PULMONARY Infectious Flashcards
Atypical Pneumonia
Before modern diagnostic tests were available, researchers noticed that some pneumonias had different characteristics compared to “typical” pneumonias. Also called Walking pneumonia is a mild lung infection. Causes may include bacteria, viruses or mold. Very contagious via respiratory droplets.
Symptoms
a sore throat, sneezing, cough, headache, mild chills and a low-grade fever. Treatment includes antibiotics and over-the-counter medicines.
Caused slightly different symptoms than typical pneumonia
Appeared different on a chest X-ray than typical pneumonia or
Responded differently to antibiotics that were used for typical bacteria
Now researchers usually consider bacteria as being “atypical” if they are hard to detect through standard bacterial methods. These “atypical” bacteria include
Chlamydia pneumoniae
Chlamydia psittaci
Legionella pneumophila
Mycoplasma pneumoniae
Even though these infections are called “atypical,” they are not uncommon.
SYMPTOMS:
Sore throat (pharyngitis).
Extreme tiredness (fatigue).
Chest pain or discomfort.
Low-grade fever (less than 101 degrees Fahrenheit or 38 degrees Celsius).
Mild chills.
Cough.
Sneezing.
Headache.
CAUSE:
Bacteria.
Viruses.
Molds (fungi).
Bacterial Pharyngitis
Bacteria invade the mucosal tissues of the pharynx directly. Extracellular factors such as proteases facilitate the tissue invasion and cause the inflammation that elicits swelling, exudates, fever, and pain with swallowing
SYMPTOMS:
significant pain when swallowing.
tender, swollen neck lymph nodes.
visible white patches or pus on the back of the throat.
tonsils that are swollen and red.
a headache.
abdominal pain.
fatigue.
nausea.
CAUSE:
Streptococcus pyogenes, which are also called group A Streptococcus (group A strep), cause acute pharyngitis known as strep throat.
Blastomycosis
An infection caused by a fungus called Blastomyces. The fungus lives in the environment, particularly in moist soil and in decomposing matter such as wood and leaves.
SYMPTOMS: Fever.
Cough.
Night sweats.
Muscle aches or joint pain.
Weight loss.
Chest pain.
Fatigue (extreme tiredness)
CAUSE:
Blastomyces lives in the environment, particularly in moist soil and in decomposing organic matter such as wood and leaves. In the United States, the fungus mainly lives in the midwestern, south-central, and southeastern states, particularly in areas surrounding the Ohio and Mississippi River valleys, the Great Lakes, and the Saint Lawrence River. The fungus also lives in Canada, and a small number of blastomycosis cases have been reported from Africa and India.
Bronchiectasis
A chronic condition where the walls of the bronchi are thickened from inflammation and infection. People with bronchiectasis have periodic flare-ups of breathing difficulties, called exacerbations. It becomes hard to clear mucus out of the lungs and can cause frequent infections. Coughing a lot with pus and mucus is the main symptom of bronchiectasis. Bronchiectasis can’t be cured but can be managed with treatment.
Bronchiectasis and bronchitis have similar symptoms, including mucus in the lungs and coughing. But bronchiectasis causes permanent widening of the airways and bronchitis is a temporary infection that doesn’t cause lasting damage.
SYMPTOMS:
The most common symptom of bronchiectasis is a persistent cough that brings up a large amount of phlegm on a daily basis.
The phlegm can be clear, pale yellow or yellow-greenish in colour. Some people may only occasionally cough up small amounts of phlegm, or none at all.
Other symptoms may include:
shortness of breath
wheezing
coughing up blood or bloodstained phlegm
chest pain
joint pain
clubbing of the fingertips – the tissue beneath the nail thickens and the fingertips become rounded and bulbous
CAUSE:
Airways of the lungs becoming damaged and widened. This can be the result of an infection or another condition, but sometimes the cause is not known.
Bronchiectasis is caused by two phases of airway damage. In the first phase, the initial damage (or “insult”) is caused by an infection, inflammatory disorder or another condition that affects your lungs. Healthcare providers don’t know the initial cause in up to 40% of people with bronchiectasis.
The first insult makes you more likely to get inflammation and repeated infections that cause further damage to your lungs. This is the second phase, or the “vicious cycle.”
Bronckos – airway. Ectasis – widening
Bronchiolitis
A common lung infection in young children and infants. It causes inflammation and congestion in the small airways (bronchioles) of the lung. Bronchiolitis is almost always caused by a virus. Typically, the peak time for bronchiolitis is during the winter months.
A viral infection of the lungs. It causes the bronchioles to swell, making breathing difficult. Bronchiolitis usually has to run its course and cannot be treated with antibiotics.
SYMPTOMS
The early symptoms of bronchiolitis are similar to a cold, such as sneezing, a runny or blocked nose, a cough and a slightly high temperature of 38C. A child with bronchiolitis may then get other symptoms, such as: breathing more quickly. finding it difficult to feed or eat.
CAUSE
A viral infection, usually the respiratory syncytial virus (RSV). RSV is very common and spreads easily in coughs and sneezes. Almost all children have had it by the time they’re 2. In older children and adults, RSV may cause a cough or cold, but in young children it can cause bronchiolitis.
: inflammation of the bronchioles
Bronchitis
When the airways leading to the lungs (trachea and bronchi) get inflamed and fill with mucus. You get a nagging cough as your body tries to get rid of the mucus. Your cough can last two or more weeks. Acute bronchitis is usually caused by a virus and goes away on its own. Chronic bronchitis never really goes away but can be managed.
When people talk about bronchitis, they usually mean acute bronchitis, a temporary condition that makes you cough. Some people get bronchitis so often that it’s considered chronic bronchitis.
SYMPTOMS:
Acute bronchitis
Acute bronchitis is usually caused by a viral infection and goes away on its own in a few weeks. Most people don’t need treatment for acute bronchitis.
Chronic bronchitis
You have chronic bronchitis if you have a cough with mucus most days of the month for three months out of the year. This goes on for at least two years.
If you have chronic bronchitis, you may have chronic obstructive pulmonary disease (COPD). Ask your provider about whether you should get tested for COPD.
A persistent cough that lasts one to three weeks is the main symptom of bronchitis. You usually bring up mucus when you cough with bronchitis, but you might get a dry cough instead. You might also hear a whistling or rattling sound when you breathe (wheezing).
You might have other symptoms, including:
Shortness of breath (dyspnea).
Fever.
Runny nose.
Tiredness (fatigue).
CAUSE:
You almost always get bronchitis from a virus. However, nearly anything that irritates your airways can cause it. Infectious and noninfectious causes of bronchitis include:
Viruses. Viruses that cause bronchitis include influenza (the flu), respiratory syncytial virus (RSV), adenovirus, rhinovirus (the common cold) and coronavirus.
Bacteria. Bacteria that cause bronchitis include Bordetella pertussis, Mycoplasma pneumonia and Chlamydia pneumonia.
Pollution.
Smoking cigarettes or marijuana (cannabis).
Bronchopneumonia
A type of pneumonia that causes inflammation in the alveoli. Someone with bronchopneumonia may have trouble breathing because their airways are constricted. Due to inflammation, their lungs may not get enough air.
SYMPTOMS:
Symptoms of bronchopneumonia can be mild or severe.
Chest pain when you breathe or cough
Confusion or changes in mental awareness (in adults age 65 and older)
Cough, which may produce phlegm
Fatigue
Fever, sweating and shaking chills
Lower than normal body temperature (in adults older than age 65 and people with weak immune systems)
Nausea, vomiting or diarrhea
Shortness of breath
CAUSE:
Many germs can cause pneumonia. The most common are bacteria and viruses in the air we breathe. Your body usually prevents these germs from infecting your lungs. But sometimes these germs can overpower your immune system, even if your health is generally good.
Pneumonia is classified according to the types of germs that cause it and where you got the infection.
Coccidioidomycosis
Valley fever, also called coccidioidomycosis, is an infection caused by the fungus Coccidioides. The fungus is known to live in the soil in the southwestern United States and parts of Mexico and Central and South America. The fungus was also recently found in south-central Washington.
SYMPTOMS: Fatigue (tiredness)
Cough.
Fever.
Shortness of breath.
Headache.
Night sweats.
Muscle aches or joint pain.
Rash on upper body or legs.
CAUSE:
a fungus that grows in the soil and dirt in some areas of California and the southwestern United States. People and animals can get sick when they breathe in dust that contains the Valley fever fungu
Croup
Refers to an infection of the upper airway, which obstructs breathing and causes a characteristic barking cough. The cough and other signs and symptoms of croup are the result of swelling around the voice box (larynx), windpipe (trachea) and bronchial tubes (bronchi). When the upper airway is infected with the virus that causes croup, tissues around the voice box (larynx) and the windpipe (trachea) will swell. When a cough forces air through this narrowed passageway, it may sound like a seal barking
SYMPTOMS: Loud barking cough that’s further aggravated by crying and coughing, as well as anxiety and agitation, setting up a cycle of worsening signs and symptoms.
Fever.
Hoarse voice.
Breathing that may be noisy or labored.
CAUSE:
Croup is usually caused by a viral infection, most often a parainfluenza virus.
Your child may contract a virus by breathing infected respiratory droplets coughed or sneezed into the air. Virus particles in these droplets may also survive on toys and other surfaces. If your child touches a contaminated surface and then touches his or her eyes, nose or mouth, an infection may follow.
Diphtheria
A serious infection caused by strains of bacteria called Corynebacterium diphtheriae that make toxin. It can lead to difficulty breathing, heart rhythm problems, and even death. CDC recommends vaccines for infants, children, teens, and adults to prevent diphtheria.
SYMPTOMS:
Sore throat
Trouble breathing
Low fever
Husky voice
A shrill sound caused when breathing in (stridor)
Enlarged lymph glands in the neck
Increased heart rate
Runny nose
Swelling of the roof of the mouth (palate)
CAUSE:
Diphtheria is a serious infection caused by strains of bacteria called Corynebacterium diphtheriae that make a toxin. It is the toxin that can cause people to get very sick.
Epiglottitis
Inflammation and swelling of the epiglottis. It’s often caused by an infection, but can also sometimes happen as a result of a throat injury. The epiglottis is a flap of tissue that sits beneath the tongue at the back of the throat. It is a small, movable “lid” just above the larynx that prevents food and drink from entering the windpipe. Swelling of the epiglottis can completely block the airway. This can lead to breathing or respiratory failure. In this life-threatening condition, the level of oxygen in the blood drops very low.
SYMPTOMS:
a severe sore throat.
difficulty and pain when swallowing.
difficulty breathing, which may improve when leaning forwards.
breathing that sounds abnormal and high-pitched (stridor)
a high temperature.
irritability and restlessness.
muffled or hoarse voice.
drooling.
CAUSE:
An infection or injury causes epiglottitis.
Infection
The most common cause of epiglottitis is caused by a bacteria that attacks the epiglottis called: Haemophilus influenza type B
In the past, a common cause of swelling and inflammation of the epiglottis and surrounding tissues was infection with Haemophilus influenzae type b (Hib) bacteria. Hib is responsible for other conditions, the most common being meningitis. Hib is now much less common in developed countries where children get Hib vaccines.
Hib spreads when an infected person coughs or sneezes droplets into the air. It’s possible to have Hib in the nose and throat without becoming sick. But spreading it to others is still possible.
In adults, other bacteria and viruses also can cause the epiglottis to swell. These include:
Streptococcus pneumoniae (pneumococcus). This bacterium can cause meningitis, pneumonia, ear infection and blood infection.
Streptococcus A, B and C. This group of bacteria can cause diseases from strep throat to blood infection.
Staphylococcus aureus. This bacterium causes skin infections and other diseases including pneumonia and toxic shock syndrome.
Injury
Rarely, physical injury, such as a blow to the throat, can cause epiglottitis. So can burns from drinking very hot liquids and breathing in smoke from a fire.
Symptoms like those of epiglottitis can come from:
Swallowing a chemical that burns the throat.
Swallowing an object.
Smoking drugs, such as crack cocaine.
Smoking electronic cigarettes.
Fungal Pneumonia
Fungal pneumonia is an infectious process in the lungs caused by one or more endemic or opportunistic fungi. Fungal infection occurs following the inhalation of spores, after the inhalation of conidia, or by the reactivation of a latent infection.
Pneumonia is the leading infectious cause of death in developed countries. Among the vast diversity of respiratory pathogens, fungi account for only a small portion of community-acquired and nosocomial pneumonias. However, fungal respiratory infections generate concern in the expanding population of immunosuppressed patients. Fungi may colonize body sites without producing disease or they may be a true pathogen, generating a broad variety of clinical syndromes.
Fungal pneumonia is a lung infection caused by fungal spores. Infection happens when the spores are inhaled or when an inactive infection is reactivated. Symptoms of fungal pneumonia are like those of the flu: coughing, headache, thick mucus, fever, and chest pain, among others.
Fungal pneumonia tends to affect those with weakened immune symptoms. It is not contagious, but if untreated, it can become very serious and even deadly.
Several kinds of fungi cause fungal pneumonia, though the three most common are Pneumocystis, Cryptococcus, or Aspergillus. These fungi may be found in the air, soil, or clinical environments.
SYMPTOMS:
Fever.
Cough, usually nonproductive.
Pleuritic chest pain or dull discomfort.
Progressive dyspnea leading to respiratory failure.
Airway obstructive symptoms from enlarged mediastinal adenopathy in the endemic mycoses
Because the most common symptoms of fungal pneumonia are similar to those of viral or bacterial lung infections, diagnosis—and proper treatment—can be delayed. Those symptoms are:
Fever
Chills
Cough with thick, colored phlegm
Shortness of breath
Pain while breathing or coughing
Nausea and/or vomiting
Diarrhea
CAUSE: It can be caused by either endemic or opportunistic fungi or a combination of both.
Primarily, fungal pneumonia develops when fungal spores are inhaled. Each form of this disease arises from a corresponding type of fungus that often are native to specific regions. These fungi include:
Coccidioides is native to the soil of the American Southwest, as well as parts of Central America and South America.
Histoplasma fungi develop from the droppings of certain bird and bat species typically found in the central and eastern United States, especially in the Ohio and Mississippi river valleys. They also originate in Central America and South America, Africa, Asia, and Australia.
Cryptococcus neoformans is found in soil and bird droppings in all parts of the world.
Blastomyces lives in rotting wood, leaves, and damp soil in Midwestern, south central, and southeastern states. In addition to these are opportunistic fungal infections, those that are present in any indoor or outdoor setting, including clinical or hospital environments, called hospital acquired infections (HAIs). Most common among these are the Candida, Aspergillus, and Pneumocystis jirovecii, the latter two of which cause pneumonia.
Haemophilus Influenzae
Haemophilus influenzae, or H. influenzae, is a kind of bacteria. It can cause bacterial infections ranging from mild (such as bronchitis) to severe (such as septic arthritis). Symptoms depend on the specific. Treatment includes antibiotics but you may also require hospitalization depending on the severity of your condition.
SYMPTOMS:
Fever and chills.
Excessive tiredness.
Pain in the belly.
Nausea with or without vomiting.
Diarrhea.
Anxiety.
Shortness of breath or difficulty breathing.
Altered mental status (confusion)
CAUSE:
Haemophilus influenzae (Hi) disease is caused by a bacterial infection. The illness can range from mild to severe. Despite its name, Haemophilus influenzae has nothing to do with the influenza virus (flu). Typically, Hi bacteria cause a mild infection.
Histoplasmosis
An infection caused by breathing in spores of a fungus often found in bird and bat droppings. People usually get it from breathing in these spores when they become airborne during demolition or cleanup projects.
SYMPTOMS: Fever.
Cough.
Fatigue (extreme tiredness)
Chills.
Headache.
Chest pain.
Body aches.
CAUSE: A fungus called Histoplasma. The fungus lives in the environment, particularly in soil that contains large amounts of bird or bat droppings.
Influenza
Flu (influenza) is an infection of the nose, throat and lungs, which are part of the respiratory system. Influenza is commonly called the flu, but it’s not the same as stomach “flu” viruses that cause diarrhea and vomiting.
SYMPTOMS: Fever
Aching muscles
Chills and sweats
Headache
Dry, persistent cough
Shortness of breath
Tiredness and weakness
Runny or stuffy nose
Sore throat
Eye pain
Vomiting and diarrhea, but this is more common in children than adults
CAUSE: Influenza viruses travel through the air in droplets when someone with the infection coughs, sneezes or talks. You can inhale the droplets directly. Or you can pick up the germs from an object — such as a telephone or computer keyboard — and then transfer them to your eyes, nose or mouth.
People with the virus are likely contagious from about a day before symptoms appear until about four days after they start. Children and people with weakened immune systems may be contagious for a slightly longer time.
Influenza viruses are constantly changing, with new strains appearing regularly. If you’ve had influenza in the past, your body has already made antibodies to fight that specific strain of the virus. If future influenza viruses are similar to those you’ve encountered before, either by having the disease or by getting vaccinated, those antibodies may prevent infection or lessen its severity. But antibody levels may decline over time.
Also, antibodies against influenza viruses you’ve encountered in the past may not protect you from new influenza strains. New strains can be very different viruses from what you had before