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== Clinical Summary ==
This 15-year-old black female sustained third degree burns involving approximately 85% of the body surface. On admission to the hospital, the patient was taken to the operating room where a tracheotomy was performed and her burned body surface was debrided. After a few days of hospitalization, the peripheral white blood count was 41,000 cells/mm³ with a shift to the left. In spite of intensive therapy, which included administration of fluids and antibiotics, the patient expired on the sixth hospital day.
== Autopsy Findings ==
Each lung weighed approximately 630 grams and was studded with gray nodules which ranged in size from 3 to 6 mm in diameter. In several areas, these coalesced to form nodules having necrotic-appearing centers.
== Images ==
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== Virtual Microscopy ===== Lung: Bronchopneumonia ===<peir-vm>IPLab3Bronchopneumonia</peir-vm> === Normal Lung ===<peir-vm>UAB-Histology-00107</peir-vm> == Study Questions ==* <spoiler text="What does it mean to have a shift to the left?">A "shift to the left" indicates an increased ratio of immature PMNs ("bands") to mature PMNs ("segs") within the peripheral circulation.</spoiler>* <spoiler text="Is there destruction of lung parenchyma in bronchopneumonia?">Yes, there is usually destruction of alveoli and, in this case, there are abscesses containing bacteria.</spoiler>* <spoiler text="How would this lung have healed if the patient had survived?">Scar tissue would form in the areas of tissue destruction (abscesses).</spoiler> == Additional Resources ===== Reference ===* [http://emedicine.medscape.com/article/807499-overview eMedicine Medical Library: Empyema and Abscess Pneumonia]* [http://emedicine.medscape.com/article/296198-overview eMedicine Medical Library: Aspiration Pneumonia]* [http://emedicine.medscape.com/article/300157-overview eMedicine Medical Library: Bacterial Pneumonia]* [http://www.merckmanuals.com/professional/pulmonary_disorders/pneumonia/overview_of_pneumonia.html Merck Manual: Overview of Pneumonia] === Journal Articles ===* Katz DS, Leung AN. [http://www.ncbi.nlm.nih.gov/pubmed/10516903 Radiology of pneumonia]. ''Clin Chest Med'' 1999 Sep;20(3):549-62. === Images ===* [{{SERVER}}/library/index.php?/tags/316-bronchopneumonia PEIR Digital Library: Bronchopneumonia Images]* [http://library.med.utah.edu/WebPath/LUNGHTML/LUNGIDX.html#1 WebPath: Pneumonias] == Related IPLab Cases ==* [[IPLab:Lab 3}}:Lobar Pneumonia|Lab 3: Lung: Lobar Pneumonia]]
{{IPLab 3}}
[[Category: IPLab:Lab 3]]