Pneumonia
Pneumonia, inflammation of one or both lungs. In people with pneumonia, air sacs in the lungs fill with fluid, preventing oxygen from reaching blood cells and nourishing the other cells of the body. Sometimes the inflammation occurs in scattered patches in the tissue around the ends of the bronchioles, the smallest air tubes in the lungs. This is known as bronchopneumonia. In other cases the inflammation is widespread and involves an entire lobe of the lung. This condition is called lobar pneumonia. In the United States about 5 million cases of pneumonia are reported each year and about 63,500 people die from the disease.
Most cases of pneumonia result from infection with microorganisms, primarily viruses, bacteria, mycoplasmas (small, free-living particles with characteristics of both bacteria and viruses), and fungi. Pneumonia may also result from certain kinds of allergic reactions, inhalation of fluids or some gases, and the inhalation of ingested foods.
To determine the cause of pneumonia, a physician takes a sample of the patient's sputum. Analysis of the sputum in the laboratory may identify the particular kind of microorganism causing the infection. Identification of the cause of pneumonia is important in determining treatment.
Antibiotics can cure bacterial pneumonia and speed recovery from mycoplasma pneumonia and PCP. Antibiotics rarely have an effect on pneumonia caused by viruses. However, patients with viral pneumonia often receive antibiotics to prevent bacterial pneumonia from developing during the course of their illness. In addition to drug treatment, a patient with pneumonia should stay in bed, eat healthy meals, and drink large amounts of liquids. Medication may be given to relieve chest pain and violent coughing, and oxygen may be administered if the patient has difficulty breathing. A vaccine is available that confers immunity against pneumococcus. The vaccine is given to people most at risk for developing pneumonia—those over the age of 65 and those with chronic heart, lung, or liver disease.
Most cases of pneumonia result from infection with microorganisms, primarily viruses, bacteria, mycoplasmas (small, free-living particles with characteristics of both bacteria and viruses), and fungi. Pneumonia may also result from certain kinds of allergic reactions, inhalation of fluids or some gases, and the inhalation of ingested foods.
To determine the cause of pneumonia, a physician takes a sample of the patient's sputum. Analysis of the sputum in the laboratory may identify the particular kind of microorganism causing the infection. Identification of the cause of pneumonia is important in determining treatment.
Antibiotics can cure bacterial pneumonia and speed recovery from mycoplasma pneumonia and PCP. Antibiotics rarely have an effect on pneumonia caused by viruses. However, patients with viral pneumonia often receive antibiotics to prevent bacterial pneumonia from developing during the course of their illness. In addition to drug treatment, a patient with pneumonia should stay in bed, eat healthy meals, and drink large amounts of liquids. Medication may be given to relieve chest pain and violent coughing, and oxygen may be administered if the patient has difficulty breathing. A vaccine is available that confers immunity against pneumococcus. The vaccine is given to people most at risk for developing pneumonia—those over the age of 65 and those with chronic heart, lung, or liver disease.
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