Aspiration Pneumonia: Causes, Symptoms, Diagnosis & Treatment
Question. Write short note on aspiration pneumonia.
Answer.
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Aspiration pneumonia is also known as suppurative pneumonia.
Aspiration pneumonia is the consolidation of lung in which there is continued destruction of parenchyma by inflammatory cells which causes formation of microabscess.
Etiology
Aspiration pneumonia is caused by Staphylococcus aureus,Sterptococcal pneumonia, Streptococcus pyogens, Hemophilus inflenza as well as various other anaerobic bacterias.
Clinical Features aspiration pneumonia.
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Symptoms aspiration pneumonia.
- Aspiration pneumonia occurs mostly on the right side as compared to left side.
- Patient complaints of high fever, cough and dyspnea.
- During coughing copious foulsmelling sputum is present,which is blood stained too.
- There is presence of tachycardia and restlessness.
- Weight loss is too rapid.
- There is also presence of perspiration.
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Signs aspiration pneumonia.
- Signs of lung consolidation are seen.
- If there is formation of lung abscess, cavitation can be felt.
- There is presence of pleural rub.
- Digital clubbing is also well appreciated.
Causes Of Respiratory Diseases
Investigations aspiration pneumonia.
- TLC and DLC should be carried out for checking neutrophilic leucocytosis.
- ESR is high.
- Chest X-ray: It shows a homogeneous opacity. If there is presence of flid in the opacity, this indicates of an abscess.
- Culture ofsputum is carried out to identify microorganisms.
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Treatment aspiration pneumonia.
- In aerobic infection ampicillin 500 mg QID or amoxicillin 500 mg TID or cotrimoxazole 960 mg BD orally provides relief.
- In anaerobic infection metronidazole 400 mg TID orally is added.
- Antibiotics should be prescribed based on the culture and sensitivity testing.
- Treatment should be continued for 10 to 15 days.
- NSAIDs should be given for pain relief.
- In subjects with lung abscess physiotherapy and postural drainage is done.
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Complications aspiration pneumonia.
- Amyloidosis
- Empyema
- Bronchiectasis
- Septicemia
- Pulmonary firosis.
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