Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
-
Upload
maria-dini-admirati -
Category
Documents
-
view
213 -
download
0
Transcript of Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
1/41
Specifc inection o the
lung
Suga T. Anggawidjaja SpPA
UPH
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
2/41
DEFENSE MECHANSMS
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
3/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
4/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
5/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
6/41
Cau!ed "# Mico"acte$iu%tu"e$culo!i! &tu"e$cle "acillu!'T()
The lung! a$e %o$e co%%onl#a*ected "# T(
ncidence +, due to ADS
D$ug $e!i!tant !t$ain! oM#co"acte$iu% a$e an inc$ea!ingp$o"le%
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
7/41
Mucocilia$# "lan-et
Epitel colu%na$/to$a- "e$ting-at"e$!ilia "e$!el go"letepithelSchneide$ian
Di!po!e! o pa$ticle! 0 to 123%
Cilia$# "eat d$i4e! %ucou! "lan-et
t$achea !wallowed 5 cough up
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
8/41
Al4eola$ %ac$ophage! p$otect al4eola$!pace
de$i4ed $o% "one %a$$owunde$go%atu$ation di4i!ion in in!te$!titiu% olung 6 ente$ al4eola$ !pace
Dealing pa$ticle! D 7 03%
8e$# !%all pa$ticle! Notphagoc#to!ed 5 a$e e9haled
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
9/41
NFECT:NS
No che!t di!ea!e ha! had a!d$a%atic a hi!to$# a! tu"e$culo!i!
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
10/41
0 patte$n'
P$i%a$#
Seconda$#
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
11/41
P;MA;< TU(E;CU=:SS
Ac>ui$ed
nitial e9po!u$e to %. tu"e$culo!i!
nhaling inected ae$o!ol "# coughing"# a pe$!on with ca4ita$# t"c.
nhaled o$gani!%! %ultipl# in al4eoli,
wh# al4eola$ %ac$ophage! cannot $eadil#
-ill the "acte$ia
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
12/41
p$i%a$#
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
13/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
14/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
15/41
PU=M:NA;< TU(E;CU=:SS
P$i%a$# T(C
U!uall# child$en
A!#%pto%atic, ?H:N co%ple9
Pul%ona$# le!iondia%ete$ 12%%
Con!i!t o' cent$al @one o ca!eou! nec$o!i! !u$ounded"# pali!aded epitheloid hi!tioc#te!, =anghan! giant cell,l#%phoc#te!
=ea4ing a f"$ocalcifc nodule in the lung, no clinical!e>uelae
Tu"e$cle "acilli %a# "e !till p$e!ent, pe$!i!t a! 4ia"leo$gani!%! o$ #ea$! &e!p i%%unoco%p$o%i!ed)
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
16/41
P$i%a$# nection
U!uall# child$en
inhalation
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
17/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
18/41
Seconda$# T(C
;eacti4ation o old p$i%a$# in
=ocated in =ung apice!, !o%eti%e!"ilate$al
Hi!tologicall#' g$anulo%a!, cent$al@one o ca!eou! nec$o!i!
P$og$e!!ion B ho!t 5 4i$ulence Mo!t le!ion f"$ocalcifc !ca$!
&autop!#)
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
19/41
M=A;< T(C
idel# di!!e%inated, !%allg$anulo%a! in %an# o$gan! &lung,%eninge!, -idne#!, "one%a$$ow,li4e$
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
20/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
21/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
22/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
23/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
24/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
25/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
26/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
27/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
28/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
29/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
30/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
31/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
32/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
33/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
34/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
35/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
36/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
37/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
38/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
39/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
40/41
-
7/25/2019 Week 2 SpesificInfectionoftheLung - 5 November 2012.ppt
41/41
St$i4e o$ e9cellenceto glo$i# ?:D