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Wednesday, 27 November 2013

Lower respiratory tract infection (Respiratory Disease) – The Symptoms

Respiratory Disease is defined as medical conditions which affect the breathing organ and tissues including Inflammatory lung disease, Obstructive lung diseasesRestrictive lung diseases, Respiratory tract infections, trachea, bronchi, bronchioles, alveoli, the nerves and  muscles breathing , etc,.
V. B. Lower respiratory tract infection
The lower respiratory tract infection are the infection consisting of the trachea (wind pipe), bronchial tubes, the bronchioles, and the lungs, including the bronchitis and pneumonia. According to  The World Health Report 2004 – Changing History(1), in 2002 lower respiratory track infection were still the leading cause of deaths among all infectious diseases, and accounted for 3.9 million deaths worldwide and 6.9% of all deaths that year.
A. Symptoms
According to the study by Independent Travel Health and Immunization Specialist Nurse, Streptococcus pneumoniae is a cause of significant morbidity and mortality worldwide. There are many different serotypes of the organism which may be carried by up to 50% of children under the age of 6 years, as well as many adults. The organism is associated with both pneumonia and invasive pneumococcal disease, which may result in septicemia or meningitis. It is also a principal cause of otits media and sinusitis, which are not life-threatening, but generate a lot of discomfort, loss of schooling or working days, and around 60 000 GP consultations per year in the UK(2).
1. Shortness of breath, chest pain, abnormal breath sounds and high fever
There is a report of a 65-year-old man with shortness of breath, pleuritic chest pain, and recurrent pneumonia, according to Department of Medical Education.(3). In other study to understand which clinical criteria physicians use to diagnose pneumonia compared to bronchitis and upper respiratory tract infection (URTI), showed that logistic regression analysis identified rales, a temperature > 100 degrees F (37.8 degrees C), chest pain, dyspnoea, rhonchi, heart rate, respiratory rate, and rhinorrhoea. The presence of abnormal breath sounds and a temperature > 100 degrees F were the best predictors of a diagnosis of pneumonia(4).
2. Other symptoms include
According to the study conducted by Nanxiang Hospital of Jiading District of Shangha, the common symptoms of (human bocavirus infection) HBoV-infected patients included frequent coughing, wheezing and fever(5). Others suggested that CAP is usually characterized by fever, chills, dyspnea, cough, and pleuritic chest pain in association with physical findings suggestive of consolidation in persons who become ill outside of a hospital or chronic-care facility(5).
a. Cough, which may be dry at first, but eventually produces phlegm (sputum)as a result of heat accumulation, according to traditional Chinese medicine.
b. Nausea and vomiting
c. muscle aches
d. weakness
e. fatigue
f. etc.
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Sources(1) http://www.who.int/whr/2004/en/
(2) http://www.ncbi.nlm.nih.gov/pubmed/22398939
(3) http://www.ncbi.nlm.nih.gov/pubmed/21178155
(4) http://www.ncbi.nlm.nih.gov/pubmed/20490437
(5)http://www.ncbi.nlm.nih.gov/pubmed/21507299