ROME — Pope Francis slept well and ate breakfast Wednesday, the Vatican said, after he developed pneumonia in both lungs in a further complication in the condition of the 88-year-old pontiff that raised concerns about his ability to fight off the infection.
In an early update Wednesday morning, a Vatican spokesman said Francis spent his fifth night in Rome’s Gemelli hospital peacefully. “He had a tranquil night, woke up and had breakfast,” he said.
The Vatican on Tuesday confirmed the pneumonia and said Francis’ respiratory infection also involves asthmatic bronchitis, which requires the use of cortisone antibiotic treatment. “Laboratory tests, chest X-ray, and the Holy Father’s clinical condition continue to present a complex picture,” the Vatican said.
Nevertheless the pope, who had the upper lobe of his right lung removed as a young man, is in good spirits and is grateful for the prayers for his recovery, Bruni said in a late update.
Francis was admitted to the Gemelli hospital in a “fair” condition on Friday after a weeklong bout of bronchitis worsened. On Monday, medical personnel determined that he was suffering from a , meaning a mix of viruses, bacteria and possibly other organisms had colonized in his respiratory tract.
“The follow-up chest CT scan which the Holy Father underwent this afternoon … demonstrated the onset of bilateral pneumonia, which required additional drug therapy,” Bruni said.
Bronchitis can lead to pneumonia, which is a deeper and far more serious infection of the lungs’ air sacs. Pneumonia can develop in part of one lung or an entire lung or both lungs. It tends to be more serious when both lungs are affected because there isn’t healthy lung tissue to compensate.
Treatment varies by severity but can include providing oxygen through a nasal tube or mask, intravenous fluids — and treatment of the underlying cause of the infection. To date Francis is not known to be using supplemental oxygen, and he has eaten breakfast every day, read the newspapers and done some work from his hospital room.
The Vatican hasn’t provided any information about how Francis is responding to any of the drugs he has been given other than to say he isn’t running a fever.
Dr. Carmelo D’Asero, an infectious disease and geriatric disease expert in Rome, said Francis’ lack of a fever was not necessarily a positive thing, given the seriousness of his infection.
“A high fever is a sign of an immune response to a pathogen,” he said. “Having a low fever and having a serious bronchial infection … is a sign of a decreased immune response and that makes us worry a little bit more, let’s say. Maybe if he had a fever, it would have been better.”
The Vatican has given no indication of how long the pope might remain hospitalized, only saying that the treatment of such a “complex clinical picture,” which has already required several changes in his drug regimen, would require an “adequate” stay.
Despite the less than positive news about Francis’ condition, a rainbow appeared over the Gemelli hospital on Tuesday afternoon and Francis received get-well drawings and cards from children being treated in the hospital’s oncology ward.
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