id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-018134-k4vdqlgs	Eisenberg, Ronald L.	Pneumonia	2019-11-01		.txt	text/plain	2010	167	45	• Gram-negative bacterial pneumonia that is most common in debilitated middle-aged and older men with alcoholism (about two-thirds of cases); high mortality rate • Tends to form a voluminous exudate that produces a homogeneous parenchymal consolidation containing an air bronchogram • Lobar enlargement (especially the right upper) with the characteristic bulging fissure sign (Fig. 6 .17) ○ Bulging fissure sign also in Haemophilus influenzae pneumonia (predominantly in compromised hosts, such as chronic pulmonary disease, immune deficiency, alcoholism, diabetes) (see Fig. e6 .22) • Most frequently result from infectious particles reaching the lung from an infected heart valve (especially the tricuspid), intravenous catheter, or injected debris • Persons at risk include drug abusers, immunocompromised patients, individuals with septal defects, and those with indwelling venous catheters, pacemakers, or prosthetic heart valves • Initially, multiple ill-defined round or wedge-shaped opacities with a swirling pattern that are usually peripheral and tend to involve the lower lobes (starry night sign -mimicking the brush strokes in van Gogh's painting of that name) • Cavitary pulmonary nodules tend to develop rapidly (1-2 days) 	./cache/cord-018134-k4vdqlgs.txt	./txt/cord-018134-k4vdqlgs.txt