Symptoms of pneumonia in children

Written by Yang Feng
Pulmonology
Updated on October 24, 2024
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Pneumonia is a particularly common infectious disease of the respiratory system, and infants and young children are especially susceptible to pneumonia because their immune systems are much weaker than those of healthy adults. When infants and young children develop pneumonia, their symptoms differ from adults; they often exhibit only fever, crying, nausea, vomiting, etc. The symptoms of coughing and phlegm are relatively less obvious, making the diagnosis of pneumonia in infants and young children somewhat more difficult. If a patient exhibits fever, auscultation and routine blood tests can be used to preliminarily determine the presence of an infection. If pneumonia is suspected, further comprehensive imaging examinations can be conducted to confirm the diagnosis.

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Written by Hu Xue Jun
Pulmonology
1min 28sec home-news-image

Is pneumonia contagious?

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 Li Jiao Yan
Neonatology
1min 16sec home-news-image

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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Written by Hu Xue Jun
Pulmonology
1min 58sec home-news-image

Types of Pneumonia

Now let's talk about what pneumonia is and its classification. Pneumonia refers to inflammation of the terminal airways, alveoli, and pulmonary interstitium. It can be caused by pathogenic microorganisms, physicochemical factors, immune damage, allergies, and drugs. Bacterial pneumonia is the most common type of pneumonia and is also one of the most common infectious diseases. The classification of pneumonia generally involves several aspects: First is the anatomical classification: from an anatomical perspective, it can be divided into lobar pneumonia (alveolar pneumonia), bronchopneumonia (bronchial pneumonia), and interstitial pneumonia. Second, the classification based on etiology, which mainly includes the following aspects. The first is bacterial pneumonia, which includes Streptococcus pneumoniae pneumonia, Staphylococcus aureus pneumonia, Klebsiella pneumoniae pneumonia, Haemophilus influenzae pneumonia, Pseudomonas aeruginosa pneumonia, and Acinetobacter baumannii pneumonia, etc. The second point is pneumonia caused by atypical pathogens such as Legionella, Mycoplasma, and Chlamydia. The third is viral pneumonia. The fourth refers to fungal diseases or fungal pneumonia. The fifth is pneumonia caused by other pathogens: such as rickettsiae, parasites. The sixth is pneumonia caused by physicochemical factors: such as radiation pneumonia, inhalational pneumonia, and lipid pneumonia. The third category is classification by the environment of illness, which can be divided into two types: the first is community-acquired pneumonia, and the second is hospital-acquired pneumonia.

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Written by Han Shun Li
Pulmonology
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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.

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Written by Wang Xiang Yu
Pulmonology
1min 24sec home-news-image

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.