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Pneumonia treated in General medicine – general practitioner and belongs among the Diseases of the lower respiratory tract

The symptoms of pneumonia

dry cough, increased body temperature, wet cough, coughing up mucus, feeling sick, chest pain, headache, muscle pain, joint pain, malaise,  vomiting, fever, shortness of breath. Description pneumonia. Pneumonia is a traditional name for a fairly wide variety of inflammation of the lung tissue. And there is also emphasized, however, today more often in the description of the disease use the technical term pneumonia. Inflammation in general is a defensive reaction of the organism to the presence of microbes (viruses or bacteria) or tissue damage caused by adverse chemical or physical effects. It is no different in the lungs, wherein the amount of the disease infectious (caused by germs) prevails. The course and severity of disease are mainly designed with a particular type of microbe (its ability to interfere with the authority, penetrate into it, forming a substance adversely acting on the whole body, to trigger a specific defensive reaction of the body, etc.). Furthermore, it is an important factor in the patient’s age, general physical condition, lifestyle, and the possible presence of other disease.

Various options of developing the disease

Infectious pneumonia divide doctors usually on three types of Community-acquired pneumonia is a disease, which originated the disease in the ordinary human environment. The possible perpetrators are in this case, for example, the bacteria Streptococcus pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, Chlamydia pneumoniae, etc., then various viruses (e.g. influenza virus). The lungs are usually introduced by inhalation of a small amount of mucus from the higher levels of the respiratory tract.

Nosocomial pneumonia is pneumonia acquired in the hospital. The hospital environment is inhabited by specific strains of bacteria that have adapted to local conditions, because you have created specific mechanisms of resistance (e.g. against disinfectants and antibiotics). Disposal of these organisms is a very challenging and despite observance of all the principles of hygiene are not completely is out of the hospital environment remove. Pseudomonas aeruginosa, Klebsiella pneumoniae or Staphylococcus aureus are examples of bacteria that can especially in greatly debilitated hospitalized persons cause inflammation of the lungs. Statistics indicate that the frequency of such diseases does not exceed in the Czech republic 8 cases per 1000 inpatients. The disease is considered serious and always prolongs the period of hospitalization.

The third type are pneumonia arising in the so-called immunosuppressed persons. As immunocompromised / immunosuppressed are described to patients, which is either on the basis of the disease (e.g., tumor, congenital disease of the immune system, AIDS), or the influence of the treatments (administration of corticosteroids, conditions after operations and especially of transplantation) decreased ability to self-defense of the organism. Pneumonia in these persons as a rule are heavily, often with fatal outcome. Unlike the previous two types are performed and fungi (Aspergillus, Candida) and protozoa (Pneumocystis carinii).

The influence of inadequate exchange of blood is the creation of an environment favourable for settlement as staphylococci.

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