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Colegio de Medicina Interna de México.

2008, Number 6

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Med Int Mex 2008; 24 (6)

Non-resolved pneumonia. Diagnosis strategy

Cabrera RA, Plasencia RO, Quezada BC, Medellín GR, Laguna HMG, Villagómez OA, Méndez RR, Guzmán GR, Franco LS

Language: Spanish
References: 14
Page: 418-423
PDF size: 257.54 Kb.


ABSTRACT

Acute pneumonia is a serious problem of public health. It was defined as an infectious pulmonary process that generally has a clinical stability in its first days of suitable therapy and disappears from the radiographic infiltrations during the following weeks, as the causal microorganism disappears. It is called not resolved pneumonia when after 10 days of medical suitable therapy there isn’t clinical improvement, or when after 12 weeks of the therapy, radiological infiltrators persist. Among differential diagnosis considerations are microorganisms’ resistance, wrong pneumonia diagnosis, neoplasia, and non-infectious pulmonary processes. We present a case of an 80-year-old man, hospitalized during two weeks, who progress with cough, expectoration and fever, without response to 10 days antimicrobial treatment in hospital stay; diagnosis approach and literature review.


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