id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-266516-0ure8256	Lim, Tow Keang	Pneumonia in the tropics	2017-08-01		.txt	text/plain	5308	326	46	The complex interplay of climate change, human migration influences and socio‐economic factors lead to changing patterns of respiratory infections in tropical climate but also increasingly in temperate countries. But, as human migration patterns evolve, we expect to see more TB cases in higher income as well as temperate countries, and rise in infections like scrub typhus from ecotourism activities. In this review, we highlight aetiologies of pneumonia seen more commonly in the tropics compared with temperate regions, their disease burden, variable clinical presentations as well as impact on healthcare delivery. Prevalent in poultry and wild birds, animal-to-human transmission occurs to cause a spectrum of pneumonia/ pneumonitis, culminating in acute respiratory distress syndrome (ARDS). In a series of severe CAP cases in Singapore, patients who had Gram-negative organisms isolated tended to have a worse outcome including a higher mortality, especially for patients with Pseudomonas and Burkholderia pseudomallei infections.	./cache/cord-266516-0ure8256.txt	./txt/cord-266516-0ure8256.txt