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Pneumonia

If you have a cough that will not go away, chest pain when you breathe or a high fever, it could be pneumonia. 

Pneumonia is an infection in one or both lungs. It can range from mild to life threatening, especially in young children, older adults and people with certain health conditions. 

At Banner Health, we provide comprehensive pneumonia care, from diagnosis to treatment, to help you breathe easier and recover safely. 

What is pneumonia? 

Pneumonia is a lung infection that causes inflammation in the tiny air sacs, called alveoli. When these air sacs fill with fluid or pus, it becomes harder for oxygen to move into your bloodstream. 

This can make breathing difficult and cause symptoms that range from mild illness to severe respiratory distress. 

What are the symptoms of pneumonia? 

Symptoms vary based on your age, overall health and the type of pneumonia. 

Common symptoms in adults

  • Cough that may produce mucus 
  • Fever or chills 
  • Shortness of breath 
  • Chest pain that worsens with deep breathing or coughing 
  • Fatigue 
  • Rapid heart rate 
  • Sweating 
  • Bluish lips or fingernails 

A fever of 105°F (40.5°C) is considered very high and requires urgent medical care. 

Symptoms in young children 

  • Cough 
  • Fever 
  • Fast or difficult breathing 
  • Irritability 
  • Low energy 
  • Poor feeding 
  • Chest or stomach pain 

Symptoms in adults over 65 

Older adults may have milder or different symptoms, including: 

  • Sudden confusion 
  • Low appetite 
  • Weakness 
  • Decreased energy 

How do I know if pneumonia is serious? 

Call your health care provider if symptoms are new or getting worse. 

Call 911 or go to the emergency department if you have: 

  • Severe shortness of breath 
  • Chest pain 
  • Confusion 
  • Blue lips or fingernails 

Pneumonia can lead to serious complications, especially in high-risk groups. 

What causes pneumonia? 

Pneumonia can be caused by bacteria, viruses or fungi. 

Viral pneumonia 

Often caused by viruses such as: 

  • Influenza (flu) 
  • COVID-19 
  • RSV 
  • Common cold viruses 

Viral pneumonia may start mild but can become serious. 

Bacterial pneumonia 

Most commonly caused by Streptococcus pneumoniae. It often develops after another illness. 

Legionnaires’ disease is a type of bacterial pneumonia caused by Legionella bacteria. 

Fungal pneumonia 

Caused by fungi such as Cryptococcus or Pneumocystis jirovecii, usually in people with weakened immune systems. 

Mycoplasma pneumonia (walking pneumonia) 

Caused by Mycoplasma pneumoniae. This form is often mild and may not cause severe symptoms, which is why it is sometimes called walking pneumonia

Is pneumonia contagious?

Some types are contagious. 

Bacterial and viral pneumonia can spread through droplets when someone coughs or sneezes. 

Aspiration pneumonia, which happens when food, liquid or vomit enters the lungs, is not contagious. 

Who is most at risk?

Anyone can get pneumonia, but risk increases with: 

  • Age under 2 or over 65 
  • Asthma 
  • COPD 
  • Cystic fibrosis 
  • Diabetes 
  • Emphysema 
  • Heart disease 
  • HIV/AIDS 
  • Tuberculosis 
  • Smoking 
  • Heavy alcohol use 
  • Chemotherapy 
  • Organ or bone marrow transplant 
  • Recent hospitalization 
  • Use of a ventilator 
  • Living in nursing homes or long-term care 
  • Aspiration 

If you have risk factors, talk to your provider about prevention strategies. 

How is pneumonia diagnosed? 

Your provider will: 

  • Perform a physical exam 
  • Review your medical history 
  • Ask about recent illnesses 

Tests may include: 

  • Chest X-ray 
  • Blood tests 
  • Sputum culture 
  • Pulse oximetry 
  • CT scan 
  • Bronchoscopy in certain cases 

Prompt diagnosis helps guide proper treatment. 

How is pneumonia treated? 

Treatment depends on the cause and severity. 

Antibiotics 

Used for bacterial pneumonia. 

Antivirals 

Used in certain viral infections, such as influenza. 

Antifungal medications 

Used for fungal pneumonia. 

Oxygen therapy 

Provided if oxygen levels are low. 

Respiratory therapy 

Nebulized medications may help open airways. 

Supportive care 

  • Rest 
  • Fluids 
  • Fever reducers 

Severe cases may require hospitalization. 

If hospitalized, recovery may take six to eight weeks. 

How long does pneumonia last? 

Mild pneumonia may improve within one to two weeks. 

Fatigue and cough can last longer, even after treatment begins. 

If hospitalized, it may take several weeks to feel fully recovered. 

What are possible complications? 

Complications are more common in older adults, young children and people with weakened immune systems. 

These may include: 

  • Respiratory failure 
  • Acute respiratory distress syndrome 
  • Lung abscess 
  • Sepsis 
  • Pleural effusion 
  • Blood clots, including pulmonary embolism 

How can you prevent pneumonia? 

Vaccination 

  • Pneumococcal vaccine 
  • Annual flu vaccine 

Good hygiene 

  • Wash hands regularly 
  • Avoid close contact with sick individuals 
  • Cover coughs and sneezes 

Healthy lifestyle 

  • Eat a balanced diet 
  • Exercise regularly 
  • Avoid smoking and secondhand smoke 

Plan for immune health 

Work with your provider if you have a weakened immune system. 

Why choose Banner Health for pneumonia care? 

Banner Health offers expert diagnosis and treatment for pneumonia at convenient locations. Our pulmonologists, respiratory therapists and infectious disease specialists work together to create personalized treatment plans. 

We provide: 

  • Same-day appointments when needed 
  • Advanced imaging and lab testing 
  • Oxygen and respiratory support 
  • Specialized care for high-risk patients 

If you are experiencing pneumonia symptoms, schedule an appointment with a Banner Health provider today or seek emergency care if your symptoms are severe.