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rj file, which can then be uploaded to SimuLynx Recurrent pneumonia: diagnosis and management. Approximately 50% of patients with CAP have an underlying lung disease. When compared to patients without a specific underlying condition, patients with a specific underlying disease have more severe CAP, higher hospitalization and ICU admission rates, and longer hospital stay and ICU stay. Recurrent pneumonia is more common in patients with congestive heart failure and COPD. It is important to search for underlying disease, to consider a microorganism, and to manage pneumonia according to the specific underlying disease. UNPUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT No. 06-1377 WALTER C. BRIGGS, JR., Plaintiff - Appellant, versus DEPARTMENT OF TRANSPORTATION, Defendant - Appellee. Appeal from the United States District Court for the Western District of Virginia, at Charlottesville. Norman K. Moon, District Judge. (3:04-cv-00402) Submitted: April 17, 2006 Decided: April 27, 2006 Before WILKINSON and MOTZ, Circuit Judges, and HAMILTON, Senior Circuit Judge. Affirmed by unpublished per curiam opinion.

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