Pneumonia


symptoms of pneumonia in children
Pneumonia is a particularly common infectious disease of the respiratory system. Children, due to decreased disease resistance and low immunity, are especially susceptible to upper respiratory and lung infections. The main clinical symptoms of childhood pneumonia are fever and cough. Additionally, children may experience loss of appetite and vomiting. When these symptoms occur, it is advisable to take the child to the hospital for an examination. The doctor can perform auscultation and collect routine blood tests to preliminarily determine the presence of an infection. If pneumonia is suspected, further imaging studies are recommended for a definitive diagnosis.


The difference between Mycoplasma pneumonia and Chlamydia pneumonia
Mycoplasma pneumonia and Chlamydia pneumonia are clinically similar, making them difficult to distinguish from each other as both have similar symptoms and treatment options. Treatments such as erythromycin and quinolones can be used for both. The main difference between them lies in the laboratory tests. If tests for pneumonia, Mycoplasma antibodies or antigens are positive, then it is diagnosed as Mycoplasma pneumonia. If tests for Chlamydia pneumonia antibodies are positive, or if a throat swab test detects Chlamydia, then it is diagnosed as Chlamydia pneumonia.


How long does the pneumonia vaccine last?
After receiving the pneumonia vaccine, the body generates an immune response that produces antibodies. Typically, these antibodies provide lifelong immunity. Patients with weak constitutions might need a booster shot every 3-5 years after vaccination, which generally can also lead to lifelong immunity. Vaccinations should be administered at local, formal medical institutions. One can visit the local centers for disease control and prevention to get vaccinated. During the vaccination period, if there are any adverse reactions, they should be addressed promptly. After receiving the vaccine, it is advisable to remain at the medical facility for half an hour for observation before leaving, to prevent the occurrence of adverse reactions.


What should a child with pneumonia eat?
Childhood pneumonia is an infectious disease that not only presents symptoms related to the respiratory system but also may include symptoms from the gastrointestinal tract, such as vomiting, diarrhea, loss of appetite, and abdominal distension. Therefore, the diet for pneumonia must be light and easy to digest. For instance, if the child is breastfed, the mother should consume a light and digestible diet. If the child is fed with cow's milk, the milk can be diluted appropriately to aid digestion. Supplementary foods can generally include thin porridge, noodles, rice paste, vegetables, and fruits, as well as a moderate amount of lean meat and eggs, but not in excess. Oily and spicy foods should not be included.


How is pneumonia treated?
Pneumonia is a common disease in clinical practice, with patients often experiencing symptoms such as fever, cough, and expectoration. If a lung X-ray is taken, shadows can be seen in the lungs. The treatment of pneumonia primarily involves addressing the cause. For instance, if it is bacterial, appropriate sensitive antibiotics are chosen for treatment. If it is caused by a virus, suitable antiviral drugs are selected, and for fungal pneumonia, antifungal drugs should be chosen. If it is related to allergies, anti-allergy medications should be used. Additionally, symptomatic treatment is applied, such as antipyretics for fever. Depending on the situation, medications for cough suppression, phlegm reduction, and asthma relief may also be used. (The use of medications should be under the guidance of a doctor.)


"Does a weakly positive Mycoplasma pneumoniae indicate pneumonia?"
During the testing process, if Mycoplasma pneumoniae shows a weakly positive result, this does not necessarily indicate that the person has pneumonia. A weakly positive result for Mycoplasma pneumoniae only suggests a possible infection, but does not confirm pneumonia. If there is a suspicion, further investigation, such as chest radiography, should be conducted. If chest radiography reveals changes in lung patterns or patchy areas in the lungs, then it can be considered that the person may have Mycoplasma pneumoniae pneumonia. If the chest radiography is normal, it cannot be concluded that the person has pneumonia.


The difference between interstitial pneumonia and pneumonia
Interstitial pneumonia, also known as diffuse pulmonary interstitial fibrosis, mainly refers to a disease characterized by the replacement of the lung interstitium with some invisible fibrous tissues, leading to lung atrophy and difficulty breathing as the main manifestations. The pathological site of pneumonia is mainly in the alveoli and lung parenchyma, and patients mainly show symptoms such as coughing, expectoration, and fever, generally not experiencing difficulty breathing. Additionally, interstitial pneumonia and pneumonia have typical and distinct changes in imaging. Through imaging, it is basically possible to differentiate almost completely between interstitial pneumonia and pneumonia without the need for any special techniques.


Pneumonia symptoms in children
Children presenting with pneumonia primarily exhibit symptoms related to respiratory infections, with fever often as a typical manifestation. Common symptoms include sudden chills, high fever, fatigue, headache, nausea, and vomiting, followed by an irritative dry cough. As the condition progresses, the dry cough turns into a productive cough with phlegm, accompanied by difficulty breathing, chest pain, and expectoration. Some may also show signs of oxygen deprivation such as cyanosis of the lips and changes in nail color. Active chest X-ray and routine blood tests are necessary for diagnosis.


Is bronchopneumonia the same as pneumonia?
Some patients might ask if bronchopneumonia is a type of pneumonia. Undoubtedly, bronchopneumonia is a type of pneumonia, categorized anatomically. It can be classified into lobar pneumonia, bronchopneumonia, and interstitial pneumonia. During X-ray imaging, bronchopneumonia typically shows as irregular patchy shadows distributed along the lung markings, with soft and blurry edges, without signs of consolidation. It often occurs in the lower lobes of both lungs. The treatment principles for bronchopneumonia are similar to those for common pneumonia, mainly involving the use of antibiotics, cough suppressants and expectorants, fever reduction, and other symptomatic treatments.


Can pneumonia vaccines prevent mycoplasma pneumonia?
Can pneumonia vaccines prevent Mycoplasma infections? First, we need to understand what pneumonia vaccines are. In our country, the most commonly used pneumonia vaccines are aimed at Streptococcus pneumoniae, which are divided into polysaccharide vaccines and conjugate vaccines. Polysaccharide vaccines are mainly suitable for individuals over two years old and include the 23-valent polysaccharide vaccine. This vaccine can prevent infections caused by twenty-three serotypes that often lead to S. pneumoniae infections, with over 90% of pneumonia caused by these twenty-three serotypes. However, the 23-valent polysaccharide vaccine does not prevent infections caused by other serotypes of S. pneumoniae. Additionally, the conjugate vaccine only prevents infections caused by either seven or thirteen serotypes. Since Mycoplasma is neither a bacterium nor a virus, it cannot be prevented by pneumonia vaccines, and currently, there is no vaccine available specifically for Mycoplasma infections.