Case study pneumonia - free download as word doc (doc), pdf file (pdf), text file (txt) or read online for free. Elderly people have a weaker immune response, a higher risk for aspiration of bacteria, and health conditions (eg diagnostic approaches and treatment choices case study bacterial pneumonia for the patient case for this case study, see the printed book 13 ds13-1 case study 13 □ bacterial pneumonia. Community-acquired pneumonia (cap) is one of the most common infectious diseases and is an important cause of mortality and morbidity worldwide recent studies have suggested that a beta-lactam alone may be noninferior to a beta-lactam/macrolide combination or fluoroquinolone therapy in. 9 best of infectious diseases case report a 59 year old gentleman with a past medical history of hypertension, hyperlipidemia, anxiety, depression, arthritis, and hypothyroidism laboratory studies upon admission demonstrated electrolyte acquired pneumonia (cap) amongst the immunocompromised population. This form of legionella pneumonia usually subsides without sequelae however, frank legionella pneumonia is very aggressive, with a mortality rate as high as 75% unless treatment begins rapidly this form typically occurs in individuals who are elderly and debilitated, as well as in smokers and those.
The reported incidence rates of radiologically confirmed community acquired pneumonia in different populations varied between 13 and 116 cases per 1000 inhabitant-year with highest rates in elderly adults that is 13–15 cases per 1000 inhabitant-year in developed countries almost one half of total. With an expected 20% of the world's population reaching elderly status by 2050, the burden of cap will be even more significant in the coming years  the annual incidence of cap in elderly patients is estimated to be 25–44 cases per 1000 persons  a recent large, population-based cohort study of elderly adults by. Streptococcus pneumoniae remains the most common infective pathogen, especially in the elderly and during the winter months it has been argued that patients from nursing homes may have a different spectrum of pathogens causing pneumonia, although a recent study showed no significant differences. The burden of community-acquired pneumonia in the elderly: the spanish evan- 65 study olga ochoa-gondaremail author, angel vila-córcoles, cinta de diego, victoria arija, monica maxenchs, montserrat grive, enrique martin, josep l pinyol and evan-65 study group bmc public health20088:222.
Pneumonia can be generally defined as an infection of the lung parenchyma, in which consolidation of the affected part and a filling of the alveolar air spaces imaging studies chest radiography: the criterion standard for establishing the diagnosis of pneumonia chest computed tomography scanning. Severity assessment in the elderly with community acquired pneumonia (cap) may be different compared with younger patients in particular, age per se may not be of prognostic significance in older patients a case-control study in 158 patients aged ≥75 yrs with cap was conducted to determine the factors associated.
A follow-up visit was done 30 d after each patient's entry into the study by one of the investigators thus, a matched case–control design was used to assess the association of mental status and nutritional aspects with the development of pneumonia, and a cohort study, including only patients who. Pneumonia is an inflammatory condition of the lung affecting primarily the small air sacs known as alveoli typically symptoms include some combination of productive or dry cough, chest pain, fever, and trouble breathing severity is variable pneumonia is usually caused by infection with viruses or bacteria and less. The causative agents for cap that needs hospitalization include streptococcus pneumoniae, h influenza, legionella, and pseudomonas aeruginosa only in 50 % of the cases does the specific etiologic agent become identified pneumonia is the most common cause of cap in people younger than 60.
Community-acquired pneumonia (cap) is an increasing problem among the elderly multiple factors related to ageing, such as comorbidities, nutritional status and swallowing dysfunction have been implicated in the increased incidence of cap in the older population moreover, mortality in patients with cap rises. In a study of medicare patients, the incidence of hospitalization for cap in the elderly was 183 cases per 1000 person-years the associated cost was $44 billion, or $6949 per hospitalization of this total, nearly half was spent on the 334% of admitted patients who required treatment in the icu4.
Physical examination: the patient is an elderly man who appears tired haggard and underweight his complexion is sallow he coughs continuously sitting in a chair, he leans to his right side, holding his right chest with his left arm vital signs are as follows: blood pressure 152/90, apical heart rate 112/minute and. Case study an 85-year-old woman with a history of copd associated with past smoking complained of fatigue along with increased shortness of breath developing pneumonia infants and very young children are highly vulnerable, as are the elderly at both extremes of age, this increased risk relates in part to impaired.