Symptoms of pneumonia in infants

Written by Yang Feng
Pulmonology
Updated on October 28, 2024
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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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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.

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What department does pneumonia go to?

What department should I go to for pneumonia? Pneumonia, as the name suggests, is a lung disease, which is to say it is a disease of our respiratory system. Therefore, the most appropriate department to visit would be the Department of Respiratory Medicine. If the patient's condition is relatively stable, they can visit the outpatient Respiratory Medicine department. Of course, there are a small number of patients whose condition is very critical, and in such cases, they must first visit the Department of Emergency Medicine. The doctors in Emergency Medicine will decide based on the patient's condition whether their next step should be to go to Respiratory Medicine, be admitted for in-hospital treatment, remain in the emergency for observation, or need to be admitted to the ICU for further emergency treatment.

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Written by Hu Xue Jun
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Can pneumonia be cured?

Can pneumonia be cured, and will there be any sequelae? Generally speaking, common pneumonia without complications can be completely cured. If pneumonia infection is detected, seek medical attention in a timely manner and treat it rationally under the guidance of a professional doctor, it generally will not leave sequelae or affect lung function. However, some complications of pneumonia, such as meningitis and pericarditis, may leave symptoms like headaches, dizziness, palpitations, and chest pain. Ordinary pneumonia might leave streaky shadows or irregular pleura on chest X-rays or lung CT scans, but these will not impact the human body. Patients who have previously been infected with tuberculosis may have calcification spots in their lungs, which is a normal phenomenon. Some people may experience sequelae after treatment, such as hearing loss caused by the use of antimicrobial drugs, and avascular necrosis of the femoral head occurring after SARS treatment; however, these are possibly side effects of the drugs, rather than sequelae of pneumonia.

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Differential Diagnosis of Pediatric Pneumonia

Childhood pneumonia needs to be differentiated from other respiratory diseases such as bronchial foreign bodies, bronchial asthma, and pulmonary tuberculosis. A bronchial foreign body generally has a history of inhalation of foreign objects, sudden choking coughs, and a chest X-ray might indicate atelectasis or pulmonary emphysema. If the foreign body has been present for a long time, the disease course is prolonged and may lead to secondary infections, similar to pneumonia or concurrent with pneumonia. The differentiation of bronchial foreign body involves detailed medical history inquiries to check for inhaled foreign objects, then using symptoms and auxiliary examinations like chest X-rays for confirmation. Bronchial asthma, especially in children, might not always present with obvious wheezing attacks but rather persistent coughing. The X-ray might show increased and disordered lung markings and pulmonary emphysema, which can easily be confused with pneumonia. Typically, children with bronchial asthma have an allergic constitution and generally require pulmonary function tests and other auxiliary examinations to differentiate from pneumonia. Pulmonary tuberculosis generally occurs in those with a history of contact with tuberculosis patients. Their tuberculin skin test is positive, and X-rays may show features of tuberculosis lesions in the lungs, which can be used to differentiate from pneumonia.

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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.