Government mum on Mandela

2013-06-09 21:10
Oudpres. Nelson Mandela (AFP)

Oudpres. Nelson Mandela (AFP)

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Johannesburg - There was no update by Sunday afternoon on the condition of former president Nelson Mandela, who was hospitalised early on Saturday with a recurring lung infection.

It is his fourth hospital stay since December and the government said on Saturday his condition was "serious". During previous hospital visits it had highlighted his "good spirits".

Presidency spokesperson Mac Maharaj said he would issue a statement about Mandela's health if doctors gave him any information. Maharaj had said on Saturday Mandela was breathing on his own, calling that a "positive sign".

Thousands gathered to pray for Mandela at Sunday Mass at the Regina Mundi Catholic Church in Soweto.

But the Sunday Times newspaper took a sombre tone, with the headline "It's time to let him go", quoting a longtime friend of Mandela's, Andrew Mlangeni.

"The family must release him so that God may have his own way. They must release him spiritually and put their faith in the hands of God," the newspaper quoted Mlangeni as saying.

"Once the family releases him, the people of South Africa will follow."

Meanwhile, AFP reported that a leading South African pulmonologist said on Sunday while pneumonia is one of the most common of lung infections among the elderly, concerns of underlying conditions arise when it recurs.

It is his fourth hospital stay since December and his third for lung infection. The Nobel peace prize laureate, who turns 95 next month, was in April hospitalised for 10 days for pneumonia treatment. Officials have not specified if the latest infection afflicting Mandela is pneumonia.

Of the different types of lung infections, "pneumonia is the most serious and the most common in elderly patients", said professor Guy Richards, director of critical care at Johannesburg's Charlotte Maxeke Academic Hospital.

But when it recurs, it means there would be other underlying conditions.

"It's very unusual to get the common pneumonia occurring recurrently unless there's a specific reason for it.

"And those sorts of things are that if your lung has been damaged previously, for example if you had tuberculosis, then often those damaged areas will be colonised with bacteria which are able to cause recurrent infections," he told AFP.

Acute pneumonia can damage other organs of the body such as the kidneys or affect blood pressure, he said.

"If you have severe pneumonia, your body mounts an immune response to that pneumonia. We then sometimes have an overwhelming immune response which can result in multiple organ disfunction," said Richards.

"So for example they might present not only with a chest infection but then they might develop kidney failure, or they might develop failure of the haemodynamic system, their blood pressure might go down."

Treatment, under normal circumstances last just days, but in serious cases where hospitalisation is required, it can last several weeks.

"The majority of patients with pneumonia don't need to be admitted but those that are admitted would generally remain for three to four days. If they develop multiple organ failure and they are in ICU (intensive care unit) and they are on a ventilator, then we are talking weeks."

While he disease can affect people of all ages, it common among the elderly.

"Pneumonia was in fact known for many years as an 'old man's friend'. In other words it was the final illness that often took him away," said Richards.


Read more on:    nelson mandela  |  health
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