Neumonía Atípica de Focos Múltiples

Abstract

Pneumonia is an inflammatory response of the lung parenchyma to the arrival of microorganisms to the distal airway of immunocompetent persons who have not been admitted. The term atypical pneumonia describes the unusual manifestation of pneumonia; it is characterized by respiratory symptoms, fever and radiological findings. Their common origin are bacteria and viruses, difficult to differentiate clinically varies by age group and the likely site where the infection was acquired. It is described as pneumonia caused by a group of relatively common pathogens (Mycoplasma pneumoniae, Chlamydophila pneumoniae, Legionella spp and some viruses). Globally, it has high morbidity and mortality, particularly in elderly patients and those with significant comorbidities.

Patient of 51-year-old with negative personal medical history. Go to present 3 days ago about before admission abdominal pain localized level epigastric, stabbing type, which worsens with breathing, mild to moderate intensity that radiates to right costal margin accompanied by malaise, asthenia, hyporexia by what comes to physician for evaluation who imaging test indicates being in the chest radiograph and bilateral interstitial alveolar infiltrates predominantly right who said income from patient to hospital for therapeutic management.

Conscious, oriented, hydrated, no fever patient, Glaswegian 15/15, 80% oxygen saturation Head; normocephalic, Oral Mucous; wet, oropharynx; no failure, Neck: symmetrical, assets and liabilities retained movements, lymphadenopathy, heart; rhythmic heart sounds, no murmurs, Thorax: symmetrical, expandability decreased, mild tenderness level right costal margin, Lung Bilateral crackles basal predominantly right abdomen; depressible soft mild tenderness epigastric level, Tips; symmetrical, no edema, pulses present, filled capillary 2 seconds.