How is pneumonia treated?

Written by Han Shun Li
Pulmonology
Updated on February 12, 2025
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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.)

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Written by Yan Xin Liang
Pediatrics
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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.

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Written by Wang Xiang Yu
Pulmonology
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What are the symptoms of pneumonia?

Pneumonia can have many manifestations, and each person's symptoms can be different. It is highly heterogeneous, varying from mild to severe and can last for short or long durations. The main factors depend on the type of pathogen involved and the state of the body. The most common symptoms of pneumonia are coughing and producing sputum. The cough can be mild or severe and may be accompanied by sputum. The amount of sputum can vary and may be yellow, green, red, or rust-colored. Other possible symptoms include chest pain, difficulty breathing, respiratory distress, and most cases of pneumonia also involve fever. The duration and severity of the fever are somewhat related to the course of the illness. However, a small portion of patients may have atypical symptoms, especially older adults, who may not show direct respiratory symptoms but instead exhibit consciousness disturbances such as coma, confusion, fatigue, and more.

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Written by Li Jiao Yan
Neonatology
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The function of the pneumonia vaccine

Pneumonia vaccines are generally aimed at preventing infections caused by Streptococcus pneumoniae. There are two common types of vaccines: the 23-valent polysaccharide vaccine, which is suitable for high-risk populations over two years old, and the 7-valent or 13-valent conjugate vaccines, which are mainly used for vaccinating infants under two years of age. Streptococcus pneumoniae is the most common and widespread bacterium causing pneumonia, and pneumonia caused by this bacterium is also the most prevalent worldwide. It is also the most significant pathogen in community-acquired pneumonia in children and a major cause of otitis media, meningitis, and bacteremia in children. The pneumonia vaccines mainly target common serotypes of Streptococcus pneumoniae, such as the 7-valent or 13-valent, designed to prevent infections from seven or thirteen serotypes, respectively, while the 23-valent vaccine aims to prevent infections from 23 serotypes. These pneumonia vaccines play a significant protective role in preventing infections caused by Streptococcus pneumoniae, however, they cannot prevent all cases of pneumonia.

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Written by Han Shun Li
Pulmonology
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"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.

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Written by Wang Xiang Yu
Pulmonology
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Can pneumonia heal by itself?

Pneumonia is generally not self-healing; only a few pneumonia cases caused by specific pathogens, which lead to milder infections, can heal by themselves, such as pneumonia caused by Mycoplasma pneumoniae, which is self-limiting and can heal. However, most cases of pneumonia require standard treatment, such as pneumonia caused by Streptococcus pneumoniae and infections caused by Staphylococcus aureus. Therefore, if diagnosed with pneumonia, it is essential to seek immediate medical attention at a hospital. Relying on self-healing is unrealistic since self-healing cases are rare, and most pneumonia cases require standard treatment to recover.