Bronchopneumonia
Click to see other slides: [1] [2]
A
70 yr old bedridden man was found dead in his 1-room flat.
An autopsy was performed.
1.
What is your diagnosis?
Bronchopneumonia.
2. List the main histological features.
Patchy
consolidation of alveolar tissues / spaces (multinucleated, bilateral, basal,
mutilobar)
Suppurative,
neutrophil rich exudates fills the bronchi, bronchioles and adjacent alveolar
spaces
3. What pathological process does it represent?
Acute
inflammation as a result of bacterial infection of the lung parenchyma
4. What clinical manifestations might he have had?
Malaise,
fever, cough with sputum
Pleuritic
pain, pleuric friction pain (pleural involvement)
Focal
opacities on CXR
5. Which anatomy sites of the lung are involved most severely?
Lower
lobes basal part due
to gravitation of exudate
6. True-false MCQs
This
condition is associated with
a.
Infection by Streptococcus pneumoniae
T
b.
Group B Streptococcus in newborn
T
c.
Weak host defence mechanisms and infection by bacterial that are commonly
present in the oropharynx and nasopharynx
T
d.
d. A
higher incidence in infancy and old age
T
7.
What
complications might arise from this condition?
Local:
Abscess
Pleural empyema
Organisation (fibrosis)
Bronchiectasis
Systemic:
bacteremic dissemination (pyemia)
8.
What
may be the cause of death?
Endocarditis
Empyema, meningitis, pericarditis
<< PREVIOUS INDEX NEXT SLIDE >>
Copyright � Joseph Ong 2003