Is pneumonia contagious?

Written by Hu Xue Jun
Pulmonology
Updated on September 20, 2024
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Pneumonia can be divided into many types, including viral pneumonia, bacterial pneumonia, and those caused by special bacteria such as tuberculosis bacillus, and atypical bacteria such as Legionella, Mycoplasma, Chlamydia, etc. Generally, pneumonia does not cause large-scale disseminated transmission, because most people have normal immune systems that can resist these less virulent bacteria; however, in populations with lower immunity, inhaling droplets from patients with bacterial pneumonia can potentially lead to pneumonia. However, pneumonias caused by "SARS", anthrax, pneumonic plague, etc., are highly contagious and can cause large-scale transmission through droplets, and these are strictly controlled infectious diseases in our country. In cases of open tuberculosis, the patient's sputum and cough droplets might contain the pathogen, which could then infect those in close contact. Infectious pneumonia typically has an abrupt onset, with an incubation period of 2-10 days, and fever as the initial symptom, generally above 38℃, possibly accompanied by chills, coughing, scant sputum, occasional bloody sputum, palpitations, shortness of breath, and in some cases, difficulty breathing. It may also be accompanied by muscle soreness, headaches, joint pain, fatigue, and diarrhea.

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Written by Hu Xue Jun
Pulmonology
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Is pneumonia serious?

Is pneumonia serious, and what will happen if it worsens or goes untreated? Severe pneumonia can lead to septic shock and can even be life-threatening. If pneumonia is not treated or not treated thoroughly, it can deteriorate into the following conditions: First, it can cause lung abscesses and empyema, and even lead to pericarditis, meningitis, and more; Second, the infection can enter the bloodstream, causing bacteremia and even septic shock; Third, the patient's continuous high fever can lead to febrile convulsions and even the possibility of coma; Fourth, extensive pneumonia can reduce the function of the alveoli, causing hypoxia and carbon dioxide retention. Hypoxia can affect the function of the nervous system, and patients with severe pneumonia may experience drowsiness, irritability, and even convulsions and coma.

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Written by Yuan Qing
Pulmonology
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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.

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Written by Yang Feng
Pulmonology
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How many days does the pneumonia vaccine take effect?

Pneumonia is a common infectious disease of the respiratory system. For the elderly who are frail, infants and young children who repeatedly suffer from pulmonary infections, and adults with immune deficiencies, it is an option to get vaccinated against pneumonia. Generally, antibodies are produced in the body 2 to 3 weeks after vaccination, which may protect against most types of pneumococcal bacteria. Different pneumonia vaccines vary in the duration the antibodies last in the body, with most lasting about one year. For bivalent and trivalent pneumonia vaccines, the immune protection can last about five years.

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Written by Yang Feng
Pulmonology
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Symptoms of pneumonia in infants

Pneumonia is a particularly common infectious disease of the respiratory system. In infants and young children with pneumonia, the main clinical symptoms include fever, crying, vomiting, and so forth. Since infants cannot express their discomfort, it is difficult to make a diagnosis. However, when a patient presents with fever, we first need to consider the possibility of a lung infection. We can determine whether there is an infection of the lungs through listening to the chest, routine blood tests, imaging examinations, etc., and then treat the pneumonia with effective anti-inflammatory therapy.

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Written by Li Jiao Yan
Neonatology
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How to completely cure pneumonia in children?

Childhood pneumonia is mainly due to the weaker resistance of children, who are then subjected to the invasion of pathogens such as bacteria, viruses, or other agents like chlamydia and mycoplasma, leading to inflammation of the alveoli. Generally, the treatment of pneumonia is mainly targeted at its pathogens. For instance, antiviral treatment is administered for viral infections, antibacterial and anti-inflammatory treatments are required for bacterial infections, and specific antibiotics such as azithromycin or erythromycin are used for mycoplasma infections. For other types like tuberculosis and some other fungal pneumonias, specific treatments targeting those pathogens are also necessary. If the baby clearly has symptoms like wheezing or difficulty in breathing, symptomatic treatment is required. Therefore, pneumonia in children is mainly treated based on the cause, and as long as the course of treatment is sufficient, it can be cured completely. However, even after recovery, it does not mean a child will never contract pneumonia again. If the child has weak immunity or is in a high-risk environment with exposure to other patients with pneumonia cough, they might be infected again.