prednisolone pill examination reveals various changes, often large-focus, cloud-like infiltrates, basal, false lobe, as well as small-spotted rashes that differ little! from the picture of hematogenous tuberculosis dissemination. Course, forms and complications of bronchopneumonia.
Along the course, one can distinguish between the usual and toxic forms. The usual form of bronchopneumonia develops from the very beginning or on the 2nd-4th day of influenza infection, or only on the 4th-10th day, already in the period of apparent recovery. Subjective symptoms differ from ordinary bronchitis only in greater shortness of breath and more persistent fever.
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The course is different—either the fever lasts 4-5 days (especially with seasonal influenza) with a lytic (more often) fall, or bronchopneumonia drags on for 2-4 weeks or longer with a possible outcome in suppuration and various other pulmonary and extrapulmonary complications. Influenza bronchopneumonia may also have other features of the course: it may occur in the form of prednisolone lobar (confluent) pneumonia or with toxic effects—vomiting, diarrhea, delirium (especially in children). A protracted course is possible as a result of necrosis of the lung tissue, suppuration, pneumosclerosis.
Recognition of influenza bronchopneumonia is helped by both clinical signs and x-ray examination (it has been established that it is not uncommon for a pneumonic focus to be found in a patient with very unclear complaints and symptoms), as well as laboratory data. Friedlander's confluent bronchopneumonia occurs with bloody, sometimes clearly mucous sputum and often leads to lung abscesses. Streptococcal bronchopneumonia occurs after tonsillitis or as a complication of influenza, without a violent onset, often accompanied by pleural empyema.
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Prevention and treatment of bronchopneumonia. Prevention of prednisolone pneumonia is carried out according to the instructions outlined in the section on bronchitis. The fight against influenza focal pneumonia is carried out simultaneously with the general anti-influenza fight, headed by a special committee for the fight against influenza.