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
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