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Wednesday, 27 November 2013

Lower respiratory tract infection (Respiratory Disease) – Bronchitis – The Misdiagnosis

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.
Bronchitis is defined as a condition of an inflammation of the mucous membranes of the bronchi, the larger and medium-sized airways that carry airflow from the trachea into the lung parenchyma(7). Most cases of Bronchitis are as a result of recurrent injure to the airways caused by inhaled irritants and cigarette smoking(6).
B.1. Misdiagnosis
1. Asthma
Protracted bacterial bronchitis (PBB) causes persistent coughing and disturbed sleep, and affects exercise tolerance, causing significant levels of morbidity. PBB has remained largely unrecognised and is often misdiagnosed as asthma(19).
2. Sinus infection
According to the viwer at the Enpow-her in the question of why do doctors misdiagnose phenmonia and bronchitis and assume its sinus infection without proper testing? at indicated that  I have had numerous friends suffering from upper respitory bronchitas or phenmonia symptoms but the doctor has diagnosed “sinus infection”. Even after weeks of antibiotics nothing works. Z pac is like a sugar pill. What is the best RX to rid this nasty infection?(20).
3. Whooping cough
According to the article of Bronchitis-like symptoms: Related Misdiagnoses, posted at RD, Jan 13- 2013, The cough symptoms of whooping cough is usually productive initially, but then becomes a persistent dry cough, lasting up to 100 days. Elderly grandparents may also be a reservoir of undiagnosed whooping cough(21).
4. Other Chronic lung diseases
Other Chronic lung diseases may be middiagnosis as brochitis via versa. According to the aboved same article,  Some of the chronic lung diseases are difficult to diagnose. Even the well-knowns conditions such as asthma or lung cancer often fail to be diagnosed early(22).
5. Etc.
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Sources
(1) http://www.who.int/whr/2004/en/
(6) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC130746/
(7) http://www.lung.org/lung-disease/bronchitis-chronic/understanding-chronic-bronchitis.html
(19) http://www.ncbi.nlm.nih.gov/pubmed/23175647
(20) http://www.empowher.com/community/ask/why-do-doctors-misdiagnose-phenmonia-and-bronchitis-and-assume-its-sinus-infection-wit
(21)(22) http://www.rightdiagnosis.com/symptoms/bronchitis_like_symptoms/misdiagnosis.htm