Symptoms of pneumococcal pneumonia?

summary

Streptococcus pneumoniae pneumonia is a pulmonary parenchymal inflammation caused by Streptococcus pneumoniae. The onset is usually sudden, characterized by high fever, chills, cough, blood sputum and chest pain. The X-ray showed acute inflammatory consolidation of lung segments or lobes. In recent years, because of the extensive use of antibiotics, the onset mode, symptoms and X-ray changes of the disease are not typical. Symptoms of pneumococcal pneumonia? Next, I'd like to share my views with you.

Symptoms of pneumococcal pneumonia?

Symptoms before onset often cold, rain, fatigue, drunkenness, history of virus infection, most have upper respiratory tract precursor symptoms, onset more rapid. Sudden high fever, chills, muscle soreness, anorexia, fatigue and restlessness. The body temperature can be as high as 40-41 ℃. Shortness of breath up to 40 ~ 60 times / min, exhalation groan, nasal fan, flushing or cyanosis. There may be chest pain on the affected side, radiating to the shoulder or abdomen, and the children often lie on the affected side.

In the first few days, the cough was not serious, and there was no phlegm. Later, the sputum was rusty. Early vomiting, a small number of children with abdominal pain, sometimes misdiagnosed as appendicitis. Children may have diarrhea. Mild patients were conscious, and a few children had headache, neck stiffness and other meningeal irritation symptoms. In severe cases, toxic encephalopathy, such as convulsion, delirium and coma, is often mistaken for central nervous system disease. Severe cases may be accompanied by septic shock, and even cerebral hernia due to brain edema. Herpes on the lips can be seen in older children.

In the early stage of chest signs, only mild percussion dullness or respiratory sound was weakened. On the second to third day of the course, there were typical percussion dullness, speech tremor enhancement and tube breathing sound after pulmonary consolidation. Moist rales can be heard in the dissipation period. In a few cases, no abnormal signs of chest were found. The diagnosis should be made by X-ray examination.

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