LOBAR PNEUMONIA. As the name suggests, a complete lobe or even two lobes of a lung are affected, the most striking changes occurring in the alveoli. The disease is now rare in Western countries. It is seen typically in adults aged 20–50 years with males predominating and is caused by Streptococcus pneumoniae. lobar pneumonia. Pneumonia infecting one or more lobes of the lung, usually caused by Streptococcus pneumoniae. The pathologic changes are, in order, congestion; redness and firmness due to exudate and red blood cells in the alveoli; and, finally, gray hepatization as the exudate degenerates and is . Prognosis. Complications of lobar pneumonia include destruction and scarring of the lung parenchyma, respiratory failure, bronchiectasis, empyema, and lung abscess. Lobar pneumonia is also associated with an increased risk of abruptio placentae in gravid patients.
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