{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T05:12:03Z","timestamp":1701493923165},"reference-count":68,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Respir Crit Care Med"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The coronavirus disease 2019 (COVID-19) pandemic upended our approach to imaging community-acquired pneumonia, and this will alter our diagnostic algorithms for years to come. In light of these changes, it is worthwhile to consider several postpandemic scenarios of community-acquired pneumonia: (1) patient with pneumonia and recent positive COVID-19 testing; (2) patient with air space opacities and history of prior COVID-19 pneumonia (weeks earlier); (3) multifocal pneumonia with negative or unknown COVID-19 status; and (4) lobar or sublobar pneumonia with negative or unknown COVID-19 status. In the setting of positive COVID-19 testing and typical radiologic findings, the diagnosis of COVID-19 pneumonia is generally secure. The diagnosis prompts vigilance for thromboembolic disease acutely and, in severely ill patients, for invasive fungal disease. Persistent or recurrent air space opacities following COVID-19 infection may more often represent organizing pneumonia than secondary infection. When COVID-19 status is unknown or negative, widespread airway-centric disease suggests infection with mycoplasma, Haemophilus influenzae, or several respiratory viruses. Necrotizing pneumonia favors infection with pneumococcus, Staphylococcus, Klebsiella, and anaerobes. Lobar or sublobar pneumonia will continue to suggest the diagnosis of pneumococcus or consideration of other pathogens in the setting of local outbreaks. A positive COVID-19 test accompanied by these imaging patterns may suggest coinfection with one of the above pathogens, or when the prevalence of COVID-19 is very low, a false positive COVID-19 test. Clinicians may still proceed with testing for COVID-19 when radiologic patterns are atypical for COVID-19, dependent on the patient's exposure history and the local epidemiology of the virus.<\/jats:p>","DOI":"10.1055\/s-0042-1755186","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T23:38:37Z","timestamp":1669678717000},"page":"924-935","source":"Crossref","is-referenced-by-count":0,"title":["Community-Acquired Pneumonia: Postpandemic, Not Post-COVID-19"],"prefix":"10.1055","volume":"43","author":[{"given":"Loren","family":"Ketai","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of New Mexico HSC, Albuquerque, New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Febbo","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of New Mexico HSC, Albuquerque, New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hellen K.","family":"Busby","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Pulmonary Division, University of New Mexico HSC, Albuquerque, New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elyce B.","family":"Sheehan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Pulmonary Division, University of New Mexico HSC, Albuquerque, New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1148\/radiol.213072","article-title":"Imaging and clinical features of COVID-19 breakthrough infections: a multicenter study","volume":"303","author":"J E Lee","year":"2022","journal-title":"Radiology"},{"issue":"08","key":"ref3","first-page":"CD013705","article-title":"Rapid, point-of-care antigen and molecular-based tests for diagnosis of SARS-CoV-2 infection","volume":"8","author":"J Dinnes","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"E97","DOI":"10.1148\/radiol.2020201473","article-title":"CO-RADS: a categorical CT assessment scheme for patients suspected of having COVID-19-definition and evaluation","volume":"296","author":"M Prokop","year":"2020","journal-title":"Radiology"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/RTI.0000000000000524","article-title":"Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. 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