- Pneumonia is a respiratory infection that occurs in one or both lungs, where fluid or pus may accumulate in the alveoli.
- Bacteria, viruses, and fungi can be causes, and bacterial pneumonia is common.
- When inflammatory fluid or pus fills the alveoli due to infection, oxygen exchange and breathing may be impaired.
- Typical symptoms include fever, chills, cough with sputum, shortness of breath, and chest pain during breathing or coughing; nausea, vomiting, and diarrhea may also occur.
- Risk may be higher in infants and the elderly, people who smoke, drink excessively, or are malnourished, those with lung disease or immunosuppression, and patients hospitalized in hospitals or intensive care units.
- The course varies from mild to severe depending on the causative agent and the individual's age and health status, and recovery may take several weeks or more.
- Diagnosis is based on symptoms, medical history, physical examination, and auscultation, utilizing chest X-ray, blood tests, culture tests, CT, and oxygen saturation measurement as necessary.
- Diagnosis may be delayed due to overlapping symptoms with the common cold or influenza, and the selection and interpretation of tests vary depending on severity, age, underlying disease, and hospitalization status.
- Management is carried out by identifying the cause and severity, assessing respiratory status and the risk of complications, and adjusting anti-infective treatment and necessary supportive care.
- Antibiotics are used for bacterial pneumonia, some antivirals for viral pneumonia, and antifungals for specific fungal pneumonia; if severe, hospitalization and oxygen therapy may be required.