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[[Pneumonia Overview]]
 
[[Pneumonia Overview]]
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==Pneumonia  - Introduction and Classification==
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[[Image:Acute fibrinous pneumonia.jpg|right|thumb|150px|<small><center>Acute fibrinous pneumonia (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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[[Image:Acute exudative pneumonia.jpg|right|thumb|150px|<small><center>Acute exudative pneumonia (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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[[Image:Acute exudative pneumonia - gross.jpg|right|thumb|150px|<small><center>Acute exudative pneumonia (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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[[Image:Acute necrotising pneumonia.jpg|right|thumb|150px|<small><center>Acute necrotising pneumonia (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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*Pneumonia
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**Inflammation that takes place in the '''alveoli and their walls'''
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**Can be grouped either according to
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***Nature of the inflammatory process
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***Aetiological agent
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***Pattern of the lesion
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*Patterns of lung inflammation vary depending on the aetiology, route and method of exposure and multiple host factors including age, general health, and immune status
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**There are five general patterns of pneumonia:
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***[[Bronchopneumonia]]
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***[[Bronchointerstitial Pneumonia]]
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***[[Lobar Pneumonia]]
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***[[Interstitial Pneumonia]]
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***[[Embolic Pneumonia]]
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==='''[[Bronchopneumonia]]'''===
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==='''[[Bronchointerstitial Pneumonia]]'''===
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==='''[[Lobar Pneumonia]]'''===
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==='''[[Interstitial Pneumonia]]'''===
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==='''[[Embolic Pneumonia]]'''===
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==='''[[Granulomatous Pneumonia]]'''===
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==='''[[Verminous Pneumonia]]'''===
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==Stages of pneumonia==
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*Regardless of the pattern, all pneumonias pass through three stages:
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**'''Exudative phase'''
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***In this initial stage inflammatory exudate pours into alveolar spaces and alveolar capillaries are congested
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***Type I alveolar epithelial cells are highly sensitive to injury and cannot proliferate in response to injury
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***Necrosis and sloughing of injured type I cells, denuding alveolar spaces of lining epithelium
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***[[Neutrophils|Neutrophils]] begin to enter alveolar spaces distended with inflammatory oedema
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**'''Proliferative phase'''
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***Type II alveolar cells (less sensitive to and can proliferate in response to injury) begin to proliferate within 24 hours and eventually line the alveolar walls denuded of type I cells ***By 6 days cuboidal type II cells can completely line the alveoli
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***Proliferation of type II cells marks the shift from the exudative to the proliferative stage of pneumonia, also heralded by decreased blood flow in alveolar capillaries
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***Because the original squamous type I cells have been replaced by cuboidal type II cells, the microscopic appearance of pneumonic lungs at about 1 week has been described as “alveolar epithelialization”, “alveolar adenomatosis”, or “bronchiolisation of alveoli”
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**'''Repair phase'''
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***Resolution of pneumonia is accomplished by transformation of type II cells to type I cells
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==[[Pulmonary abscesses]]==
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=='''Infectious causes of pneumonia'''==
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{| cellpadding="5" cellspacing="0" border="1"
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| .
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| [[:Category:Respiratory Viral Infections|'''VIRAL''']]
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| [[:Category:Respiratory Bacterial Infections|'''BACTERIAL''']]
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| [[:Category:Respiratory Fungal Infections|'''FUNGAL''']]
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| [[:Category:Respiratory Parasitic Infections|'''PARASITIC''']]
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|-
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| '''Dogs'''
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| [[Canine Distemper Virus|Canine distemper]]
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| usually secondary
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| [[Blastomycosis|''Blastomyces dermatitidis'']]
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| [[Angiostrongylus vasorum|''Angiostrongylus vasorum'']]
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|-
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| .
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| [[Canine Infectious Tracheobronchitis|Infectious canine tracheitis]]
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| bronchopneumonia: ''[[Bordetella bronchiseptica]], [[:Category:Staphylococcus species|Staphylococci]], [[:Category:Streptococcus species|Streptococci]], Coliforms''
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| [[Histoplasmosis|''Histoplasma capsulatum'']]
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| ''[[Toxoplasma gondii]]''
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|-
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| [[Canine Herpesvirus 1|Herpes virus]]
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|-
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| '''Cats'''
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| [[Feline Calicivirus|Feline calicivirus]]
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| bronchopneumonia: ''[[:Category:Pasteurella and Mannheimia species|Pasteurella sp.]], [[:Category:Streptococcus species|Streptococcus spp.]]''
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| .
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| ''[[Aelurostrongylus abstrusus]]''
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|-
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| [[Chlamydiosis, Feline|Feline chlamydiosis]]
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|-
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| '''Horses'''
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| [[Equine Rhinopneumonitis|Equine rhinopneumonitis]]
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| [[Strangles|Strangles]]
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| [[Pneumocystis carinii|''Pneumocystis carinii'']]
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| ''[[Parascaris equorum]]''
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|-
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| [[Equine Influenza|Equine influenza]]
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| [[Glanders|Glanders]]
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|-
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| [[Equine Viral Arteritis|Equine viral arteritis]]
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| [[Rhodococcus equi|''Rhodococcus equi'']]
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|-
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| '''Cattle'''
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| [[Bovine Parainfluenza - 3|Parainfluenza- 3]]
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| [[Necrotic Laryngitis]]
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| .
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| ''[[Dictyocaulus viviparus]]''
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|-
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| [[Pneumonic Pasteurellosis|Pneumonic pasteurellosis]]
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| [[Contagious Bovine Pleuropneumonia|Contagious bovine pleuropneumonia]]
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| [[Enzootic Pneumonia - Calves|Enzootic pneumonia of calves]]
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| [[Acute Exudative Pneumonia|Acute exudative pneumonia]]
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| [[Enzootic Pneumonia - Calves|''Mycoplasmal'' pneumonia]]
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| [[Tuberculosis - Cattle|''Mycobacterium bovis'' - tuberculosis]]
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|-
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| bronchopneumonia: [[:Category:Pasteurella and Mannheimia species|''Pasteurella sp.'']], ''[[Corynebacterium pyogenes]]''
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| '''Sheep'''
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| [[Visna-Maedi Virus|Maedi Visna]]
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| bronchopneumonia: ''[[Corynebacterium pyogenes]]''
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| .
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| [[Muellerius|''Muellerius capillaris'']]
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|-
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| [[Bovine Parainfluenza - 3|Parainfluenza- 3]]
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| [[Enzootic Pneumonia - Lambs|Enzootic pneumonia of lambs]]
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| [[Sheep Pulmonary Adenomatosis]]
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| [[Melioidosis|''Pseudomonas (Malleomyces) pseudomallei'']]
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| '''Pigs'''
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| [[Porcine Cytomegalovirus|Inclusion body rhinitis]]
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| [[Enzootic Pneumonia - Pigs|Enzootic pneumonia of pigs]]
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| [[Ascaris suum|''Ascaris suum'']]
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| [[Swine Influenza|Swine influenza]]
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| [[Actinobacillus pleuropneumoniae|''Actinobacillus pleuropneumoniae'']]
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| [[Porcine Reproductive and Respiratory Syndrome|Porcine reproductive and respiratory syndrome]]
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| [[Necrotic Laryngitis]]
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| [[Porcine Circoviruses|Postweaning multisystemic wasting syndrome]]
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| [[Pasteurellosis - Pigs|''Pasteurella multocida'']]
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| [[Porcine Respiratory Coronavirus|Porcine respiratory coronavirus]]
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| [[Contagious Porcine Pleuropneumonia|Contagious porcine pleuropneumonia]]
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| [[Glasser's Disease|Glasser's disease]]
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| [[Atrophic Rhinitis|''Bordetella bronchiseptica'']]
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| bronchopneumonia: [[:Category:Pasteurella and Mannheimia species|''Pasteurella'' spp.]], ''[[Corynebacterium pyogenes]]'', also [[:Category:Streptococcus species |''Streptococcus'' spp.]], [[Tuberculosis - Pigs|Tuberculosis]]
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=='''Other forms of pneumonia'''==
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===[[Aspiration Pneumonia]]===
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===[[Gangrenous Pneumonia]]===
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===[[Lipid Pneumonia]]===
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===[[Uraemic Pneumonia]]===
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===[[Foetal Pneumonia]]===
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=Test yourself with the Lungs Pathology Flashcards=
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[[Lungs_Flashcards_-_Pathology|Lungs Pathology Flashcards]]
 
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