The peculiarities of pneumonia without fever
Pneumonia without fever and particular clinical manifestations characterized by the presence of pathological changes of inflammatory nature in the lung without the body's response to these changes in the form of hyperthermia, cough and chest pain. This disease occurs in people with reduced immunity, or in other cases discussed below.
The cause of the inflammation in the lungs
The source of the pathological process that caused the pneumonia is infection. The nature of the course of pneumonia depends entirely on what kind of pathogen is the disease, from the presence or absence of comorbidity prior to treatment. It is to a greater extent and generates a response to a frequent question: does pneumonia without fever? Asymptomatic disease is more common in heavy or debilitated patients. For example, in patients after abdominal operations, with the presence of the cancer process, and postponed chemotherapy or radiation treatment, HIV infection.
But in most cases pneumonia without fever occurs when the uncontrolled administration of antibacterial drugs. Accepting the past leads to the destruction of their own microflora in the intestines, which causes the growth of bacteria (which belong to the group of conditionally pathogenic and pathogenic), bacteria overgrowth. The consequence is bowel dysfunction, including a decrease in immunity. Because the structural components of the intestine formed a large part of the cells of the immune response and antibodies.
The pneumonia without fever can occur at any age, due to the development of the same conditionally pathogenic microflora. The hardest part of this form of pneumonia occurs in children, because the parents, despite the presence of complaints of poor health, not changing a mode of life of the child, continuing to move them to the garden or school, and this leads to a significant deterioration. But if the active inflammation process stopped by itself, it gradually passes into the chronic stage, causing bronchitis of various degrees of activity or asthma.
Doctors identify the following factors that can cause this disease:
- the uncontrolled administration of antibacterial drugs;
- the use of antipyretics at any temperature;
- earned tolerance to a group of drugs for life;
- self-administration of potent antitussive agents;
- the lack of full coughreflex.
Therefore, you should limit self-administration not only antibiotics, but also any other drugs without consulting a doctor. And if you have lingering colds or an ordinary cough to run to the pharmacy, to the doctor for advice and right treatment, or if necessary, tests that help to exclude pneumonia.
For asymptomatic pneumonia
Regardless of the form of pneumonia, its symptoms are:
- lack of appetite;
- the emergence and increasing shortness of breath.
The temperature increase can also be, but either briefly or up to 37,1−37,2 º, which does not attract attention and does not cause the assumption of the existence of active inflammation.
A clear symptom is always coughing. His character may be different from hoarse and dry to rare and sputum. Sometimes coughing can be a pain in the chest on the side of inflammation and may be accompanied by sudden shortness of breath. This is due to the expectoration of sputum from the bronchial tree, which can be very dangerous because of the possibility of as not safe for life complications, and a complete violation of patency respiratory tract.
In addition, the symptom of pneumonia is the hospital with respiratory failure in the absence of the reaction temperature, it may be the first stage of edema of the lung.
Symptoms of this disease is very poor, but still it is:
- marked pallor of the skin;
- shortness of breath, increasing with time (complaints about the lack of air, aggravated by any physical exertion);
- the inability to take a deep breath or exhale (in this case a cough);
- chest pain when breathing or during physical exertion, even simple turns of the body;
- severe General weakness and decrease in physical activity;
- specific manifestations of the disease (changes in auscultation and percussion patterns; a survey in this area is the prerogative of the doctor).
In any case, the interpretation of all symptoms and the administration of other surveys, accurate diagnosis and recommendations for treatment only by a specialist.
The course of the disease with a minimum of complaints and symptoms is called hypostatic. This situation is due to the presence of the permanent stagnation of blood in the pulmonary circulation. This stasis provides a transition of the liquid portion of blood through the vessel wall into the alveoli and bronchi, and causes edema of the lung. This, in turn, promotes the penetration ofbacteria in the lung tissue. On the background of a pronounced permeability of the lung tissue, weakening of protective forces of the organism and the presence of pathogenic flora is in the process of inflammation at the local level, which further progresses to severe pneumonia.
Suspect pneumonia if these conditions are hard. This is due to the absence of any specific symptoms. But it is worth considering that any illness accompanied by prolonged forced bed regime may be complicated by pneumonia. Moreover, the underlying disease may mask the symptoms of pneumonia, which is the reason for the neglect of the state. A significant symptom of lung problem is the cough. His appearance should always be a reason for additional examination of the chest. This will help not to miss the beginning of the inflammatory process in the lungs and to avoid severe, and sometimes fatal, complications, the most dangerous of which can be a lung abscess and empyema.
Pneumonia can occur without clinical manifestations, easily confused with the flu or SARS. But if there is shortness of breath, aggravated by any physical exertion, cough with violation of a discharge sputum, chest pain, cough and clinical changes in auscultation weakening of respiration on the affected side and percussion manifestations of pleural complications, this should be a clear indication for integrated treatment and examination. To hold it better in the conditions of a multiprofile hospital.
The most severe is the pathology in infants. In pneumonia, the inflammatory process may pass without any symptoms. The baby unlike the adult is not able to complain and talk about problems, and parents are not always in a hurry to go to the doctor. In this case, you need to pay attention to any abnormalities in the child.
Methods of treatment
The treatment is performed only when the diagnosis by the physician, after clinical and radiological picture.
Therapy based on the antibacterial medications, the purpose of which occurs according to the results of sputum culture for sensitivity to antibiotics.
Self-administration of medication not only complicates the diagnosis, but also complicates the treatment process, so as to take drugs in bacteria can form a resistance. You must realize the seriousness of the situation. Pneumonia is not a cold, she will not pass without a trace, and her self-treatment will lead to the formation of chronic pathology and this is the best. The causative agent of pneumonia can havea specific nature (tubercle Bacillus). And in this case, self-medication only worsens the situation and prolongs the period of treatment.
Sometimes the process of diagnosing tuberculous lesions lasts several months, with the signs of active inflammation are absent. And the beginning of treatment without diagnosis, as applied to this situation, can have very serious consequences, including disability and death.