Hx
Not a common cause of CA-PNA
Generally occurs in the elderly, smokers, alcoholics, and those with other co-morbidities
Sx
Can cause severe pneumonia, especially in the elderly or debilitated host
Dx
Clasically associated with
Bulging fissure on CXR
Currant-jelly sputum
Path
Leads to a necrotizing, hemorrhagic process responsible for the classic "currant-jelly" sputum
Abscess formation, empyema and bacteremia are frequent complications, and the mortality rate is high