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Pneumonia

Prepared by dr.Abdullahi Abdurrahman Ibrahim


Def
Pneumonia is an infection of the small air sacs of the
lungs (alveoli) and the tissues around them.

 Pneumonia is one of the most common causes of


death worldwide.
 Often, pneumonia is the final illness that causes
death in people who have other serious, chronic
diseases.
 Some types of pneumonia can be prevented by
immunization.
Causes of Pneumonia
Pneumonia is caused by different microorganisms including
 bacteria,
 viruses
 mycobacteria,
 fungi,
 parasites
categories of pneumonia include
① Community-acquired pneumonia, which develops in
people living in the community
② Hospital-acquired pneumonia, which is an infection
acquired in the hospital
③ Aspiration pneumonia, which occurs when larger
volumes or particles (for example, saliva, food, or
vomit) are aspirated and are not cleared from the
lungs.
④ Pneumonia in the immunocompromised host(AIDS)
Community-acquired pneumonia
  (CAP)

Pathophysiology
The lung and tracheobronchial tree are usually sterile
below the level of the larynx, so an infecting agent must
reach this site via a breach in host defences. This may
be by micro-aspiration (which occurs
In around 45% of healthy individuals overnight),
haematogenous spread, direct spread from an adjacent
structure, inhalation, or activation of previously
dormant infection.
Aetiology

1. Streptococcus pneumoniae
2. Legionella pneumophilia
3. Staphylococcus aureus
4. Influenza
5. Mycoplasma pneumoniae
6. Chlamydophila pneumoniae
7. Coxiella burnetii (Q fever)
CAP: clinical features
• Fever
• Cough may or non ( Sputum)
• SOB
• Pleuritic chest pain
• Non-specific features in the elderly. May present ‘off
legs’ or with confusion, in the absence of fever.
Examination
 Raised RR (may be the only sign in the elderly)
 Tachycardia
 Localizing signs on chest examination.
• Reduced chest expansion on the affected side,
• The signs consistent with consolidation (reduced air
entry, with bronchial breathing, reduced percussion
note, increased vocal resonance)
• crackles
 A normal chest examination makes the diagnosis
unlikely.
Diagnosis of CAP
Symptoms and signs of an acute lower respiratory tract
infection

 New focal chest signs

 New radiographic shadowing, for which there is no
other explanation

 At least one systemic feature (e.g. sweating, fevers,
aches, and pains)

 No other explanation for the illness.

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