Pneumonitis

Pneumonitis is a medical condition characterized by inflammation of the lungs, specifically the alveoli and bronchioles. It can be caused by a variety of factors, including infections, exposure to toxic substances, and autoimmune disorders.

Causes of Pneumonitis

  • Infections: Bacterial, viral, fungal, or parasitic infections can cause pneumonitis. Common culprits include Mycoplasma pneumoniae, Streptococcus pneumoniae, and Influenza virus.
  • Exposure to toxic substances: Inhalation of chemicals, such as pesticides, heavy metals, or asbestos, can lead to pneumonitis.
  • Autoimmune disorders: Conditions like rheumatoid arthritis, lupus, and scleroderma can cause pneumonitis.
  • Radiation therapy: Exposure to radiation, particularly in the chest area, can increase the risk of developing pneumonitis.

Symptoms of Pneumonitis

  • Coughing: A persistent and often productive cough is a common symptom of pneumonitis.
  • Shortness of breath: Difficulty breathing or feeling winded even when sitting still or engaging in light physical activity.
  • Chest pain: Sharp or dull pain in the chest, which may worsen with deep breathing or coughing.
  • Fever: Elevated body temperature, often accompanied by chills and sweating.
  • Fatigue: Feeling weak, tired, or lacking energy.

Diagnosis of Pneumonitis

Diagnosing pneumonitis typically involves a combination of the following:

  • Chest X-rays or computed tomography (CT) scans to visualize lung inflammation and damage.
  • Pulmonary function tests (PFTs) to assess lung function and capacity.
  • Blood tests to identify underlying infections, autoimmune disorders, or exposure to toxic substances.
  • Bronchoscopy or lung biopsy to collect tissue samples for further examination.

Treatment of Pneumonitis

Treatment for pneumonitis depends on the underlying cause and severity of the condition. Common approaches include:

  • Antibiotics: To treat bacterial infections.
  • Antiviral medications: To treat viral infections, such as influenza or respiratory syncytial virus (RSV).
  • Corticosteroids: To reduce inflammation and suppress the immune system in cases of autoimmune disorders or severe pneumonitis.
  • Oxygen therapy: To help increase oxygen levels in the blood and alleviate shortness of breath.
  • Supportive care: Rest, hydration, and nutrition to help manage symptoms and support recovery.

Complications of Pneumonitis

If left untreated or poorly managed, pneumonitis can lead to complications such as:

  • Respiratory failure: Requiring mechanical ventilation or other life-support measures.
  • Acute respiratory distress syndrome (ARDS): A severe and potentially life-threatening condition characterized by widespread lung inflammation and damage.
  • Pulmonary fibrosis: Scarring of lung tissue, which can lead to chronic respiratory problems and decreased lung function.

Prevention of Pneumonitis

To reduce the risk of developing pneumonitis:

  • Practice good hygiene, such as frequent handwashing and avoiding close contact with individuals who are sick.
  • Avoid exposure to toxic substances, such as pesticides or heavy metals, by wearing protective gear and following safety guidelines.
  • Get vaccinated against influenza and other respiratory viruses.
  • Manage underlying medical conditions, such as autoimmune disorders, to reduce the risk of complications.

Article last updated on: 6th June 2025.
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