• Classic pneumococcal lobar pneumonia remains common in Kenya and throughout Africa.
• The situation is much like that of the pre-antibiotic era in the United States.
• Typical patient
• Previously healthy young adult.
• The usual signs
• Tachpnea,
• Fever,
• Rusty sputum
• Not so common signs
• Tender and enlarged liver (60%)
• Jaundice (20%)
• Myalgia
• Diarrhea
• Penicillin is still the first line drug, although resistant strains are known.
• Other organisms associated with lobar pneumonia:
• S. aureus
• Klebsiella species
• Mycoplasma pneumoniae
• Mycobacterium tuberculosis

 Atypical pneumonia