What are the main signs and symptoms of pneumonia?

    Last Updated: October 25, 2023

    Common signs and symptoms of pneumonia are shortness of breath, cough with or without mucus, chest pain, low blood oxygen levels, fever, chills, and fatigue. There may also be audible signs of fluid in the lungs, which a clinician can hear with a stethoscope. The severity of these signs and symptoms varies, ranging from mild respiratory distress to septic shock (characterized by a dangerous drop in blood pressure).

    Certain populations have a different presentation of pneumonia. Younger children (<5 years) may be restless, vomit, have trouble eating, and show signs of breathing difficulties (e.g., nasal flaring, grunting, and chest retractions).[1][2] In older adults (>65 years), signs and symptoms may be less noticeable and could include disorientation or delirium.[3][4]

    References

    1. ^Shah SN, Bachur RG, Simel DL, Neuman MIDoes This Child Have Pneumonia?: The Rational Clinical Examination Systematic Review.JAMA.(2017-Aug-01)
    2. ^Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, Kaplan SL, Mace SE, McCracken GH, Moore MR, St Peter SD, Stockwell JA, Swanson JT,The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America.Clin Infect Dis.(2011-Oct)
    3. ^Torres A, Cilloniz C, Niederman MS, Menéndez R, Chalmers JD, Wunderink RG, van der Poll TPneumonia.Nat Rev Dis Primers.(2021-Apr-08)
    4. ^Cilloniz C, Ceccato A, San Jose A, Torres AClinical management of community acquired pneumonia in the elderly patient.Expert Rev Respir Med.(2016-Nov)