Pneumonia is a leading cause of morbidity and mortality. The host's system
of defense against invading microbes is pivotal in prevention and in resolu
tion of pneumonia after infection has been established. Anatomic and mechan
ical barriers as well as innate immunity work to clear microorganisms that
access the respiratory tract. After pathogens have secured a foothold, spec
ific immune responses work to eliminate infection. Defects in any of the nu
merous aspects of immune defense can predispose to infection with opportuni
stic and more common organisms.