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Aspiration pneumonia most often develops due to micro-aspiration of saliva, or bacteria carried on food and liquids, in combination with impaired host immune function. [30] Chronic inflammation of the lungs is a key feature in aspiration pneumonia in elderly nursing home residents and presents as a sporadic fever (one day per week for several ...
Chest X-rays can be useful in the diagnosis of aspiration pneumonia but may be negative early in the course. [12] Chest CT Scan can identify the presence of a pneumonia as well, and can also assist in characterizing abscesses, foreign objects, or pleural disease. Aspiration seen on barium swallow study.
Mendelson's syndrome, named in 1946 for American obstetrician and cardiologist Curtis Lester Mendelson, is a form of chemical pneumonitis or aspiration pneumonitis caused by aspiration of stomach contents (principally gastric acid) during anaesthesia in childbirth.
[13] [15] Pneumonia is also the leading cause of death in children less than five years of age in low income countries. [15] The most common cause of pneumonia is pneumococcal bacteria, Streptococcus pneumoniae accounts for 2/3 of bacteremic pneumonias. [16] Invasive pneumococcal pneumonia has a mortality rate of around 20%. [14]
Mineral oil should not be given internally to young children, pets, or anyone with a cough, hiatal hernia, or nocturnal reflux, because it can cause complications such as lipoid pneumonia. [3] Due to its low density, it is easily aspirated into the lungs, where it cannot be removed by the body.
Some patients have limited awareness of their dysphagia, so lack of the symptom does not exclude an underlying disease. [11] When dysphagia goes undiagnosed or untreated, patients are at a high risk of pulmonary aspiration and subsequent aspiration pneumonia secondary to food or liquids going the wrong way into the lungs.
Pneumonia as seen on chest x-ray. A: Normal chest x-ray.B: Abnormal chest x-ray with shadowing from pneumonia in the right lung (left side of image).. Hospital-acquired pneumonia (HAP) or nosocomial pneumonia refers to any pneumonia contracted by a patient in a hospital at least 48–72 hours after being admitted.
Approximately 10% of people who require mechanical ventilation develop ventilator-associated pneumonia, [34] and people with a gastric feeding tube have an increased risk of developing aspiration pneumonia. [35] Moreover, the misplacement of a feeding tube can lead to aspiration pneumonia. 28% of tube malposition results in pneumonia.
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