Lobar Pneumonia

Lobar pneumonia is homogeneous consolidation of an entire lung lobe, most often due to Streptococcus pneumoniae, presenting with sudden fever/rigor, pleuritic chest pain, rusty sputum, dyspnea, and focal lobar consolidation. Treatment: amoxicillin/penicillin G/ceftriaxone; oxygen; fluids; treat complications (pleural effusion/empyema); vaccination (PCV/PPSV) for prevention; monitor for resolution.

Common Symptoms

Sudden fever/rigor; pleuritic pain/rusty sputum; lobar consolidation; by stage

Causes and Pathogenesis

S. pneumoniae aspirates and spreads within a lobe via pores of Kohn, causing lobar consolidation.

Treatment

Penicillin/amoxicillin/ceftriaxone; oxygen/fluids; drain empyema; vaccination

Preventive Measures

Pneumococcal/influenza vaccine; hand hygiene.

Department to Visit

It is recommended to visit the Pulmonology/Infectious-disease department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.