Doctor insights on:
Hypostatic Pneumonia Prevention
Hypostatic pneumonia: Hypostatic pneumonia is a term used to describe fluid accummulation in the lower portions of lungs in bed-ridden individuals (typically elderly). One thing you can do to reduce a pneumonia risk is to have your physician provide you with an early pneumonia shot (pneumovax /ppsv-23) before age 65. ...Read more
Definition pneumonia: =inflammatory response within lungs; the lung alveoli become filled with fluid/pus (water with many white blood cells) in response to presumed viral or bacterial infection. Hypostatic modifier refers to this occurring within the posterior (dorsal) portions of someones lungs who has been in a supine position for extended periods, e.g. hospital bed. Less activity=less clearance of lung irritants. ...Read more
Am I write in thinking that although HYPOSTATIC PNEUMONIA is not itself an infection it can be caused by an infection? But can it have other causes?
Bedridden immobility: Hypostatic pneumonia comes from shallow breathing while lying in a single position for a long time. Therefore bronchial secretions usually cleared by deep breathing & coughing instead settle by gravity in lower portions of the lung & become seats of infection. Usually in bedridden elderly. Also big reason why activity is encouraged right after major surgery. Hope that helps. ...Read more
Are there any statistics on the survival rate of 90 year-old patients with hypostatic pneumonia? Of course, I appreciate that the outcome depends upon the overall medical condition of each patient.
Excessive lying on b:
Hypostatic pneumonia occurs in old and weak patients due to excessive lying in bed. It is the result of collection of fluid in the dorsal area of the lungs
1discomfort or tightness in chest
4spitting up mucus, sometimes with a little blood
6cyanosis (blue tinge in skin and mucous membranes)
if not recognized and treated can end in respiratory failure. ...Read more
What is the difference between bronchopneumonia and hypostatic pneumonia. Are the treatments exactly identical?
I understand that hypostatic pneumonia can be caused by a virus or bacteria (if a patient is non-ambulatory for a long time). Are there any other causes?
Yes: Fungal in some cases as well but very unlikely unless immunosuppressed. More likely bacterial or viral. Depending on the facility you may be able to get chest physiotherapy which may assist and possibly reduce the risk of this unfortunate complication developing ...Read more
In addition to a chest X-ray and blood cultures, what tests can be done to confirm a diagnosis of hypostatic pneumonia?
Is the antibiotic that is generally considered to be the best medication for treating hypostatic pneumonia also the best medication for treating sepsis?
Depends: Totally depends upon findings on cultures. Sepsis is a very serious condition and if you had it, you would know it and most likely be in the hospital. ...Read more
Does monoclonal b-cell lymphocytosis make the patient more vulnerable to infections, e.G., hypostatic pneumonia? Is monoclonal b-cell lymphocytosis capable of transforming into acute leukemia?
No infections in MBL: The definition of mbl is an elevated lymphocyte count with a lack of symptoms or complications. It can transform into cll (chronic lymphocytic leukemia), in which low immunoglobulins and the abnormal b lymphocytes can indeed cause increased infections. Neither of these has been associated with transformation to acute leukemia, although cll can become an aggressive lymphoma. ...Read more
What is the difference between hypostatic pneumonia and pulmonary venous congestion? Is there a treatment for PVC in a non-ambulant patient?
Both are impotant: And deserve professional care/answers (locally)-not by these emails. ...Read more
My 9months baby boy is diagnosed with basal interstitial pneumonia, is it benign? May I know the treatment? And how this be prevented
See below: Bacteria, viruses, or fungi may infect the interstitium of the lung. A bacterium called mycoplasma pneumonia is the most common cause in older kids. The label of "interstitial" most likely refers to the x-ray findings. If your infant son has otherwise been healthy and doing well-a full recovery is likely. Prevention: hand washing and avoiding large crowds. ...Read more
Apart from the use of antibiotics, what can be done to treat a patient with hypostatic pneumonia?
Is there an antibiotic that is generally considered to be more efficacious in treating hypostatic pneumonia than an infection such as sepsis?
The term hypostatic pneumonia refers to infection in static pulmonary secretions in persons lying down for long times. It does not refer to the
microorganism responsible, which would be the issue in choosing an antibiotic. Sepsis is a physiologic condition which may result from any infection, including pneumonia, and again the bug and the drug to kill it must be carefully selected. ...Read more
See answer: This probably means that you didn’t take a deep enough breath and there was slight under expansion of the lung bases – likely not of clinical concern – discuss with your dr. ...Read more
Lots of things: Lots of things can cause pneumonia, which is an infection of the lung. Bacteria, viruses & fungi can all cause pneumonia. However, so can aspiration which occurs when choking on something, typically stomach contents. Appropriate vaccines are very useful in decreasing certain, but not all, pneumonias. ...Read more