DIAGNOSISANDDIFFERENTIALDIAGNOSIS
First,itisimportanttodifferentiatepneumoniafromupperrespiratorytractinfectionsandlowerrepiratorytractinfections.Theymayalsohavecough,feverthataresimilartothepneumonia,buttheyhavenoparenchymalinfiltrationsonthechestX-rayfilm.
Secondly,otherdiseasesthatmimicthepneumoniashouldbeexcluded,whicharelistedasfollows:
PulmonaryTuberculosis
Patientswithpulmonarytuberculosisoftenhaveaninsidiousonsetandgeneraltoxicsymptoms,suchaslow-gradefever,nightsweat,fatigue,weightlostandsoforth.X-raywillpresentthecharacteristicchangesoftuberculosisthatincludeshadowsmainlylocatedintheupperzone,irregulardensity,slowdisappearance,cavityformationandbronchialdissemination.Sputumsmearfortuberclebacillicouldgetpositiveresultsandpatientswillnotrespondwelltothe
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