What is Pneumonia?
Causes pneumonia, symptoms pneumonia,
treatment pneumonia and prevention
Pneumonia is an
infection caused by bacteria, viruses, or fungi. It leads to inflammation in
the air sacs of one or both lungs. These sacs, called alveoli, fill with fluid
or pus, making it difficult to breathe.
How often have you
walked into an old age home and heard the nurse saying “shame that lady has
pneumonia” and on the other side of the spectrum in children’s hospitals the
nurse says “that newborn baby has pneumonia and is on a ventilator that is
supplying oxygen helping the baby to breathe.” What is pneumonia? The simple
answer is the onset of pneumonia is an infection that can be caused by inhaling
liquid, dust, food, gas and by various fungi.
Pneumonia is an
infection that can affect one or both lungs, which can be caused by bacteria,
fungi or viruses. It causes inflammation in the lung air sacs that fill with
fluid or pus causing breathing difficulties. Depending on the severity,
symptoms can range from mild to life threatening. Factors such as age, overall
health, the type of inflammation and the organism causing the infection are
important.
Major types of pneumonia include bacterial which can develop after a serious colds or flu, viral usually caused by respiratory viruses, and mycoplasma, which is not bacteria or virus related, causes mild onsets of pneumonia in older children and young adults. No person is immune to pneumonia.
Causes
Pneumonia happens
when germs get into your lungs and cause an infection. The immune system’s
reaction to clear the infection results in inflammation of the lung’s air sacs
(alveoli). This inflammation can eventually cause the air sacs to fill up with
pus and liquids, causing pneumonia symptoms.
Several types of
infectious agents can cause pneumonia, including bacteria, viruses, and fungi.
What’s the difference between viral and
bacterial pneumonia?
While all pneumonia is inflammation caused by an infection in your lungs, you may have differ
ent symptoms depending on whether the root cause is a virus, bacteria or fungi.
Bacterial pneumonia
tends to be more common and more severe than viral pneumonia. It’s more likely
to require a hospital stay. Providers treat bacterial pneumonia with
antibiotics. Viral pneumonia causes flu-like symptoms and is more likely to
resolve on its own. You usually don’t need specific treatment for viral
pneumonia.
* Bacteria Infection
with Streptococcus pneumoniae bacteria, also called pneumococcal disease, is
the most common cause of CAP. Pneumococcal disease can also cause ear
infections, sinus infections and meningitis. Mycoplasma pneumoniae bacteria
causes atypical pneumonia, which usually has milder symptoms. Other bacteria that
cause CAP include Haemophilus influenza, Chlamydia pneumoniae and Legionella
(Legionnaires’ disease).
* Viruses: Viruses
that cause the common cold, the flu (influenza), COVID-19 and respiratory
syncytial virus (RSV) can sometimes lead to pneumonia.
* Fungi (molds):
Fungi, like Cryptococcus, Pneumocystis jirovecii and Coccidioides, are uncommon
causes of pneumonia. People with compromised immune systems are most at risk of
getting pneumonia from a fungus.
* Protozoa: Rarely, protozoa like Toxoplasma cause pneumonia
Symptoms
Pneumonia symptoms
can be mild to life threatening. They can include:
* Coughing that may
produce Phlegm (mucus)
* Fever
* sweating or chills
* Shortness of breath
that happens while doing normal activities, or even while resting
* Chest pain that’s
worse when you breathe or cough
* Feelings of
tiredness or fatigue
* Loss of appetite
* Nausea or vomiting
* Headaches
Other symptoms can
vary according to your age and general health:
* Infants may appear
to have no symptoms, but sometimes they may vomit, lack energy, or have trouble
drinking or eating.
* Children under 5
years old may have fast breathing or wheezing.
* Older adults may
have milder symptoms. They can also experience confusion or a lower-than-normal
body temperature.
Diagnosis pneumonia
A chest
X-ray is often used to diagnose pneumonia. Blood tests, such as a complete blood count
(CBC) see whether your immune system is fighting an infection. Pulse oximetry
measures how much oxygen is in your blood. Pneumonia can keep your lungs from
getting enough oxygen into your blood.
Treatment
Treatment for
pneumonia involves curing the infection and preventing complications. People
who have community-acquired pneumonia usually can be treated at home with
medication. Although most symptoms ease in a few days or weeks, the feeling of
tiredness can persist for a month or more.
Specific treatments
depend on the type and severity of your pneumonia, your age and your overall
health. The options include:
* Antibiotics. These
medicines are used to treat bacterial pneumonia. It may take time to identify
the type of bacteria causing your pneumonia and to choose the best antibiotic
to treat it. If your symptoms don't improve, your doctor may recommend a
different antibiotic.
* Cough medicine.
This medicine may be used to calm your cough so that you can rest. Because
coughing helps loosen and move fluid from your lungs, it's a good idea not to
eliminate your cough completely. In addition, you should know that very few
studies have looked at whether over-the-counter cough medicines lessen coughing
caused by pneumonia. If you want to try a cough suppressant, use the lowest
dose that helps you rest.
* Fever reducers/pain
relievers. You may take these as needed for fever and discomfort. These include
drugs such as aspirin, ibuprofen (Advil, Motrin IB, others) and acetaminophen
(Tylenol, others).
Hospitalization
You may need to be
hospitalized if:
* You are older than
age 65
* You are confused
about time, people or places
* Your kidney
function has declined
* Your systolic blood
pressure is below 90 millimeters of mercury (mm Hg) or your diastolic blood
pressure is 60 mm Hg or below
* Your breathing is
rapid (30 breaths or more a minute)
* You need breathing
assistance
* Your temperature is
below normal
* Your heart rate is
below 50 or above 100
You may be admitted
to the intensive care unit if you need to be placed on a breathing machine
(ventilator) or if your symptoms are severe.
Children may be
hospitalized if:
* They are younger
than age 2 months
* They are lethargic
or excessively sleepy
* They have trouble
breathing
* They have low blood
oxygen levels
* They appear
dehydrated
Prevention pneumonia
You
can take a few steps to try and prevent it. Vaccines can help prevent some types of
pneumonia. Good hygiene (washing your hands often),
quitting smoking, and keeping your immune system strong by getting regular
physical activity and eating healthy are other ways to lower your risk of
getting pneumonia.
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