Pneumonia is among the greatest problems among the aged populations. Its increased severity and frequency of occurrence among the elderly can be attributed to the ageing organ systems (respiratory tract, digestive tract, and immune system). In addition, the presence of comorbidities in old age acts as a significant predisposing factor to pneumonia. Perhaps the most conspicuous characteristic at this age are the unique clinical presentations: falls and confusion is common with minimal classical symptoms. Aspiration pneumonia is one the common Community Acquired (CAP) and Health-Care Associated Pneumonia (HCAP). However, its significance has not been fully elaborated due to the difficulties related to its diagnosis. Case Study A 75 year-old male presented to the Emergency Department and complaint with symptoms of nausea, vomiting, and abdominal pain.
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