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In elderly people, confusion may be the most prominent sign. [9] The typical signs and symptoms in children under five are fever, cough, and fast or difficult breathing. [23] Fever is not very specific, as it occurs in many other common illnesses and may be absent in those with severe disease, malnutrition or in the elderly.
New or progressive infiltrate on the chest X-ray with one of the following: [3] Fever > 37.8 °C (100 °F) Purulent sputum; Leukocytosis > 10,000 cells/μl; In an elderly person, the first sign of hospital-acquired pneumonia may be mental changes or confusion. Other symptoms may include: A cough with greenish or pus-like phlegm (sputum) Fever ...
Those with diabetes or the elderly may have less clear symptoms. [3] Serious and relatively common causes include acute coronary syndrome such as a heart attack (31%), pulmonary embolism (2%), pneumothorax, pericarditis (4%), aortic dissection (1%) and esophageal rupture. [3]
In some cases, chest CT can reveal pneumonia not seen on x-rays. However, congestive heart failure or other types of lung damage can mimic CAP on x-ray. [15] When signs of pneumonia are discovered during evaluation, chest X-rays and examination of the blood and sputum for infectious microorganisms may be done to support a diagnosis of CAP.
Treatment is typically with antibiotics such as clindamycin, meropenem, ampicillin/sulbactam, or moxifloxacin. [1] For those with only chemical pneumonitis, antibiotics are not typically required. [2] Among people hospitalized with pneumonia, about 10% are due to aspiration. [1] It occurs more often in older people, especially those in nursing ...
“Symptoms also may not be as bad at night,” Dr. Coleman says. But if you’ve been dealing with a cough for a while, or if it feels like your cough is getting worse, he says it’s time to see ...