Case 3 Presentation A 56-year-old widow, housewife from Kolkata, Mrs. EB, presented to our O.P.D on 09.10.2008 with complaints of cough for one and a half years. [lungindia.com]

Aspirin Use and Respiratory Morbidity in COPD Aspirin Use and Respiratory Morbidity in COPDA Propensity Score-Matched Analysis in Subpopulations and Intermediate Outcome Measures in COPD StudyPart of this article has been presented at the 2018 ATS International [hkresp.com]

Recurrent pneumonia is 2 or more separate episodes of new lower respiratory tract and lung tissue infection presenting with new fever, new leukocytosis, and new purulent phlegm. [consultant360.com]

EBM can present as a secondary bacterial infection that may alter the clinical and radiological presentation, thereby delaying the diagnosis of pulmonary mucormycosis. [rc.rcjournal.com]

The presentation of lobar pneumonia depends on the severity of the disease, host factors and the presence of complications. [radiopaedia.org]

• Hodgkin Lymphoma

  lymphoma QUANTIFERON TB GOLD -whole blood testing looking for interferon gamma -advantages: quick test, just blood draw, not affected by vaccine, develops in the course of TB treatment with inappropriate dosing or incomplete dosing. [quizlet.com]

  Hodkgin disease and non-Hodgkin lymphoma: plain chest radiographs and chest computed tomography of thoracic involvement in previously untreated patients. Radiol Med (Torino). 1998;95:49-53. 18. Ashrafian H, Davey P. [mdmag.com]

• Cough

  One case showed asthma; both, vasomotor rhinitis and cough. 6. Case I showed intervals of recurrence varying from ten months to ten years. 7. Case II showed cough of twenty years standing. 8. [link.springer.com]

  EB, presented to our O.P.D on 09.10.2008 with complaints of cough for one and a half years. Cough was insidious in onset, progressive in nature and associated with expectoration of about half a cup per day. [lungindia.com]

  Fever, chills, night sweats, cough, difficulty breathing, fatigue, and infiltrates on chest radiographs occur with both etiologies. [consultant360.com]

  SSX: sx of pneumonia: fever, cough, fatigue, SOB, chest pain, bad breath -in severe cases may become dehydrated or cough up bloody sputum and have very high fever then slip into coma free air or gas in the pleural cavity entering through perforation [quizlet.com]

• Sputum Production

  Home CCC Progressive Pneumonia Nonresolving or Progressive Pneumonia OVERVIEW Treatment failure in pneumonia is, despite antimicrobial therapy: failure to normalize the clinical features (eg, fever, cough, sputum production), or nonresolving image in [litfl.com]

  Study protocol Detailed demographic and clinical parameters including age, sex, smoking history, clinical symptoms with duration (cough, fever more than 100 F, sputum production, hemoptysis, chest pain, breathlessness) and clinical signs (pallor, cyanosis [ncbi.nlm.nih.gov]

• Persistent Cough

  In appropriate clinical settings, foreign body aspiration should be considered in patients with recurrent pneumonia and persistent cough. In addition, it can also result in lung abscess, atelectasis, and bronchiectasis. [hindawi.com]

  Initial symptoms of lung cancer may include one or more of the following: Persistent cough. Coughing up blood or bloodstained phlegm (sputum). Chest and/or shoulder pains. Tiredness and loss of energy. Weight loss. [patient.info]

  Grunting may be less common in older infants; however, tachypnea, retractions, and hypoxemia are common and may be accompanied by a persistent cough, congestion, fever, irritability, and decreased feeding. [emedicine.medscape.com]

• Forgetful

  It is a very dangerous pitfall to treat and forget about patients with acute pneumonia once antibiotics have been initiated. [consultant360.com]

[…] acute pulmonary: crackles or wheezes, pericardial friction rub, erythema multiforme or nodosum 2. chronic pulmonary: crackles and wheezes 3. chronic progressive disseminated histoplasmosis: mouth ulcers, eyes may have vision loss, hepatosplenomegaly WORKUP [quizlet.com]

A recent guideline has made recommendations regarding the minimal diagnostic workup when a resident has a suspected case of pneumonia. [academic.oup.com]

These patients merit special mention because they require a more extensive workup by a specialist. One useful way to categorize these patients is based on radiographic findings with and without symptoms. [emedicine.medscape.com]

• Pulmonary Infiltrate

  B-Symptoms and pulmonary infiltrate were improved immediately by a therapy with steroids. [ncbi.nlm.nih.gov]

  Peripheral eosinophilia and pulmonary infiltrates are common manifestations of both acute and chronic pneumonia. [mdmag.com]

  infiltrates with interval radiologic clearing No clinical findings Asthma and atelectasis that has been misdiagnosed as a bacterial pneumonia; aspiration syndrome, hypersensitivity pneumonitis, idiopathic pulmonary hemosiderosis, or a mild immunodeficiency [emedicine.medscape.com]

treatment of CAP, along with specific patient characteristics, can portend complications from continuing pneumonia despite appropriate antibiotic treatment, including parapneumonic effusions, empyema, and lung abscess, leading to unresolved acute pneumonia [consultant360.com]

Patient showed marked improvement both clinically and radiologically following treatment with anti-tubercular drugs. [lungindia.com]

Resistance 20 25% Others 02 2.5% This study stresses the importance of systematic approach to all unresolved pneumonias with proper invasive, sonological, microbiological investigations at appropriate time to arrive at a diagnosis and for a corrective treatment [medical-dictionary.thefreedictionary.com]

Went into my Dr. and she did a chest xray after doing a breathing treatment with no improvement to my painful labored breathing. [ehealthforum.com]

Treatment New agents for treatment of nosocomial pneumonia include linezolid and tigecycline. The latter is effective 327 Copyright Lippincott Williams & Wilkins. [docs11.minhateca.com.br]

[…] high fever, tachycardia or bradycardia, bronchial breath sounds, dullness to percussion, pallor -Work up: CXR, CMP, CBC, CT, bronchoscopy -prognosis: normal resolution of sx vary but most people see improvements in 3-5 days of treatment, if unresolved [quizlet.com]

Treatment and prognosis Radiological follow-up of lobar pneumonia is often recommended - one study found 5% of initially suspected community-acquired pneumonia were re-diagnosed with malignant or important benign pulmonary pathology on follow-up chest [radiopaedia.org]

Causes, symptoms, treatment, preventive measures, and prognosis differ depending on whether the infection is bacterial, mycobacterial, viral, fungal, or parasitic; whether it is acquired in the community or hospital; whether it occurs in a patient treated [msdmanuals.com]

Pleural Effusion Prognosis Since a pleural effusion is a symptom of another disease, the prognosis depends upon the underlying illness. Pleural effusions are never normal. [emedicinehealth.com]

What is the outlook (prognosis)? The outlook is best in those who are diagnosed when the cancer is still small and has not spread. Surgical removal of a tumour in an early stage may then give a good chance of cure. [patient.info]

35 {27.5%) 51-60 13 14 32 (40%) 61-70 05 09 14 {17.5%) 71-80 04 00 04 (5%) Total 48 32 GO Risk Factors for Unresolved Pneumonia (n 80} Table-02 Smoking 24 30% Alcohol 16 20% Diabetes 16 20% Hypertension 08 10% COPD 09 11.2% HIV 08 10% Anemia 09 11.2 Etiology [medical-dictionary.thefreedictionary.com]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

In this study, finally a specific etiology could be found in 59 out of 60 cases (98.3%), and in one case, no etiology could be established even after thorough investigations [Table 5]. [ncbi.nlm.nih.gov]

hematuria, appropriate epidemiologic exposures). Ancillary serologic tests or biopsies of extrapulmonary sites are invaluable in some cases. [ncbi.nlm.nih.gov]

[…] third-generation cephalosporin (ceftriaxone), plus azithromycin or levofloxacin, with or without vancomycin (if methicillin-resistant Staphylococcus aureus infection is suspected), but the selection of empiric antibiotic treatment should always conform to the epidemiology [consultant360.com]

ASPERGILLOSIS Epidemiology Aspergillus sp. are ubiquitous fungi that commonly occur in soil, water, and decaying vegetation. [cdc.gov]

Never-smokers with lung cancer: epidemiologic evidence of a distinct disease entity. J Clin Oncol. 2006; 24:2245-2251. 11. Ringer G, Smith JM, Engel AM, et al. [mdmag.com]

Epidemiology, pathogenesis, and microbiology of community-acquired pneumonia in adults. In: UpToDate. Bond S, editor. Waltam MA; 2017 [cited 2017 Dec 1]. Available from: [ Links ] 37 Musher DM, Thorner AR. Community-Acquired Pneumonia. [scielo.br]

Amongst pathophysiological causes, tachypnea can be a symptom of sepsis, compensation for diabetic ketoacidosis or other metabolic acidosis, pneumonia, pleural effusion, carbon monoxide poisoning, pulmonary embolism, asthma, COPD, laryngospasm, allergic [en.wikipedia.org]

The most frequent reason for failure to respond to treatment in CAP is the progression of pathophysiologic changes despite appropriate antibiotic treatment. 6 When a patient is failing to recover in the expected time period from the original acute pneumonia [consultant360.com]

25% Others 02 2.5% This study stresses the importance of systematic approach to all unresolved pneumonias with proper invasive, sonological, microbiological investigations at appropriate time to arrive at a diagnosis and for a corrective treatment to prevent [medical-dictionary.thefreedictionary.com]

Preventing pneumonia is always better than treating it. Vaccines are available to prevent pneumococcal pneumonia and the flu. Other preventive measures include washing your hands frequently and not smoking. [icdlist.com]

Prevention and Control Measures Prevention of Legionnaires Disease in Hospitals with No Identified Cases (Primary Prevention) Prevention strategies in health-care facilities in which no cases of nosocomial legionellosis have been identified have differed [cdc.gov]

Pneumococcal and influenza vaccination have been the primary prevention measures. However, additional methods to prevent NHAP should be evaluated, including improving the oral hygiene of residents and instituting pharmacological interventions. [academic.oup.com]

Pleural Effusion Prevention Pleural effusions are caused by a variety of conditions and illnesses. Preventing the underlying cause will decrease the potential of developing an effusion. [emedicinehealth.com]