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Atypical presentation is common in the elderly. Older patients may have impaired T cell function and hence, they may be unable to mount a febrile response. The mucociliary clearance of older people is also impaired, resulting in diminished sputum production and cough. Therefore, they can present non-specifically with different geriatric ...
Pulmonary aspiration is the entry of solid or liquid material such as pharyngeal secretions, food, drink, or stomach contents from the oropharynx or gastrointestinal tract, into the trachea and lungs. [1] When pulmonary aspiration occurs during eating and drinking, the aspirated material is often colloquially referred to as "going down the ...
Since it results from aspiration either type is called aspiration pneumonia. [1] [2] [3] Although gram-negative bacilli are a common cause they are rarely found in the respiratory tract of people without pneumonia, which has led to speculation of the mouth and throat as origin of the infection. [1] [2]
Aspiration of oropharyngeal or gastric secretion; Septic emboli; Necrotizing pneumonia [5] Vasculitis: Granulomatosis with polyangiitis; Necrotizing tumors: 8% to 18% are due to neoplasms across all age groups, higher in older people; primary squamous carcinoma of the lung is the most common.
In the frail elderly good oral health care may lower the risk of aspiration pneumonia, [103] even though there is no good evidence that one approach to mouth care is better than others in preventing nursing home acquired pneumonia. [104] Zinc supplementation in children 2 months to five years old appears to reduce rates of pneumonia. [105]
The most common complication from a foreign body aspiration is a pulmonary infection, such as pneumonia or a lung abscess. [7] This can be more difficult to overcome in the elderly population and lead to even further complications. Patients may develop inflammation of the airway walls from a foreign body remaining in the airway. [2]
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Aspiration, e.g., gastric fluid ... (CPAP/BiPAP) has been demonstrated to reduce mortality and the need of mechanical ventilation in people with severe cardiogenic ...