Lobar pneumonia

Hyperbilirubinemia is well described in patients with lobar pneumonia. A frequency of 14 per cent was reported in a series from the United States, with the highest frequency in black males. Other series from Africa have reported higher frequencies. Although in some patients this jaundice may be related to glucose-6-phosphate dehydrogenase deficiency, this does not account for all cases. Similarly, malnutrition or specific serological subtypes of streptococcus do not explain this high frequency. In many cases ultrastructural changes in the liver have shown hepatocyte swelling, dilatation of biliary canaliculas, and hepatocellular cholestasis, features which are more consistent with an interruption to bile transport across the biliary epithelium. Pneumonia related to Legionella and cryptogenic organizing pneumonia may also be associated with cholestasis.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

Get My Free Ebook

Post a comment