No abstract available.
Diagnosis* ; Pneumonia*

No abstract available.
Diagnosis* ; Pneumonia*

151 pediatric patients of 1-60 month age with bronchitis pneumonia at Hanoi Thanh Nhan Hospital were enrolled into study from November 2001 to September 2002. Most of patients were suffering from cough, fever,dyspnoea,mental disorder, digestive disorder, rale murmure, increase of neutrophile, bacteria positive culture in 29,14% of cases. Common bacteria were H.influenza- 39,58%, S.pneumonia – 35,42%, S. pyogenes -14,58%, S. aureus – 6,25%. In male the incidence was 63,58%, higher considerably than in female and the incidence increased progressively with age. In rural population, the incidence (31,86) was higher than in urban (25,39%). Pneumonia which associated with other pathology accounted for 81,46%, usually upper respiratory tract – 80,82%, malnourished – 36,92%, diarrhoea – 12,05%; and other conditions such as congenital defect, rickets, varicella, erythema...
Diagnosis ; Pneumonia ; Child

No abstract available.
Diagnosis, Differential* ; Pneumonia*

No abstract available.
Diagnosis, Differential* ; Pneumonia*

Humans ; Pneumonia, Mycoplasma/diagnosis*

No abstract available.
Diagnosis* ; Mycoplasma pneumoniae* ; Mycoplasma* ; Pneumonia* ; Pneumonia, Mycoplasma*

Non-resolving or slowly resolving pulmonary infiltrates in spite of administering adequate antimicrobial therapy are a clinical diagnostic challenge for physicians. The rate of radiographic resolution varies with the patients' age, the underlying comorbidities, the extent of radiographic involvement, the functional status and the causal pathogens. It is important to differentiate non-resolving or slowly resolving bacterial pneumonia from other uncommon infectious pneumonias or malignancies that require invasive diagnostic techniques to confirm the diagnosis. Bronchioloalveolar carcinoma can present with various clinical and radiographic features. Unfortunately, the radiographic similarity of consolidative BAC to pneumonia often leads to an incorrect diagnosis of pneumonia and possibly significant delays in obtaining appropriate diagnostic studies. We describe here a case of a mixed adenocarcinoma and bronchioloalveolar carcinoma that was initially diagnosed as pneumonia due to the consolidation pattern on the radiography and the patient's initial improvement with antibiotic treatment.
Adenocarcinoma ; Adenocarcinoma, Bronchiolo-Alveolar ; Comorbidity ; Delayed Diagnosis ; Pneumonia ; Pneumonia, Bacterial

Aspiration pneumonitis and aspiration pneumonia are clinical syndromes caused by aspiration. These conditions are clinically significant due to their high morbidity and mortality. However, aspiration as a preceding event are often unwitnessed, particularly in cases of asymptomatic or silent aspiration. Furthermore, despite the difference in treatment approaches for managing aspiration pneumonitis and aspiration pneumonia, these two disease entities are often difficult to discriminate from one another, resulting in inappropriate treatment. The use of unclear terminologies hinders the comparability among different studies, making it difficult to produce evidence-based conclusions and practical guidelines. We reviewed the most recent studies to define aspiration, aspiration pneumonitis, and aspiration pneumonia, and to further assess these conditions in terms of incidence and epidemiology, pathophysiology, risk factors, diagnosis, management and treatment, and prevention.
Diagnosis ; Epidemiology ; Incidence ; Mortality ; Pneumonia* ; Pneumonia, Aspiration ; Risk Factors

BACKGROUND: Pneumonia is a frequent complication in patients undergoing mechanical ventilation. Quantitative culture of protected specimen brush(PSB) have shown satisfactory diagnostic accuracy for the diagnosis of ventilator-associated pneumonia. However PSB method is invasive, expensive, and require a bronchoscopic procedure. But endotracheal aspiration(EA) is simple and less expensive. The purpose of our study was to investigate the diagnosic value of EA quantitative cultures. METHOD: We studied 15 cases of ventilator-associated pneumonia(for >72h of mechanical ventilation) patients. Patients were divided into two diagnostic categories. Group I was the patients who were suspicious of clinical pneumonia, Group II was the patients for control. The obtained samples by EA and PSB were homogenized for quantitative culture with a calibrated loop method in all patients. RESULT: Using 103cfu/ml, 105cfu/ml as threshold in quantitative culture of PSB, EA respectively, we found that EA quantitative cultures represented a relatively sentive(70%) and relatively specific (60%) method to diagnose the ventilator-associated pneumonia. CONCLUSION: Although EA quantitative cultures are less specific than PSB for diagnosing ventilator-associated pneumonia. EA quantitative cultures correlated with PSB quantitative culture in patients with clinical pneumonia and may be used to treat these patients when bronchoscopic procedures are not available.
Diagnosis ; Humans ; Pneumonia ; Pneumonia, Ventilator-Associated* ; Respiration, Artificial