Pneumonia complications


  • Septicaemia – spread from lung parenchyma, can lead to metastatic infection e.g. endocarditis
  • Lung abcess – look for swinging fever, foul-smelling sputum, weight loss, haemoptysis, pleuritic chest pain
  • Atrial fibrilation esp. in elderly, may require beta-blocker
  • Pericarditis/myocarditis may complicate pneumonia
  • Hypotension – may be due to dehydration and sepsis-induced vasodilatation
  • Empyema – if recurrent fever, yellowish pleural effusion aspirated
  • Respiratory failure – type 1 is common, act if PaCO2 >6kPa

That smug feeling when you slap that bitch right in the kisser!



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