Klebsiella pneumoniae

Question 1

morphology

Answer 1

capsulated gram negative lactose fermenting

Question 2

causes what condition

Answer 2

Aspirated pneumonia (community acquired)

Question 3

complications

Answer 3

lung abscess,
empyema(collection of pus in pleura cavity)

Question 4

patient presents

Answer 4

chest pain(on deep inspiration), persistent cough, foul smelling greenish sputum, poor dental hygiene, extensive dental caries, foul smelling breath and gingivitis

dullness fell in lower lung to percussion

increased white blood cells (neutrophils); bands

lab gram stain demonstrate Gm-ve and Gm+ cocci

Question 5

patient has history of what?

Answer 5

loss of consciousness, stroke, poor gag reflex, heavy alcohol consumption

Question 6

Lab sputum demonstrates

Answer 6

currant jelly sputum

Question 7

path

Answer 7

aspiration via
1. inhalation of gastric content(acid)- causing chemical burn of pulmonary parenchyma
2. aspiration of obstructing object such as food
3. aspiration of mouth flora provide gram stain with mixed anaerobes (poor oral hygiene)

Question 8

Likely locations of aspirations when standing or sitting

Answer 8

posterobasal segment of right lower lobe

Question 9

Likely locations of aspirations when supine

Answer 9

superior segment of right lower lobe (most common aspiration site overall)

Question 10

Likely locations of aspirations when in right sided position

Answer 10

posterior segment of the right upper lobe