österback, O. Ruuskanen, M. Waris 

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Viruses and bacteria in sputum samples of children with community-acquired pneumonia  M. Honkinen, E. Lahti, R. Österback, O. Ruuskanen, M. Waris  Clinical Microbiology and Infection  Volume 18, Issue 3, Pages 300-307 (March 2012) DOI: 10.1111/j.1469-0691.2011.03603.x Copyright © 2012 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 1 Proportions of microbiological findings in induced sputum in children with community-acquired pneumonia. Proportions of viral, bacterial and mixed viral–bacterial detections are shown in the inside figure. Proportions of the most commonly found viruses (right side) and bacteria (left side) are shown in the outside figure, and the total percentage is over 100 because of co-detections of multiple microorganisms. Total: 76 patients. *Mycoplasma pneumoniae was found in 20% of those 36 patients who were studied both serologically and by PCR. Clinical Microbiology and Infection 2012 18, 300-307DOI: (10.1111/j.1469-0691.2011.03603.x) Copyright © 2012 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 2 A chest radiograph of a girl aged 3 years and 9 months with community-acquired pneumonia. Six potential pathogens were detected in the sputum sample: Streptococcus pneumoniae, Moraxella catarrhal, Haemophilus influenzae, enterovirus, human bocavirus, and rhinovirus. Parenchymal consolidation is seen in the right lung just below the hilus. The clinical picture on admission included fever of 39.8°C, fatigue, poor appetite, rhinitis, cough, right-sided acute otitis media, right-sided fine crackles on auscultation, a C-reactive protein level of 108 mg/L, and a white blood cell count of 35.9 × 109/L The patient was treated with intravenous penicillin G. After 1 day of treatment, the girl was afebrile and was discharged from hospital with a course of oral amoxycillin for 7 days. Clinical Microbiology and Infection 2012 18, 300-307DOI: (10.1111/j.1469-0691.2011.03603.x) Copyright © 2012 European Society of Clinical Infectious Diseases Terms and Conditions