eISSN: 2081-2833
ISSN: 2081-0016
Medycyna Paliatywna/Palliative Medicine
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2/2019
vol. 11
 
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abstract:
Review paper

Pneumonia in palliative care patients. Part 2 – management of atypical and fungal pneumonia

Piotr Jan Nowak
1
,
Anna Zasowska-Nowak
2

  1. Klinika Nefrologii, Hipertensjologii i Transplantologii Nerek, Uniwersytet Medyczny w Łodzi
  2. Pracownia Medycyny Paliatywnej, Katedra Onkologii, Uniwersytet Medyczny w Łodzi
Medycyna Paliatywna 2019; 11(2): 58-66
DOI: https://doi.org/10.5114/pm.2019.86529
Online publish date: 2019/07/18
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Atypical and fungal pneumonia occur less frequently than typical pneumonia. However, its potentially severe course, possible complications, and difficult diagnosis may be challenging for a physician. Treatment with β-lactam antibiotic will not lead to recovery. None of the regimens of empiric antibiotic therapy advised in community- or hospital-acquired pneumonia are therapeutic in a disease of fungal etiology. Palliative care patients are at higher risk of pneumonia than the general population, while impaired immunity together with structural changes in lungs predispose to infection with atypical flora. The following article presents information concerning routes of infection, signs and symptoms, diagnosis and treatment of atypical and fungal pneumonia useful in palliative medicine practice.
keywords:

atypical pneumonia, fungal pneumonia, palliative care
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