Can pneumonia be cured?

Written by Hu Xue Jun
Pulmonology
Updated on September 02, 2024
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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.

Other Voices

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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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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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Written by Li Jiao Yan
Neonatology
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symptoms of pneumonia in children

Pneumonia in small children commonly occurs in infants and toddlers under two years old, often starting abruptly. It usually begins with symptoms of an upper respiratory infection several days before onset. The main clinical symptoms are as follows: First, there is fever, which can be irregular, remittent, or persistent; in newborns or severely malnourished children, the body temperature may not rise or may be below normal. Second, there is coughing, which is generally frequent; initially, it is a dry, irritating cough, but during the peak of the illness, the cough may subside, returning with phlegm during the recovery period. Third, shortness of breath arises, typically after fever and coughing; sometimes it is accompanied by general symptoms such as listlessness, reduced appetite, restlessness, mild diarrhea, or vomiting.

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Neonatology
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Is the pneumonia vaccine self-funded?

The pneumonia vaccine is primarily aimed at preventing pneumonia caused by Streptococcus pneumoniae infection. Streptococcus pneumoniae is the most significant and common bacterium causing pneumonia worldwide. This bacterium is also the most common cause of community-acquired pneumonia in children and is the main pathogen causing otitis media, meningitis, and bacteremia in children. Currently, there are two types of pneumonia vaccines available in China: the 23-valent polysaccharide vaccine, which is suitable for people over two years old, and the 7-valent vaccine, which is suitable for infants under two years old. According to the regulations on vaccine distribution and vaccination management implemented in our country, vaccines are clearly divided into two categories: the first category includes vaccines provided free by the government to citizens, who are required to be vaccinated according to government regulations; the second category includes other vaccines that are paid for and voluntarily received by citizens. The pneumonia vaccine belongs to the second category, which is a self-funded vaccine.

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Symptoms of pneumonia cough in children

Pneumonia in infants commonly occurs in young children, especially those under two years of age. The onset of the disease is usually rapid, starting with symptoms of upper respiratory tract infections that gradually evolve into more pronounced respiratory symptoms. The cough is frequent, initially a dry, irritating cough, that progressively worsens as the disease advances. In cases of severe pneumonia, the cough may actually lessen. During the recovery phase, the cough gradually diminishes and rattling sounds can be heard in the throat due to mucus. After the mucus is cleared, there may still be occasional bouts of irritating dry cough, which will slowly subside.