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Doctors' Answers to "Frequently Asked Questions" - Pneumonia

These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Concerns Regarding Muliple Bouts of Pneumonia [posted 10/29/98]
Question: My 3 yr. old son has had pneumonia 3 time in the past 4 months. His pediatrician finally sent him to a pulmonary specialist for some testing. Everything came back normal except for the x-rays of his sinuses. They showed quite a bit of congestion. She prescribed 4 wks. of Bactriem and Claritin and a follow up in 5 wks. My quesiton...what does sinuitis have to do with pneumonia? Is this something he will grow out of or will he have to deal with this the rest of his life?

Answer: It merely shows his tendency to develop respiratory problems. Has he been checked for cystic fibrosis?

Steroid Dependent Asthma From Pneumonia [posted 10/19/98]
Question: I have aquired steroid dependent asthma from chlamydia pneumonia this past year. Never had asthma before. I am 39 been in great health all my life until this. I have gone thru 16 week megadose of zithromax and still have uncontrollable asthma. Is the asthma here to stay or will over time the symptoms subside? Thanks for the response.

Answer: Hard to know until some more time has gone by. Have you tried leukotriene inhibitors?

Lobar Pneumonia
Question: I have been suffering from Lobar pneumonia. I would like to ask what sort germ is likely to be found in a Pneumonia patient? I have been given so many types of antibiotics, most of them do not react on the antibiotic. Present Doctor gave Zinnat Cefuroxime axtil and Erythromycin together. Is Lobar Pneumonia life threatening?

Answer: Any bacteria can cause pneumonia; but, the common ones are gram positive organisms like S. pneumococcus etc. Most of these would be treated by one or more of the antibiotics that you have taken. Lobar pneumonia can be fatal; but usually not after the first week or so unless there is a reinfection.

Chronic Pneumonia
Question: Why does my son keep getting pneumonia? He has been hospitalized three times in the past three months. They have run all kinds of tests and given him all kinds of medicines but it hasn't helped. Your comments would be appreciated.

Answer: Common causes include recurrent aspiration of gastric fluid, congenital stenosis of a bronchial tube, immune system defects, cystic fibrosis etc. If these have not been checked they should be.
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