Brief Answer:
no pneumonia is not a direct complication of preexisting ailments

Detailed Answer:
hi dear,
Have noted all your details

Candidate is a COPD patient and history of pulmonary koch(tuberculosis) in 2004
his pulmonary function tests earlier are suggestive of mixed obstructive and restrictive lung disease
patient was a ex smoker
had dysponea on exertion grade 2 as per details mentioned by consultant doctor on his prescription letter in 2014 dr mandal.

Now this patient was admitted again in 2016 which as per physician was diagnosed as pneumonia

see
Having a long-term, or chronic disease like COPD, heart disease(ischemic heart disease),Bronchiectasis cancer, or diabetes makes a candidate more likely to get pneumonia.
so what i want to tell you is that pnemonia is not directly related to his documented lung ailments or smoking habits but these things can increase his chances of getting a lower respiratory tract infection like pneumonia

your company does not covers any preexisting disease claim ,but pneumonia is not at all directly related to the preexisting lung conditions of the patient,the preexisting condition just make him a bit more suseptible to pneumonia.
Pneumonia is usually caused by infection with viruses or bacteria and less commonly by other microorganisms like fungi and parasite.
Though
Risk factors include other lung diseases such as cystic fibrosis, COPD, and asthma, diabetes, heart failure, a history of smoking, a poor ability to cough such as following a stroke, or a weak immune system.
As the patient had few of the above listed conditions he is a candidate for lower respiratort tract infections like Pneumonia.

So answer to your question is that the current diagnosis of the patient is not a direct complication of his pre existing ailments though he is at increased risk because of his fibrotic lungs and copd.
Mixed infections with both viruses and bacteria may occur in up to 15% of infections in adults.
exact cause can be known only after getting the blood culture reports of the patient ,even to seperate lower respiratory tract infection from pneumonia; X ray chests and HR- CT chest would have to be done by the treating doctor ,as a Diagnosis of pneumonia can only be made when X rays shows consolidation.

so to find out the exact cause ,ask the hospital to provide you with reports of his blood cultures and x rays taken during his course of admission.


If you have any further queries i would be happy to help.

thank you
Dr Rishu saxena
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