Pneumonia

Last Updated: October 13, 2024

Pneumonia is an infection that inflames the air sacs and lower airways of the lungs, causing them to fill with fluid. Signs and symptoms of pneumonia include fever and chills, difficulty breathing, fatigue, and cough (with or without mucus). Cases caused by bacteria are treated with antibiotics.

Pneumonia falls under theImmunity & Infectious Diseasecategory.

What is pneumonia?

Pneumonia is an infection of the alveoli and lower airways in the lungs that leads to inflammation and fluid accumulation. It can be classified into community-acquired pneumonia and nosocomial pneumonia and is caused by various pathogens, though the cause is sometimes unknown.

What are the main signs and symptoms of pneumonia?

The main signs and symptoms of pneumonia include shortness of breath, cough, chest pain, low blood oxygen levels, fever, chills, and fatigue, with variation in different age groups. Younger children may exhibit restlessness and vomiting, and older adults may show less noticeable signs such as disorientation.

How is pneumonia diagnosed?

Pneumonia is diagnosed through a combination of signs and symptoms, chest imaging, and a clinician's assessment of medical history and physical examination. This process helps differentiate pneumonia from other conditions with similar symptoms to ensure appropriate treatment.

What are some of the main medical treatments for pneumonia?

Antibiotics are the primary treatment for most pneumonia cases, and the specific choice depends on individual factors and local data. If the pneumonia is caused by nonbacterial pathogens, antiviral or antifungal medications may be used, whereas severe cases may require additional supportive treatments.

Have any supplements been studied for pneumonia?

Many supplements have been studied for pneumonia, but there is limited evidence to support their effectiveness; for example, vitamin C and probiotics were found to be ineffective, and zinc may reduce pneumonia risk in children but does not aid recovery when added to antibiotic treatment. Additionally, low vitamin D levels are associated with increased pneumonia risk, but the effect of supplementation remains unclear.

How could diet affect pneumonia?

There is limited evidence that diet may influence pneumonia risk; certain foods like coffee, tea, oily fish, and fruit potentially reduce risk, and red meat may increase it. However, for people with pneumonia, meeting their daily nutritional needs is crucial because malnutrition can lead to higher mortality rates, and increasing energy and protein intake may improve outcomes for those hospitalized with severe pneumonia.

Are there any other treatments for pneumonia?

Increased physical activity and sauna bathing may reduce the risk of developing pneumonia, and chest physiotherapy is a common treatment for clearing mucus from the airways, though its effectiveness is often questioned in studies.

What causes pneumonia?

Pneumonia can be caused by various pathogens, including bacteria (like Streptococcus pneumoniae), viruses (such as influenza and RSV), and fungi (like Pneumocystis jirovecii), and the prevalence of these microbes varies by geography and age group. Additionally, aspiration pneumonia can occur when food, liquids, or gastric contents enter the lungs.

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References
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Examine Database References
  1. Pneumonia Symptoms - Chandyo RK, Shrestha PS, Valentiner-Branth P, Mathisen M, Basnet S, Ulak M, Adhikari RK, Sommerfelt H, Strand TATwo weeks of zinc administration to Nepalese children with pneumonia does not reduce the incidence of pneumonia or diarrhea during the next six monthsJ Nutr.(2010 Sep)
  2. Pneumonia Symptoms - Shah GS, Dutta AK, Shah D, Mishra OPRole of zinc in severe pneumonia: a randomized double bind placebo controlled studyItal J Pediatr.(2012 Aug 2)
  3. Pneumonia Symptoms - Wadhwa N, Chandran A, Aneja S, Lodha R, Kabra SK, Chaturvedi MK, Sodhi J, Fitzwater SP, Chandra J, Rath B, Kainth US, Saini S, Black RE, Santosham M, Bhatnagar SEfficacy of zinc given as an adjunct in the treatment of severe and very severe pneumonia in hospitalized children 2-24 mo of age: a randomized, double-blind, placebo-controlled trialAm J Clin Nutr.(2013 Jun)
  4. Pneumonia Symptoms - Srinivasan MG, Ndeezi G, Mboijana CK, Kiguli S, Bimenya GS, Nankabirwa V, Tumwine JKZinc adjunct therapy reduces case fatality in severe childhood pneumonia: a randomized double blind placebo-controlled trialBMC Med.(2012 Feb 8)
  5. Pneumonia Symptoms - Ganguly A, Chakraborty S, Datta K, Hazra A, Datta S, Chakraborty JA randomized controlled trial of oral zinc in acute pneumonia in children aged between 2 months to 5 yearsIndian J Pediatr.(2011 Sep)
  6. Pneumonia Symptoms - Valentiner-Branth P, Shrestha PS, Chandyo RK, Mathisen M, Basnet S, Bhandari N, Adhikari RK, Sommerfelt H, Strand TAA randomized controlled trial of the effect of zinc as adjuvant therapy in children 2-35 mo of age with severe or nonsevere pneumonia in Bhaktapur, NepalAm J Clin Nutr.(2010 Jun)
  7. Pneumonia Symptoms - Basnet S, Shrestha PS, Sharma A, Mathisen M, Prasai R, Bhandari N, Adhikari RK, Sommerfelt H, Valentiner-Branth P, Strand TA; Zinc Severe Pneumonia Study GroupA randomized controlled trial of zinc as adjuvant therapy for severe pneumonia in young childrenPediatrics.(2012 Apr)
  8. Pneumonia Symptoms - Valavi E, Hakimzadeh M, Shamsizadeh A, Aminzadeh M, Alghasi AThe efficacy of zinc supplementation on outcome of children with severe pneumonia. A randomized double-blind placebo-controlled clinical trialIndian J Pediatr.(2011 Sep)
  9. Pneumonia Symptoms - Manaseki-Holland S, Qader G, Isaq Masher M, Bruce J, Zulf Mughal M, Chandramohan D, Walraven GEffects of vitamin D supplementation to children diagnosed with pneumonia in Kabul: a randomised controlled trialTrop Med Int Health.(2010 Oct)
  10. Pneumonia Symptoms - Choudhary N, Gupta PVitamin D supplementation for severe pneumonia--a randomized controlled trialIndian Pediatr.(2012 Jun)
  11. Pneumonia Symptoms - Li Y, Zhang R, Li Z, Zhai QThe Relationship of Vitamin A and Neonatal Respiratory Diseases: A Meta-Analysis.Clin Respir J.(2024 Sep 30)
  12. Gastric Emptying Rate - Shariatpanahi ZV, Taleban FA, Mokhtari M, Shahbazi SGinger extract reduces delayed gastric emptying and nosocomial pneumonia in adult respiratory distress syndrome patients hospitalized in an intensive care unitJ Crit Care.(2010 Dec)
  13. All-Cause Mortality - Sharma Y, Sumanadasa S, Shahi R, Woodman R, Mangoni AA, Bihari S, Thompson CEfficacy and safety of vitamin C supplementation in the treatment of community-acquired pneumonia: a systematic review and meta-analysis with trial sequential analysis.Sci Rep.(2024 May 24)