What forms Pneumoatocoeles in Pneumonia? (My doctor said there is air bubble in my lungs)

How are pneumatoceles formed in Pneumonia?

Table of Contents(toc)

Pneumatocoeles form when the alveoli or lung tissue become inflamed and air-filled cavities develop due to the rupture of alveolar walls in severe pneumonia. This occurs when the inflammation causes a breakdown of the lung parenchyma, leading to trapped air and the formation of these cystic spaces.

Pneumoatoceles in CE CT chest

Characteristic feature of staphylococcal pneumonias.

  • Cavitation (single or multiple thick walled cavities) may be bilateral.
  • Pleural effusion/ Empyema with or without branchopleural fistulas (Pyopneumothorx).
  • Abscess formation.

Bacterial pneumonia are with cavitation:

Here is list of bacteria that form cavitary pneumonia:
  • Staphylococcus
  • Kleibsella
  • Pseudomonas
  • Anaeroic bacteria

Model MCQ

1. Pneumatocoele caused by:

a. E. Coli
b. Staphylococus
c. Streptococcus
d. P. carinii

Ans: ‘b’

Solution

Pneumatocoeles are thin walled cystic spaces that may contain air fluid levels is the characteristic feature of staphylococcal pneumonias.

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