Bacterial pneumonia clinical manifestations

Often Daohan, tiredness or with incentives such as chronic obstructive pulmonary disease, heart failure and other diseases, and one third of patients with upper respiratory tract infection before history. Most onset more urgent. Gram-negative bacilli of pneumonia, the elderly pneumonia, the onset of nosocomial pneumonia in occult. Fever common, and more for sustained high fever, after the heat treatment of antibiotics may typical. Cough, expectoration many early as cough, expectoration has emerged, the number of sputum mixed. Sustained purulent sputum, Staphylococcus aureus pneumonia more typical for the yellow purulent sputum; Streptococcus pneumoniae pneumonia rust colored sputum; pneumoniae pneumonia-like brick red Nien freeze; Pseudomonas aeruginosa pneumonia was light green; anaerobes infection accompanied the smell. To the development of antibiotic therapy after the performance has been typical sputum rare. Hemoptysis rare. Some of the chest pain, when there was a pleural involvement lancinating pain. Under the stimulation of the phrenic pleural pneumonia, and the pain could be to shoulder or abdominal radiation, the latter often misdiagnosed as acute abdomen. Systemic symptoms are headache, muscle pain, weakness, a small number of nausea, vomiting, abdominal distension, diarrhea and other gastrointestinal symptoms. Patients can have severe drowsiness, unconsciousness, convulsions, and other neurological symptoms. Patients with acute medical capacity, rapid shallow breathing, some ala Shandong. Often varying degrees of cyanosis and tachycardia. There may be a few shock (blood pressure within 24 hours dropped to below even 10.6/6.7 kPa could not be determined, with irritability, looking pale and limbs Jueling, oliguria, tachycardia and weakened heart sounds, etc.), more common in the elderly. Streptococcus pneumoniae pneumonia accompanied lips herpes simplex. Early signs can be no abnormal chest found only a small amount of wet or rales. With the development of diseases associated with typical signs. Unilateral pneumonia and respiratory movement have weakened side, Kouzhen sound muddy, breathing sounds and moist rales lower. It is often suggested that the variable signs of bacterial infections. Elderly pneumonia, Gram-negative bacilli pneumonia and chronic bronchitis secondary pneumonia, more than at the same time involving bilateral, check the back of a two lung moist rales. The total number of white blood cell and neutrophil have increased. The frail elderly who may leukocyte count higher, but the percentage of neutrophils is still high. But lung inflammation significantly increased white blood cell count is not often tips serious condition. PaO2 often show decline.