Purulent Sputum: Causes & Reasons

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Possible Causes for Purulent Sputum

Acute Bronchitis

Of the 784 physicians who answered the questions on bronchitis, 662 preferred antibiotic therapy in acute bronchitis with purulent sputum (84.6%), 610 on uncertain diagnosis [ncbi.nlm.nih.gov]

A 40-year-old man with no underlying lung disease has a 7-day history of cough that is now productive of purulent sputum and mild shortness of breath with exertion. [doi.org]

Bronchiectasis

sputum production, and airway dilation that characterize this disease. [ncbi.nlm.nih.gov]

[…] a complication after pulmonary infection with Mycobacterium tuberculosis, diverse disease processes and mechanisms have been demonstrated to result in the chronic cough, purulent [ncbi.nlm.nih.gov]

Lung Abscess

The three diseases are clinically characterized by; 1- Fever (mild, moderate, high). 2- Toxemia (mild, moderate, severe). 3- Purulent sputum production (for short or long [slideshare.net]

As the abscess is formed, large amounts of foul purulent or bloody sputum are discharged, which may form an upper frothy layer, a middle layer of thin mucus and a thick purulent [acupuncture.com]

sputum (lots!!) [mydentistryjourney.wordpress.com]

Pseudomonas Pneumonia

He is stable but still has copious purulent sputum production and his sputum samples remain positive for Pseudomonas. [pulmonaryroundtable.blogspot.com]

Clinical manifestations are cough, purulent sputum, dyspnea, fever, confusion, and systemic toxicity. Chest radiograph usually shows multifocal airspace disease. [ispub.com]

sputum In non-intubated patients confirmed microbiological diagnosis of P. aeruginosa serotype O11 HAP by endotracheal aspirate (ETA) and modified clinical pulmonary infection [clinicaltrials.gov]

Chronic Obstructive Pulmonary Disease

Purulent sputum is typically yellow or green. [en.wikipedia.org]

Four trials ( ABC 2009 ; Elmes 1957 ; Pines 1968 ; Pines 1972 ) included patients with purulent sputum only or positive gram stain, although few details on how purulent sputum [doi.org]

Purulent sputum[4] contains pus, composed of white blood cells, cellular debris, dead tissue, serous fluid, and viscous liquid (mucus). [en.wikipedia.org]

Bacterial Pneumonia

sputum or suspected presence of bacterial pathogens in clinical specimens. [ncbi.nlm.nih.gov]

Respiratory tract irritation Cough of Purulent sputum Hemoptysis 3. [quizlet.com]

Of course, the purulent nature of the sputum is absent in this situation. [ncbi.nlm.nih.gov]

Aspiration Pneumonia

It produces fever, leukocytosis, purulent sputum, and an infiltrate visible on a radiograph. [cid.oxfordjournals.org]

Purulent sputum. Signs may include tachycardia, tachypnoea, decreased breath sounds and dullness to percussion over areas of consolidation, pleural friction rub. [patient.info]

Bacterial Tracheitis

Cough is usually productive with purulent sputum. [1,2,3] Hoarseness Due to the mild inflammation in the vocal apparatus, an impairment in the ability to produce voice can [explainmedicine.com]

During coughing the sputum with purulence is common. Often, there is respiratory failure and shortness of breath. [euromd.com]

Pneumonia

However, immunocompromised patients may have no fever or respiratory signs and are less likely to have purulent sputum if they are neutropenic. [msdmanuals.com]

sputum which may be blood-stained or rust-coloured, breathlessness, fever, malaise. [patient.info]

CAP results in about 100,000 hospital admissions each year in England. [ 6 ] Most episodes occur during the autumn or winter. [ 7 ] Presentation Symptoms: cough, purulent [patient.info]

Legionnaires' Disease

sputum and often chest pain and a localized infiltrate on chest X-ray. [medicinenet.com]

[…] the associated symptoms and signs are unlike typical pneumonia (as characterized by Streptococcus pneumonia), which involves spiking high fevers, sudden onset, cough, and purulent [medicinenet.com]

Pneumococcal Pneumonia

Bacterial Pneumonia• Common etiological agents: Streptococcus pneumoniae• Clinical presentation: Abrupt onset with fever, cough, production of purulent sputum, dyspnea, and [slideshare.net]

Findings suggesting a diagnosis other than PCP included purulent sputum production, wheezing and radiographs with evidence of focal infiltrates, pleural infusion or adenopathy [erj.ersjournals.com]

Pneumococcal pneumonia was diagnosed from a positive result in blood culture, pleural fluid, or sputum (107 colony forming units per millilitre in a purulent sample) or a [ncbi.nlm.nih.gov]

Pulmonary Actinomycosis

It usually has an occult beginning but ultimately symptoms in the form of progressive weakness, low-grade fever, weight loss, cough with purulent sputum, breathlessness on [lungindia.com]

Pneumonic Plague

The production of bloody, watery or purulent sputum along with gastrointestinal symptoms may also occur. [omicsonline.org]

The first signs of illness expected would be fever with cough with the production of bloody, watery, or purulent sputum, and dyspnea [ 3 ]. [omicsonline.org]

Pulmonary Alveolar Proteinosis

Pulmonary alveolar proteinosis (PAP) is a diffuse lung disease that results from the accumulation of lipoproteinaceous material in the alveoli and alveolar macrophages due to abnormal surfactant homoeostasis. Identification of the granulocyte-macrophage colony-stimulating factor (GM-CSF) as an indispensable mediator[…] [ncbi.nlm.nih.gov]

Maple Bark Strippers' Lung

ICD-9-CM ICD-9 V. 3 ICD-10-CM ICD-10-PCS HCPCS NDC Menu The ICD 9 Code for Maple bark-strippers' lung is listed as 495.6. Additional information concerning this code and description can be found below including ICD 10 crosswalks / GEMS, and chapter information where available. ICD 9 CM Field Value Diagnosis Code: 495.6[…] [emedcodes.com]

Nosocomial Pneumonia

sputum New or progressive parenchymal opacity on chest radiograph Especially common in patients requiring intensive care or mechanical ventilation Most common organisms in [accessmedicine.mhmedical.com]

sputum organism from blood cultures CXR signs: infiltrate, consolidation, cavitation, effusion virus in sputum IgM antibody +ve 4 fold increase in IgG titre histopathology [lifeinthefastlane.com]

sputum) in the setting of a new or progressive pulmonary opacity on chest radiograph were approximately 70% sensitive and 75% specific for the diagnosis of VAP in one study [accessmedicine.mhmedical.com]

Chronic Bronchitis

A 49-year-old woman complained of cough and a purulent sputum (about 40 ml/day). [ncbi.nlm.nih.gov]

purulence, sputum volume, dyspnoea, cough and body temperature assessed through semi-quantitative scales. [ncbi.nlm.nih.gov]

sputum, hypercapnia, hypoxia than emphysema; clinically called "blue bloaters" May cause secondary pulmonary vascular hypertension, cor pulmonale, congestive heart failure [pathologyoutlines.com]

Broncholithiasis

Symptoms of broncholithiasis include cough, recurrent episodes of fever, haemoptysis, and purulent sputum. [ncbi.nlm.nih.gov]

The most common symptoms are persistent cough and hemoptysis, sometimes followed by findings of obstructive pneumonia (fever, chills, and purulent sputum). [ncbi.nlm.nih.gov]

Sputum (occasional expectoration of stones or gritty material): Hemoptysis (see [[Hemoptysis]]) Fever: Symptoms of Airway Obstruction (see [[Obstructive Lung Disease]]) Treatment [mdnxs.com]

Tracheobronchomegaly

The abnormally widened trachea and mainstem bronchi are associated with recurrent lower respiratory tract infection and copious purulent sputum production, eventually leading [en.wikipedia.org]

Complaints at the time of presentation included chronic cough, purulent sputum, dyspnea, and hemoptysis. [ncbi.nlm.nih.gov]

sputum consistent with bronchiectasis Signs and symptom range from minimal disease with preservation of pulmonary function to progressive disease leading to respiratory failure [learningradiology.com]

Mounier-Kühn Syndrome

The abnormally widened trachea and mainstem bronchi are associated with recurrent lower respiratory tract infection and copious purulent sputum production, eventually leading [en.wikipedia.org]

Pulmonary fibrosis Emphysema Bronchiectasis Chronic pulmonary suppuration Clinical findings Recurrent pneumonia Dyspnea Cough Hoarseness Production of copious amounts of purulent [learningradiology.com]

sputum production, dyspnea (occasionally on exertion) and hemoptysis. [orpha.net]

Acute Tracheitis

A 40-year-old man with no underlying lung disease has a 7-day history of cough that is now productive of purulent sputum and mild shortness of breath with exertion. [nejm.org]

Treatment of tracheitis antibiotics penicillin group is expedient in cases when a person has observed all the signs of acute bacterial infections, namely purulent sputum, [noillen.bitballoon.com]

Hypertrophic tracheitis is characterized by venous hyperemia and congestion, swelling of the mucous membrane of the trachea, enhanced mucus and purulent sputum. [m.iliveok.com]

Bronchitis

Cystic fibrosis patients are known to produce abundant, purulent sputum consisting mainly of DNA and cellular debris. [ncbi.nlm.nih.gov]

A 40-year-old man with no underlying lung disease has a 7-day history of cough that is now productive of purulent sputum and mild shortness of breath with exertion. [doi.org]

Coughing later becomes productive with purulent sputum. [physio-pedia.com]

Lobar Pneumonia

Pneumococcal antigen was detected by counter-current immunoelectrophoresis in the sputum of 79% of patients with purulent sputum, in the serum of 29% of the patients, and [ncbi.nlm.nih.gov]

Pneumococcal infection was diagnosed in 50% by the detection of pneumococcal polysaccharide antigen in serum or purulent sputum: 24% had pneumococcal antigenaemia. [ncbi.nlm.nih.gov]

• Persistent cough with expectoration of copious amounts of foul smelling purulent sputum. • Post infectious cases commonly develop in childhood and early adult life. 36 [slideshare.net]

Pyopneumothorax

Given the persistence of purulent sputum and lung expansion failure, surgical treatment was performed. [elsevier.es]

A subcutaneous emphysema appeared and a persistent bronchopleural fistula with air-leak and purulent sputum. [elsevier.es]

We report the case of a 35-year-old male patient who was admitted to the Internal Medicine Department for symptoms of fever associated with coughing and purulent sputum. [elsevier.es]

Acute Laryngitis and/or Tracheitis

Signs of possible bacterial infection such as persistent fever, purulent sputum, signs in the chest. Signs of epiglottitis. [patient.info]

Presentation – this would usually be a pneumonia that worsens despite treatment, with the production of purulent sputum, as a result of the growth of smelly anaerobic organisms [almostadoctor.co.uk]

If it starts expectoration of purulent sputum, appointed by the penicillin antibiotics, doxycycline. [respiratory.vsebolezni.com]

Ventilation Pneumonitis

sputum + fever or leukocytosis Fagon (1988) 1.03 Infiltrate + 2 of: purulent sputum, fever, or leukocytosis Timsit (1995) 0.96 Chest 117: 191S, 2000 (+when compared to autopsy [openanesthesia.org]

Purulent sputum. Signs may include tachycardia, tachypnoea, decreased breath sounds and dullness to percussion over areas of consolidation, pleural friction rub. [patient.info]

This should be accompanied by at least two of the following criteria: (a) Fever above 38°C; (b) leukocytosis of more than 12 × 10 9 /L; (c) purulent sputum or change in the [ijpmonline.org]

Haemophilus Influenzae Infection

Infection of lung by Haemophilus influenzae produces fever, cough, purulent sputum, dyspnea, and either bronchopneumonia or lobar Pneumonia. [histopathology-india.net]

Exacerbations of chronic bronchitis (treat if there is increased sputum production, purulent sputum or dyspnoea): treat for five days (longer in severely ill patients) with [patient.info]

The three cardinal clinical manifestations of exacerbation include increased sputum volume, increased sputum purulence (color), and increased dyspnea compared to baseline [infectiousdiseaseadvisor.com]

Staphylococcal Pneumonia

CASE 50 Clinical Presentation 26-year-old man with fever, cough productive of purulent sputum, and hemoptysis Radiologic Findings PA ( Fig. 50.1A ) and lateral ( Fig. 50.1B [radiologykey.com]

The patient will present with an abrupt onset of fever, tachypnea, pleuritic chest pain, and a productive cough with purulent sputum, which can be blood-tinged. [visualdx.com]

Mycobacterium Intracellulare Infection

Most of the patients (86 percent) presented with persistent cough and purulent sputum, usually without fever or weight loss. [nejm.org]

Pulmonary MAC infection is typically insidious, with a chronic cough usually productive of purulent sputum being most common. [radiopaedia.org]

Disseminated Blastomycosis

Cultures of the purulent fluid specimens and sputum samples grew Blastomyces dermatitidis. [nejm.org]

Patients may develop acute pneumonia indistinguishable from other more commonly seen bacterial pneumonias, characterized by fever, chills, purulent sputum, and sometimes hemoptysis [hivinsite.ucsf.edu]

Sputum is purulent or mucopurulent. Blastomycosis: Clinical manifestations: Chronic pulmonary blastomycosis. [quizlet.com]