Pneumonia in immunocompromised patients diagnosis and treatment

Pulmonary infection is common in patients under immunosuppressive drugs and in those with diseases causing defects of cellular or humoral immunity. Diagnosis +Treatment

Pulmonary infection is common in patients under immunosuppressive drugs and in those with diseases causing defects of cellular or humoral immunity.

Diagnosis  :  As before  +
• Fever, cough, dyspnea.
• The onset of symptoms tends to be less rapid in patients with pneumocystis carinii and mycobarterial infection.
• Some patients who cannot produce sputum for examination can be induced to do so by inhalation of nebulised hypertonic saline.
• Chest x-ray showing lung infiltrates.
• Bronchoscopy, bronchoalveolar lavage fluid examination are helpful for diagnosis.

• Lung biopsy if necessary in certain cases e.g pneumocystis carinii.
Treatment
• It is based on the etiological diagnosis.
• We can start with a third generation cephalosporin or a quinolone plus antistaph antibiotic, or an antipseudomonas penicillin plus an aminoglycoside.
• This treatment is thereafter tailored according to the results of investigations.

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Med2Date: Pneumonia in immunocompromised patients diagnosis and treatment
Pneumonia in immunocompromised patients diagnosis and treatment
Pulmonary infection is common in patients under immunosuppressive drugs and in those with diseases causing defects of cellular or humoral immunity. Diagnosis +Treatment
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