Intersticial pneumonia

Description:

Intersticial pneumonia - an inflammation, mainly interstitial tissue of a lung.

Symptoms of Intersticial pneumonia:

Initial symptoms of intersticial pneumonia: febrile fever, the expressed short wind and cough with a scanty phlegm, it is frequent with blood streaks. Perkutorno is defined small shortening of a sound over a defeat zone; when listening - rigid breath, without rattles. In many cases characteristic rhinitis, conjunctivitis, and also mialgiya, arthralgias, a sharp headache come to light; damage of a liver, kidneys is possible.

Radiological there are no infiltrates, the pulmonary drawing is underlined, roots are expanded. In blood, as a rule, a watering can (нейтро) of singing, SOE normal or is slightly raised.

Mycoplasmal pneumonia occurs usually at persons with the acquired immunodeficiency. In all cases of a persistent current, a recurrence of an acute pneumonia or asymptomatic shadows in a lung it is necessary to exclude AIDS.

At virus and bacterial pneumonia both alveoluses, and interstitial fabric therefore weight of a condition of the patient is expressed are surprised: a sharp asthma, cyanosis, heart arrhythmias, dullness of cardiac sounds (sometimes a cantering rhythm), decrease in the ABP, the fluid lungs, neurologic disturbances is possible. As a rule, myocarditis joins. The high lethality is noted. On intersticial type also pneumonia at an ornithosis proceeds.
The disease can develop at any age, with an identical frequency at men and women, regardless of smoking. Development of the heavy accruing asthma is often preceded by symptoms – mialgiya, arthralgias, fever, a fever, an indisposition. In lungs widespread "cellophane" rattles are listened. In several days a heavy asthma, cyanosis develops.
Pulmonic functional tests show restrictive type of disturbances of ventilation in combination with disorders of diffusion capacity of lungs. Pulmonary insufficiency quickly progresses, at the same time the refrakternost to an oxygenotherapy is often observed. As a rule, patients need artificial ventilation of the lungs.

Reasons of Intersticial pneumonia:

The main causative agents of intersticial pneumonia are viruses, mycoplasmas, pneumocysts.

Treatment of Intersticial pneumonia:

Treatment by glucocorticosteroids and cytostatics ineffectively. Mortality exceeds 50%, most of patients dies within 1-2 months after emergence of symptoms. The survived patients can have recurrence or development of the progressing intersticial disease of lungs.
Radiological signs. On the roentgenogram diffusion bilateral blackouts which have heterogeneous spotty character come to light. The pleural exudate usually is absent. At KTVR the bilateral symmetric, preferential subplevralno located not homogeneous areas of "opaque glass", sites of consolidation of air spaces, expansion of bronchioles against the background of disturbance of normal very tectonics of lungs are visible.
Later, at an organizing stage of intersticial pneumonia, there are disturbances of structure of bronkho-vascular bundles, traction bronchiectasias. At patients who transferred the most acute phase of a disease gradual reduction of sites of consolidation and "opaque glass" is observed, at the same time changes of mesh character can form.