WordNet

propel in a high arc; "lob the tennis ball"
an easy return of a tennis ball in a high arc
the act of propelling something (as a ball or shell etc.) in a high arc
respiratory disease characterized by inflammation of the lung parenchyma (excluding the bronchi) with congestion caused by viruses or bacteria or irritants
of or relating to or affecting a lobe; "lobar pneumonia"

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(テニスで)〈ボール〉‘を'ゆるく高く打ち上げる / (クリケットで)〈ボール〉‘を'下手投げでゆるく投げる / (テニスで)ボールをロブで返す / (テニスの)ロブで打った球 / (クリケットの)下手投げの緩い球
肺炎

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/03/05 21:43:56」(JST)

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This article is about Lobar pneumonia. For The disease in general, see Pneumonia.

This article is about Lobar pneumonia. For classification, see Classification of pneumonia.

Lobar pneumonia is a form of pneumonia that affects a large and continuous area of the lobe of a lung.^[1]

It is one of the two anatomic classifications of pneumonia (the other being bronchopneumonia).

Stages[edit]

Lobar pneumonia usually has an acute progression. Classically, the disease has four stages:

Congestion in the first 24 hours: This stage is characterized histologically by vascular engorgement, intra-alveolar fluid, small numbers of neutrophils, often numerous bacteria. Grossly, the lung is heavy and hyperemic
Red hepatization or consolidation : Vascular congestion persists, with extravasation of red cells into alveolar spaces, along with increased numbers of neutrophils and fibrin. The filling of airspaces by the exudate leads to a gross appearance of solidification, or consolidation, of the alveolar parenchyma. This appearance has been likened to that of the liver, hence the term "hepatization".
Grey hepatization : Red cells disintegrate, with persistence of the neutrophils and fibrin. The alveoli still appear consolidated, but grossly the color is paler and the cut surface is drier.
Resolution (complete recovery):The exudate is digested by enzymatic activity, and cleared by macrophages or by cough mechanism.

Diagnosis[edit]

Lobar pneumonia of the middle lobe. (Notice sharp edges)

The most common organisms which cause lobar pneumonia are Streptococcus pneumoniae, also called pneumococcus, Haemophilus influenzae and Moraxella catarrhalis. Mycobacterium tuberculosis, the tubercle bacillus, may also cause lobar pneumonia if pulmonary tuberculosis is not treated promptly.

The identification of the infectious organism (or other cause) is an important part of modern treatment of pneumonia. The anatomical patterns of distribution can be associated with certain organisms,^[2] and can help in selection of an antibiotic while waiting for the pathogen to be cultured.

References[edit]

^ Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. (2005). Robbins and Cotran pathologic basis of disease. St. Louis, Mo: Elsevier Saunders. p. 749. ISBN 0-7216-0187-1.
^ "Lobar Pneumonia". Retrieved 2008-11-16.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における肺炎球菌性肺炎 pneumococcal pneumonia in adults
2. 小児における肺炎：疫学、病因、および原因 pneumonia in children epidemiology pathogenesis and etiology
3. 成人における市中肺炎に対する診断的アプローチ diagnostic approach to community acquired pneumonia in adults
4. 入院を要する成人における市中肺炎の治療 treatment of community acquired pneumonia in adults who require hospitalization
5. 小児の肺炎球菌性肺炎 pneumococcal pneumonia in children

English Journal

[Czech eponyms in pathology].

Steiner I.AbstractThe 24th European Congress of Pathology taking place in Prague is an opportunity to remind our society of the Czech names appearing as eponyms in pathological terminology: Karel Rokitanský - R. protuberance in dermoid cyst; R. thrombogenic theory of atherosclerosis; Mayer - R. - Küster - Hauser - Winckel syndrome (congenital malformation of the vagina and uterus); Václav Treitz - T. duodenal ligament; T. retroperitoneal hernia; T. uremic colitis; Vilém Dušan Lambl - L. excrescences of heart valves; Lamblia (Giardia) intestinalis, and also the foundation of urological cytology; Stanislav Provázek - Prowazek - Halberstädter bodies (trachoma), Rickettsia Prowazeki (typhus fever); Josef Vaněk - V. tumor (gastric inflammatory fibroid polyp), and also discovery of the etiology of pneumocystic pneumonia; Otto Jírovec - Pneumocystis Jiroveci; Blahoslav Bednář - B. tumor (pigmented dermatofibrosarcoma protuberans). Keywords: Rokitansky - Treitz - Lambl - Prowazek - Vaněk - Jírovec - Bednář - history of pathology.
Ceskoslovenská patologie.Cesk Patol.2013 Dec;49(1):51-4.
The 24th European Congress of Pathology taking place in Prague is an opportunity to remind our society of the Czech names appearing as eponyms in pathological terminology: Karel Rokitanský - R. protuberance in dermoid cyst; R. thrombogenic theory of atherosclerosis; Mayer - R. - Küster - Hauser -
PMID 23432077

The blurred border between porcine circovirus type 2-systemic disease and porcine respiratory disease complex.

Ticó G, Segalés J, Martínez J.SourceDepartament de Sanitat i Anatomia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain.
Veterinary microbiology.Vet Microbiol.2013 May 3;163(3-4):242-7. doi: 10.1016/j.vetmic.2013.01.001. Epub 2013 Jan 23.
Porcine respiratory disease complex (PRDC) is the name used to describe a clinical presentation characterized by respiratory signs and poor growth in growing-finishing pigs. Porcine circovirus type 2 (PCV2) is one of the pathogens potentially involved in the presentation of this complex, although, i
PMID 23398668

Comprehensive geriatric assessment can predict postoperative morbidity and mortality in elderly patients undergoing elective surgery.

Kim KI, Park KH, Koo KH, Han HS, Kim CH.SourceDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Archives of gerontology and geriatrics.Arch Gerontol Geriatr.2013 May;56(3):507-12. doi: 10.1016/j.archger.2012.09.002. Epub 2012 Dec 14.
The proportion of elderly patients who undergo surgery has rapidly increased; however, clinical indicators predicting outcomes are limited. Our aim was to evaluate the significance of comprehensive geriatric assessment (CGA) in elderly patients undergoing elective surgery. We studied 141 consecutive
PMID 23246499

Japanese Journal

Living-donor lobar lung transplantation for rapidly progressive interstitial pneumonia associated with clinically amyopathic dermatomyositis: report of a case.

Shoji Tsuyoshi,Bando Toru,Fujinaga Takuji,Chen Fengshi,Sasano Hajime,Yukawa Naoichiro,Mimori Tsuneyo,Date Hiroshi
General thoracic and cardiovascular surgery 61(1), 32-34, 2013-01-00
… Diffuse interstitial pneumonia (IP) associated with collagen disease is a rare indication for lung transplantation. … Bilateral living-donor lobar lung was transplanted in a 52-year-old female with rapidly progressive IP associated with C-ADM, and the postoperative course was uneventful. … To our knowledge, this case represents the first living-donor lobar lung transplantation for a patient with rapidly progressive IP associated with C-ADM. …
NAID 120005241414

Two Case Reports of Successful Withdrawal of Mycofenolate Mofetil After Living Donor Lobar Lung Transplantation

Miyazaki Takuro,Tagawa Tsutomu,Yamasaki Naoya,Tsuchiya Tomoshi,Matsumoto Keitaro,Nagayasu Takeshi
Transplantation Proceedings 45(1), 356-359, 2013-01-00
… Case Report: We report 2 clinical cases in which anti-metabolites (mycophenolate mofetil) were successfully withdrawn after living donor lobar lung transplantation by monitoring immune function using the ImmuKnow® assay. … In the first case, a 43-year-old woman underwent living donor lobar lung transplantation for pulmonary alveolar proteinosis. … In the second case, a 24-year-old man underwent living donor lobar lung transplantation for cystic fibrosis. …
NAID 120005230761

重症呼吸器感染症治療における画像診断の役割 (特集重症呼吸器感染症に対する集学的治療の方向性)

長谷川瑞江,酒井文和
呼吸器内科 21(4), 322-329, 2012-04-00
NAID 40019304575

Related Pictures

★リンクテーブル★

リンク元

「大葉性肺炎」

Lobar pneumonia
	Classification and external resources
	; Figure A shows the location of the lungs and airways in the body. This figure also shows pneumonia affecting the lower lobe of the left lung. Figure B shows normal alveoli. Figure C shows infected alveoli.
ICD-10	J18.1
ICD-9	481
MeSH	D011018

　　[★]

英: lobar pneumonia
同: クループ性肺炎 croupous pneumonia
関

肺胞性肺炎の特徴を有し、一葉全体が冒された肺炎　→　病変の広がりによる区分。　疾患について詳しくは肺胞性肺炎

病原体

[isbn0-7216-0187-1-1] Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. (2005). Robbins and Cotran pathologic basis of disease. St. Louis, Mo: Elsevier Saunders. p. 749. ISBN 0-7216-0187-1.

[urlLobar_Pneumonia-2] "Lobar Pneumonia". Retrieved 2008-11-16.

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案内

案内

lobar pneumonia