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Lobar pneumonia is a form of pneumonia characterized by inflammatory exudate within the intra-alveolar space resulting in consolidation that affects a large and continuous area of the lobe of a lung. [1] [2] It is one of three anatomic classifications of pneumonia (the other being bronchopneumonia and atypical pneumonia).
A lobar pneumonia is an infection that only involves a single lobe, or section, of a lung. Lobar pneumonia is often due to Streptococcus pneumoniae (though Klebsiella pneumoniae is also possible.) [16] Multilobar pneumonia involves more than one lobe, and it often causes a more severe illness.
The global economic cost of community-acquired pneumonia has been estimated at $17 billion annually. [24] Other estimates are considerably higher. In 2012 the estimated aggregate costs of treating pneumonia in the United States were $20 billion; [167] the median cost of a single pneumonia-related hospitalization is over $15,000. [168]
It is often contrasted with lobar pneumonia; but, in clinical practice, the types are difficult to apply, as the patterns usually overlap. [2] Bronchopneumonia (lobular) often leads to lobar pneumonia as the infection progresses. The same organism may cause one type of pneumonia in one patient, and another in a different patient.
Pneumonia as seen on chest X-ray. A: Normal chest X-ray. B: Abnormal chest X-ray with consolidation from pneumonia in the right lung, middle or inferior lobe (white area, left side of image). Specialty: Pulmonology
The lung tissue lies within the same visceral pleura as the lobe in which it occurs. [1] Males and females are equally affected. [1] The arterial supply is usually derived from the lower thoracic or upper abdominal aorta. Venous drainage is usually to the left atrium via pulmonary veins establishing a left to left shunt.
In the setting of pneumonia, the presence of GGO (as opposed to consolidation) is a useful diagnostic clue. Most bacterial infections lead to lobar consolidation, while atypical pneumonias may cause GGOs. It is important to note that while many of the pulmonary infections listed below may lead to GGOs, this does not occur in every case.
Size: larger size confers a higher risk of cancer [8] Location: Upper lobe location is a risk factor for cancer, while a location close to a fissure or the pleura indicates a benign lymph node, [8] especially if having a triangular shape. [9] Margin morphology: a spiculated margin is a risk factor for cancer. [8]