. Purulent sputum is present . High grade fever persists and the patient is more than
mildly ill. Drug of choice: Tetracycline Cotrimoxazole
2. Chronic bronchitis It is defined as chronic productive cough for at least three months in each of two successive years.
Causative factors: Cigarette smoking Air pollution Exposure to noxious stimuli
Clinical features: Chronic productive cough with mucoid expectoration, low grade fever, weakness, and occasional chest pain.
It is characterized by remission and exacerbation symptoms; the commonly exacerbating condition superimposed bacterial infection. Bacteria that exacerbate chronic bronchitis are: Streptococcus pneumoniae Haempphilus influenzae Mycoplasma pneumoniae Branhamella catarrhalis Laboratory diagnosis: Specimen: Sputum
Procedure: Gram staining, culture, biochemical and serological test for microbe identification. Treatment: