Office Based Geriatrics : Nosocomial Aspiration Pneumonia : Case Report and Review of Literature

Agha , Adnan; Bella , Abdel - Haleem; Al - Humaidi , Mohammad Awad

Article Details

Office Based Geriatrics : Nosocomial Aspiration Pneumonia : Case Report and Review of Literature

Authors:

Agha , Adnan | Bella , Abdel - Haleem | Al - Humaidi , Mohammad Awad

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

Middle East Journal of Age and Ageing 2011 Vol.8 Issue 1, pp.22-27

Document Type:

Article

Publication Date:

1/2011

Document Language:

English

Document ID (Org No.):

7188

Frequency:

Bi-Monthly

eISSN:

14498677

pISSN:

18390102

Descriptors:

Abstract:

 An 80-year-old male with co-morbidities of diabetes, Parkinson’s disease, hypertension, and osteoarthritis was admitted with polyphagia, polydipsia, fever and cough with sputum. His examination was significant for occasional coarse crepitations at left lung base and his laboratory results showed uncontrolled hyperglycemia, leucocytosis and metabolic acidosis with presence of urinary ketones. Thus he was diagnosed as diabetic ketoacidosis precipitated by left lower lobe pneumonia and managed accordingly till the day of his discharge when he suddenly became unresponsive during feeding and was intubated and shifted to intensive care. Ensuing chest x-ray showed a new right middle lobe homogenous opacity, consistent with right sided aspiration pneumonia. The patient was treated and finally weaned off ventilator on nasogsatric tube feeding when again in the general ward the patient vomited and became unresponsive and was found to have aspiration pneumonia in the left middle lobe and was shifted back to ventilatory support. This devastating yet easily avoidable complication of nosocomial aspiration pneumonia caused significant morbidity not only to this patient with additional burden on hospital expenditure, but was also responsible for 44% of fatalities in the general medical wards in the prior months. Aspiration events are a common cause of morbidity and mortality among debilitated and elderly patients and more emphasis should be laid on preventing this life threatening complication by employing better evaluation techniques to quantify the risk of aspiration and implementing proper preventative strategies in high risk patients to help avoid nosocomial aspiration pneumonia.

Article Details

Office Based Geriatrics : Nosocomial Aspiration Pneumonia : Case Report and Review of Literature

Authors:

Agha , Adnan | Bella , Abdel - Haleem | Al - Humaidi , Mohammad Awad

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

Middle East Journal of Age and Ageing 2011 Vol.8 Issue 1, pp.22-27

Document Type:

Article

Publication Date:

1/2011

Document Language:

English

Document ID (Org No.):

7188

Frequency:

Bi-Monthly

eISSN:

14498677

pISSN:

18390102

Descriptors:

NOSOCOMIAL DISEASES

PNEUMONIA

PARKINSON'S DISEASE

Issues

Article Details

Office Based Geriatrics : Nosocomial Aspiration Pneumonia : Case Report and Review of Literature

Authors: Agha , Adnan | Bella , Abdel - Haleem | Al - Humaidi , Mohammad Awad

Publisher: medi+WORLD International

Main Topics: Medicine

Journal: Middle East Journal of Age and Ageing 2011 Vol.8 Issue 1, pp.22-27

Document Type: Article

Publication Date: 1/2011

Document Language: English

Document ID (Org No.): 7188

Frequency: Bi-Monthly

eISSN: 14498677

pISSN: 18390102

Descriptors:

NOSOCOMIAL DISEASES

PNEUMONIA

PARKINSON'S DISEASE

Issues

Authors:

Agha , Adnan | Bella , Abdel - Haleem | Al - Humaidi , Mohammad Awad

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

Middle East Journal of Age and Ageing 2011 Vol.8 Issue 1, pp.22-27

Document Type:

Article

Publication Date:

1/2011

Document Language:

English

Document ID (Org No.):

7188

Frequency:

Bi-Monthly

eISSN:

14498677

pISSN:

18390102