Radio Imaging of Pneumonia: A Comprehensive Review

  • Karuna Raya Chhetri Radiology Department, School of Allied Health Science, Sharda University, Greater Noida, Uttar Pradesh, India
  • Amit Pratap Singh Chouhan Radiology Department, School of Allied Health Science, Sharda University, Greater Noida, Uttar Pradesh, India.
  • Vandana Singh Department of Microbiology, School of Allied Health Science, Sharda University, Greater Noida, Uttar Pradesh, India
  • Bushra Shaida Department of Nutrition, School of Allied Health Science, Sharda University, Greater Noida, Uttar Pradesh, India.
Keywords: Pneumonia, Medical Imaging, Upper Respiratory Disease, Radiography

Abstract

Pneumonia, a major leading problem existing since centuries, is considered a respiratory infection including all the parts of the respiratory tract. In the case of medical health, it can be classified into two major categories; CAP (Community-acquired pneumonia), and HAP (Hospital-acquired pneumonia). This infection cause is defined by the existence of various bacteria, fungi, parasites, and viruses inside the body causing sepsis and other difficulties related to the upper respiratory tract. The survival rate from pneumonia is very low when it is diagnosed much later. Pneumonia highly affects the children of the age group of 0-5 years and the elderly aged more than 50 years or in their 60s. The risk of getting infected primarily depends on the immune response
of the host and the species of pneumonia. Traditional radiography should always be the first step in any imaging assessment. When normal radiography results are inconclusive, computed tomography is
required. The optimum approach to pulmonary infectious processes is a combination of pattern recognition and clinical expertise. However, nowadays it’s easy to detect the infection by means of radiological
and clinical investigations. As pneumonia is much more manifested in the case of COVID infection, so research is still going on in this field. This article explains the different elements of pneumonia, including definition, risk factors, aetiological agents, diagnosis, treatment, and prevention, with a focus on current developments.

How to cite this article:
Chhetri KR, Chouhan APS, Singh V, Shaida B. Radio Imaging of Pneumonia: A Comprehensive Review. J Commun Dis. 2022;54(3):75-87.

DOI: https://doi.org/10.24321/0019.5138.202292

References

Aston SJ. Pneumonia in the developing world: characteristic features and approach to management.

Respirology. 2017;22(7):1276-87. [PubMed] [Google Scholar]

Brown PD, Lerner SA. Community-acquired pneumonia. Lancet. 1998;352:1295-302. [PubMed] [Google Scholar]

Carey RM, Lee RJ. Taste receptors in upper airway innate immunity. Nutrients. 2019;11(9):1-17. [PubMed]

[Google Scholar]

Chung HY, Wickel J, Brunkhorst FM, Geis C. Sepsisassociated encephalopathy: from delirium to dementia?

J Clin Med. 2020;9(3):703. [PubMed] [Google Scholar]

Claessens YE, Debray MP, Tubach F, Brun AL, Rammaert B, Hausfater P, Naccache JM, Ray P, Choquet C,

Carette MF, Mayaud C, Leport C, Duval X. Early chest Computed Tomography scan to assist diagnosis and

guide treatment decision for suspected community-acquired pneumonia. Am J Respir Crit Care Med.

;192(8):974-82. [PubMed] [Google Scholar]

Corrales-Medina VF, Musher DM, Shachkina S, Chirinos JA. Acute pneumonia and the cardiovascular system.

Lancet. 2013;381(9865):496-505. [PubMed] [Google Scholar]

Idris S, Degheim G, Ghalayni W, Larsen TR, Nejad D, David S. Home telemedicine in heart failure: a pilot

study of integrated telemonitoring and virtual provider appointments. Rev Cardiovasc Med. 2015;16(2):156-

[PubMed] [Google Scholar]

Ding X, Xu J, Zhou J, Long Q. Chest CT findings of COVID-19 pneumonia by duration of symptoms. Eur

J Radiol. 2020;127:109009. [PubMed] [Google Scholar]

Vladimir VF. 済無No Title No Title No Title. Gastronomía Ecuatoriana Y Turismo Local. 1967;1(69):5-24.

Driver C. Pneumonia part 1: pathology, presentation and prevention. Br J Nurs. 2012;21(2):103-7. [PubMed]

[Google Scholar]

Hani C, Trieu NH, Saab I, Dangeard S, Bennani S, Chassagnon G, Revel MP. COVID-19 pneumonia: a

review of typical CT findings and differential diagnosis. Diagn Interv Imaging. 2020;101(5):263-8. [PubMed]

[Google Scholar]

Hotchkiss RS, Moldawer LL, Opal SM, Reinhart K, Turnbull IR, Vincent JL. Sepsis and septic shock. Nat Rev

Dis Primers. 2016;2:16045. [PubMed] [Google Scholar]

Ichinohe T, Pang IK, Kumamoto Y, Peaper DR, Ho JH, Murray TS, Iwasaki A. Microbiota regulates immune

defense against respiratory tract influenza A virus infection. Proc Natl Acad Sci U S A. 2011;108(13):5354-

[PubMed] [Google Scholar]

Jayne HA. Aspiration pneumonia. Topic Emerg Med. 1980;2(2):45-52. [Google Scholar]

Bartlett JG, Mundy LM. Community-acquired pneumonia. N Engl J Med. 1995;333:1618-24. [PubMed]

[Google Scholar]

Lynch III JP. Hospital-acquired pneumonia: risk factors, microbiology, and treatment. Chest.

;119(2):373S-84S. [PubMed] [Google Scholar]

Waites KB, Xiao L, Liu Y, Balish MF, Atkinson TP. Mycoplasma pneumoniae from the respiratory tract

and beyond. Clin Microbiol Rev. 2017;30(3):747-809. [PubMed] [Google Scholar]

Karakioulaki M, Stolz D. The case of procalcitonin for lower respiratory tract infections. Barcelona Respir

Netw. 2021;5(4).

Liapikou A, Cilloniz C, Torres A. Drugs that increase the risk of community-acquired pneumonia: a narrative

review. Expert Opin Drug Saf. 2018;17(10):991-1003. [PubMed] [Google Scholar]

Lyons PG, Kollef MH. Prevention of hospital-acquired pneumonia. Curr Opin Crit Care. 2018;24(5):370-8.

[PubMed] [Google Scholar]

Maki DG, Crnich CJ, Safdar N. Nosocomial infection in the Intensive Care Unit. 3rd ed. Elsevier Inc; 2005.

Netea MG, Schlitzer A, Placek K, Joosten LA, Schultze JL. Innate and adaptive immune memory: an evolutionary continuum in the host’s response to pathogens. Cell Host Microbe. 2019;25(1):13-26. [PubMed] [Google Scholar]

Paonessa JR, Shah RD, Pickens CI, Lizza BD, Donnelly HK, Malczynski M, Qi C, Wunderink RG. Rapid detection

of Methicillin-Resistant Staphylococcus aureus in BAL: a pilot randomized controlled trial. Chest.

;155(5):999-1007. [PubMed] [Google Scholar]

Samokhvalov AV, Irving HM, Rehm J. Alcohol consumption as a risk factor for pneumonia: a systematic review and meta-analysis. Epidemiol Infect. 2010;138(12):1789-95. [PubMed] [Google Scholar]

Singh A, Alazmi FK. A case study on Nestle. J Int Conf Proc. 2019;2(2):80-5. [Google Scholar]

Smith NM, Wasserman GA, Coleman FT, Hilliard KL, Yamamoto K, Lipsitz E, Malley R, Dooms H, Jones MR,

Quinton LJ, Mizgerd JP. Regionally compartmentalized resident memory T cells mediate naturally acquired

protection against pneumococcal pneumonia. Mucosal Immunol. 2018;11(1):220-35. [PubMed] [Google

Scholar]

Unlukaplan IM, Dogan H, Ozucelik DN. Lung ultrasound for the diagnosis of pneumonia in adults. J Pak Med

Assoc. 2020;70(6):989-92. [PubMed] [Google Scholar]

Valencia M, Badia JR, Cavalcanti M, Ferrer M, Agustí C, Angrill J, García E, Mensa J, Niederman MS, Torres

A. Pneumonia severity index class V patients with community-acquired pneumonia: characteristics,

outcomes, and value of severity scores. Chest. 2007;132(2):515-22. [PubMed] [Google Scholar]

Wang J, Xia C, Sharma A, Gaba GS, Shabaz M. Chest CT findings and differential diagnosis of Mycoplasma

pneumoniae pneumonia and Mycoplasma pneumoniae combined with Streptococcal pneumonia in children. J

Healthc Eng. 2021;2021:8085530. [PubMed] [Google Scholar]

Wang L, Li X, Yang Z, Tang X, Yuan Q, Deng L, Sun X. Semi-recumbent position versus supine position for

the prevention of ventilator-associated pneumonia in adults requiring mechanical ventilation. Cochrane

Database Syst Rev. 2016;2016(1):CD009946. [PubMed] [Google Scholar]

Wittekamp BH, Plantinga NL, Cooper BS, LopezContreras J, Coll P, Mancebo J, Wise MP, Morgan MP,

Depuydt P, Boelens J, Dugernier T, Verbelen V, Jorens PG, Verbrugghe W, Malhotra-Kumar S, Damas P, Meex

C, Leleu K, van den Abeele AM, de Matos AF, Méndez SF, Gomez AV, Tomic V, Sifrer F, Tello EV, Ramos JR,

Aragao I, Santos C, Sperning RH, Coppadoro P, Nardi G, Brun-Buisson C, Bonten MJ. Decontamination strategies

and bloodstream infections with antibiotic-resistant microorganisms in ventilated patients: a randomized

clinical trial. JAMA. 2018;320(20):2087-98. [PubMed] [Google Scholar]

Zhang X, Cai H, Hu J, Lian J, Gu J, Zhang S, Ye C, Lu Y, Jin C, Yu G, Jia H, Zhang Y, Sheng J, Li L, Yang Y.

Epidemiological, clinical characteristics of cases of SARS-CoV-2 infection with abnormal imaging findings.

Int J Infect Dis. 2020;94:81-7. [PubMed] [Google Scholar]

Zhou Y, Guo S, He Y, Zuo Q, Liu D, Xiao M, Fan J, Li X. COVID-19 is distinct from SARS-CoV-2-negative

community-acquired pneumonia. Front Cell Infect Microbiol. 2020;10:322. [PubMed] [Google Scholar]

Ferdous F, Ahmed S, Das SK, Chisti MJ, Nasrin D, Kotloff KL, Levine MM, Nataro JP, Ma E, Muhsen K, Wagatsuma Y, Ahmed T, Faruque AS. Pneumonia mortality and healthcare utilization in young children in rural

Bangladesh: a prospective verbal autopsy study. Trop Med Health. 2018;46;17. [PubMed] [Google Scholar]

Brown LR, Swensen SJ, Van Scoy RE, Prakash UB, Coles DT, Colby TV. Roentgenologic features of pulmonary

blastomycosis. Mayo Clin Proc. 1991;66(1):29-38. [PubMed] [Google Scholar]

Published
2022-09-30