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Purulent sputum [5] contains pus, composed of white blood cells, cellular debris, dead tissue, serous fluid, and viscous liquid . Purulent sputum is typically yellow or green. It is seen in cases of pneumonia, bronchiectasis, lung abscess, or an advanced stage of bronchitis. [6]
Sputum culture results are of great value in determining antibiotic resistance. [7] First-line treatment is cefuroxime or co-amoxiclav. [7] Third-line treatment, as well as treatment in penicillin-allergic patients, is a fluoroquinolone such as ciprofloxacin. [7] An agent active against Streptococcus pneumoniae may have to be added. [7]
Amounts of blood: large amounts of blood, or there is blood-streaked sputum; Probable source of bleeding: Is the blood coughed up, or vomited? Bloody sputum. color, characters: blood-streaked, fresh blood, frothy pink, bloody gelatinous. Accompanying symptoms fever, chest pain, coughing, purulent sputum, mucocutaneous bleeding, jaundice.
The primary symptom is a cough with sputum that may be purulent.The illness may also cause shortness of breath or wheezing. Upper respiratory tract infections (URTIs) often precede acute bronchitis, with overlapping symptoms including headache, nasal congestion, and sore throat.
The extra secreted mucus from tracheobronchitis plugs the airways allowing the fungal pathogens to lodge and multiply. Local damage to the tracheal wall that can be caused by mechanical ventilation is a risk factor for this. Respiratory failure may develop from this infection. [5]
People who are on mechanical ventilation are often sedated and are rarely able to communicate due to which many of the typical symptoms of pneumonia will either be absent or unable to be obtained. The most important signs are fever or low body temperature, new purulent sputum, and hypoxemia (decreasing amounts of oxygen in the blood). However ...
Cough can be productive of foul-smelling, purulent mucus (≈70%) or less frequently with blood in one-third of cases. [3] Affected individuals may also complain of chest pain, shortness of breath, lethargy, and other features of chronic illness. [citation needed] Those with a lung abscess are generally cachectic at presentation.
Purulent sputum; Leukocytosis > 10,000 cells/μl; In an elderly person, the first sign of hospital-acquired pneumonia may be mental changes or confusion. Other symptoms may include: A cough with greenish or pus-like phlegm (sputum) Fever and chills; General discomfort, uneasiness, or ill feeling (malaise) Loss of appetite; Nausea and vomiting