What is the Difference Between Lobar Pneumonia and Bronchopneumonia?

🆚 Go to Comparative Table 🆚

The main difference between lobar pneumonia and bronchopneumonia lies in the location and pattern of the inflammation in the lungs.

Lobar Pneumonia:

  • Affects one or more sections (lobes) of the lungs.
  • Caused by Streptococcus pneumoniae in majority of the cases.
  • Characterized by acute exudative inflammation of the entire lobe, with uniform consolidation and complete or near-complete consolidation of a lobe of a lung.
  • Has four classical stages of inflammatory response if left untreated.

Bronchopneumonia:

  • Affects patches throughout both lungs, starting around bronchi and bronchioles and then spreading locally into the lungs.
  • Usually caused by bacteria such as Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus, and Pseudomonas aeruginosa.
  • Characterized by inflammation of the lung parenchyma arising from bronchi or bronchioles, with multiple small opacities typically basal and bilateral.
  • Often leads to lobar pneumonia as the infection progresses.

In summary, lobar pneumonia is characterized by inflammation confined to one or more lobes of the lungs, while bronchopneumonia involves inflammation in patches throughout both lungs, starting around bronchi and bronchioles.

Comparative Table: Lobar Pneumonia vs Bronchopneumonia

Here is a table comparing the differences between lobar pneumonia and bronchopneumonia:

Feature Lobar Pneumonia Bronchopneumonia
Definition Lobar pneumonia affects one or more sections (lobes) of the lungs. Bronchopneumonia affects patches throughout both lungs.
Inflammation Inflammation is confined to one or few lobes of the lungs. Inflammation is present in multiple discrete foci within the lung.
Appearance In lobar pneumonia, there is a radio-opaque (consolidation) well-circumscribed lobe. In bronchopneumonia, there are multiple small opacities, usually basal and bilateral.
Causes Lobar pneumonia is typically caused by Streptococcus pneumoniae. Bronchopneumonia is an inflammation of a suppurative peribronchiolar and subsequent patchy consolidation of one or more secondary lung lobes.

Both lobar pneumonia and bronchopneumonia are types of pneumonia, which is an infection of one or both of the lungs caused by bacteria, viruses, or fungi. The main difference between the two is the location and extent of the inflammation in the lungs.