Viral Pneumonia

Respiratory (12%) Core Clinical Conditions

1A: Able to diagnose and manage

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Definition Aetiology Pathophysiology Risk factor Sign and Symptoms Investigations Management

Definition

Viral pneumonia is a form of pneumonia that targets the respiratory tract and it is commonly caused by viruses.

Aetiology

  • Coronavirus disease (COVID-19).

  • Respiratory syncytial virus (RSV). 

  • Adenovirus. 

  • parainfluenza virus, and others.

Pathophysiology

  1. Viral infiltration to the resp. Tract.

  2. Viral replication and spreading. 

  3. Immune response. 

  4. Damage to the lung tissue (caused by inflammatory response + immune response). 

  5. Accumulation of fluid in the lungs (consolidation). 

  6. Resolution or progression of disease.

Risk factors

  • Smoking and environmental causes. 

  • Weak immune system e.g. HIV/AIDS, cancer, receiving chemotherapy treatment. 

  • Age: young and older individuals are more at risk.

  • Asthma/COPD, diabetes, heart disease and kidney disease. 

  • Travelling to high risk areas. 

  • Close contact with infected individuals.

Sign and symptoms

  • Cough. 

  • SOB and fatigue.

  • Fever.

  • Pleuritic chest pain.

  • O/E: coarse crepitations, hypoxia and tachycardia. 

Diagnosis and investigations

  • Chest X-ray may display consolidation.

  • Blood test: full blood count (FBC), C-reactive protein (CRP), Erythrocyte Sedimentation Rate (ESR) and Full blood count (FBC).

  • Arterial Blood Gas (ABG) Test.

  • Viral swab (nose or throat).

  • COVID test rapid test or PCR.

Management

  • Supportive care: rest, hydration, otc anti-pyrexia medications.  

  • Antiviral treatment may be considered depending on causative agent. 

  • Hospitalisation - may require IV fluid treatment. If bacteria infection is detected then IV or oral antibiotic treatment may also be commenced.

 
 
 

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