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The head of the Catholic Church, Pope Francis, carried out some work during his fourth day in the hospital on Monday.
However, the Vatican has said the 88-year-old faces a “complex clinical picture,” which will require a longer-than-expected stay.
The Pope was admitted to Rome’s Gemelli hospital on Friday with bronchitis.
This is the latest in a series of health issues he has suffered in recent years.
In a statement earlier on Monday, the Vatican noted that tests had confirmed “a polymicrobial infection of the respiratory tract that has led to a further change in treatment.”
“All the tests carried out so far are indicative of a complex clinical picture that will require adequate hospitalization.”
In an early evening update, the Vatican said his clinical condition was unchanged, he continued to be fever-free, and was continuing with the unspecified treatment.
“This morning, he received the Eucharist and subsequently dedicated himself to some work and reading texts,” the update said.
“Pope Francis is touched by the numerous messages of affection and closeness he continues to receive.”