The most prevalent pathogen causing CAP in newborns is Streptococcus agalactiae, also known as group-B streptococcus (GBS). GBS causes more than half of CAP in the first week after birth. Other bacterial causes of neonatal CAP include Listeria monocytogenes and a variety of mycobacteria. CAP-causing viruses may also be transferred from mother to child; herpes simplex virus, the most common, is life-threatening, and adenoviridae, mumps and enterovirus can also cause pneumonia. Another cause of neonatal CAP is Chlamydia trachomatis, which, though acquired at birth, does not cause pneumonia until two to four weeks later. It usually presents with no fever and a characteristic, staccato cough. CAP in older infants reflects increased exposure to microorganisms, with common bacterial causes including Streptococcus pneumoniae, Escherichia coli, Klebsiella pneumoniae, Moraxella catarrhalis and Staphylococcus aureus. Maternally-derived syphilis is also a cause of CAP in infants. Viral causes include human respiratory syncytial virus (RSV), human metapneumovirus, adenovirus, human parainfluenza viruses, influenza and rhinovirus, and RSV is a common source of illness and hospitalization in infants. CAP caused by fungi or parasites is not usually seen in otherwise-healthy infants. Children
Although children older than one month tend to be at risk for the same microorganisms as adults, children under five years of age are much less likely to have pneumonia caused by Mycoplasma pneumoniae, Chlamydophila pneumoniae or Legionella pneumophila than older children. In contrast, older children and teenagers are more likely to acquire Mycoplasma pneumoniae and Chlamydophila pneumoniae than adults.
Some of the most well known salts are shown in the table. Di- and polyphosphates
In addition to these phosphates, sodium forms a number of useful salts with pyrophosphates (also called diphosphates), triphosphates and high polymers. Of these salts, those of the diphosphates are particularly common commercially. Beyond the diphosphates, sodium salts are known triphosphates, e.g. sodium triphosphate and tetraphosphates. The cyclic polyphosphates, called metaphosphates, include the trimer sodium trimetaphosphate and the tetramer, Na3P3O9 and Na4P4O12, respectively. Polymeric sodium phosphates are formed upon heating mixtures of NaH2PO4 and Na2HPO4, which induces a condensation reaction. The specific polyphosphate generated depends on the details of the heating and annealing. One derivative is the glassy (i.e., amorphous) Grahams salt. It is a linear polyphosphate the average formula NaO(NaPO3)Na2. Crystalline high molecular weight polyphosphates include Kurrols salt and Maddrells salt (CAS#10361-03-2). These species have the formula [NaPO3]n[NaPO3(OH)]2 where n can be as great as 2000. In terms of their structures, these polymers consist of PO3− "monomers", with the chains are terminated by protonated phosphates. References
External links
Bell, Russel N (April 1973), "Sodium Aluminum Phosphate Cheese Emulsifying Agent", US Patent 3726960
Lien, YH (16 July 2008), "Is bowel preparation before colonoscopy a risky business for the kidney? ", Nature Clinical Practice Nephrology, 4 (11): 606–14, doi:10.1038/ncpneph0939, PMID 18797448, S2CID 340122