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Pneumococcal Pneumonia - Symptoms, Diagnosis, and Treatment

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Pneumococcal pneumonia is a bacterial disease caused by Streptococcus pneumoniae. Read the article to know more about it.

Written by

Dr. Osheen Kour

Medically reviewed by

Dr. Kaushal Bhavsar

Published At March 23, 2023
Reviewed AtMarch 23, 2023

Introduction

Pneumococcal pneumoniae is bacterial, which affects a person's lungs and causes pneumonia or lung infection. The bacterial infection can cause disease in the upper respiratory tract and may also spread to other regions such as the middle ear, nervous system, and bloodstream. Pneumococcal pneumonia is most prevalent in adults 65 years old and above and young children up to five years of age. The symptoms caused by these infections are more severe and life-threatening in older adults. Also, people suffering from medical conditions such as sickle cell anemia and chronic lung, heart, and liver diseases are at a higher risk of acquiring the infection. Moreover, people who have undergone organ transplants or have HIV (human immunodeficiency virus) or AIDS (acquired immunodeficiency syndrome) and are taking certain medications that can compromise their resistance to infectious diseases are also at risk of getting pneumococcal disease.

What Are the Symptoms of Pneumococcal Pneumonia?

The symptoms of Pneumococcal Pneumoniae are:

  • Cough.

  • High fever.

  • Shortness of breath.

  • Chest pain.

  • Rapid breathing.

  • Difficulty breathing.

  • Headache.

  • Vomiting.

  • Nausea.

  • Muscle ache.

  • Tiredness.

  • Weakness.

What Are the Risk Factors for Pneumococcal Disease?

For Children:

  • Cochlear implant.

  • Chronic kidney, heart, and lung disease.

  • Diabetes.

  • Nephrotic syndrome.

  • Cerebrospinal fluid leakage.

  • Organ transplant, HIV, cancer.

  • Spleen damage.

  • Sickle cell disease.

For Adults:

  • Smoking.

  • Alcoholism.

  • Cerebrospinal fluid leakage.

  • Organ implants, cancer, HIV.

  • Cochlear implant.

  • Diabetes.

  • Chronic liver, kidney, and heart conditions.

  • Spleen damage.

  • Sickle cell disease.

  • Nephrotic syndrome.

How to Diagnose Pneumococcal Pneumoniae?

The diagnosis of Pneumococcal pneumoniae includes:

  • Physical examination.

  • The doctor also looks for the signs and symptoms of Pneumococcal pneumoniae disease.

  • Blood and urine tests also help the doctor to make the diagnosis clear.

  • A bacterial culture test is also used in the diagnostic process.

  • The doctor also advises chest X-rays to check the lung infection.

What Are the Treatment Options for Pneumococcal Pneumoniae?

The doctor mainly treats pneumococcal pneumoniae and related infections with antibiotics therapy. The symptoms of these infections usually subside in 12 to 36 hours of taking medication. However, various conditions have resisted these antibiotics due to misuse and overuse globally. Therefore, a person must consult the healthcare provider for better guidance and treatment. The doctor may start the therapy against pneumococcal infections with broad-spectrum antibiotics, or they can give specific antibiotics.

How to Prevent Pneumococcal Infections?

  • Pneumococcal infections can be prevented by being vaccinated for pneumococcal diseases. There are two main types of pneumococcal vaccines: pneumococcal conjugate and polysaccharide. These vaccines are effective against a wide variety of pneumococcal bacteria but not all, but they can reduce the chance of getting infected with this bacteria to some extent.

  • People with other medical conditions, such as liver, heart, lung disease, alcoholism, and sickle cell disease, must get vaccinated for pneumococcal infections as they are more at risk.

  • Also, children under five and adults over 65 receive the vaccination.

  • People with a low resistance to infection due to cancer treatments, organ or bone marrow transplant, HIV or AIDS, spleen damage, or leukemia.

  • A person once affected with a pneumococcal infection can get infected again. Therefore, one must get vaccinated even after recovering from pneumococcal disease.

What Are the Complications of Pneumococcal Pneumonia?

  • It can cause inflammation of the heart's outer lining (pericarditis).

  • The infection can also cause disease in the chest cavity and around the lungs (emphysema).

  • Pneumococcal pneumonia can also lead to a collection of pus or abscess formation in the lungs. It can even cause airway blockage and collapse in the lungs.

What Are the Other Complications Caused by Pneumococcal Bacteria?

Pneumococcal bacteria cause various infections, and the symptoms usually depend upon the infected area. The symptoms caused by these bacteria are generally mild, but they can also be fatal or have long-term effects on a person’s health. Various pneumococcal infections and their symptoms are:

  • Blood Infections: Pneumococcal bacteremia is a blood infection caused by the bacteria, and it can cause low alertness, fever, and chills in an infected person. Almost one out of 8 adults and one out of 30 children die from this bacterial infection. In addition, the condition can cause loss of limbs in people who survive.

  • Meningitis: It is is the pneumococcal infection of the inner lining of the spinal cord and brain that causes symptoms like headache, stiff neck, fever, confusion, and photophobia. This condition can cause death in one out of 6 adults and 1 out of 12 children. In addition, meningitis can lead to poor drinking and eating, vomiting, and low alertness in babies. Also, meningitis can cause long-term health problems, developmental defects, and hearing loss in survival cases.

  • Sepsis: Pneumococcal bacteria can cause sepsis in a person in extreme response to bacterial infection. The symptoms caused are fever, high heart rate, shivering, disorientation, confusion, discomfort, severe pain, sweaty skin, and shortness of breath. In the worst-case scenario, sepsis can cause damage to the heart, brain, lungs, and kidney failure.

  • Sinus Infection: The sinus infection causes symptoms such as headache, facial pain, running nose, loss of smell sensation, and mucus collection in the back of the nose or throat. The sinus infection rarely causes serious complications but can infect the surrounding tissues of the eyes, cause abscess formation, and bone infection.

  • Middle Ear Infection: It is the infection caused in the otitis media or middle ear region, and the symptoms caused are fever, ear pain, sleeplessness, and swollen or red eardrums.

Conclusion

Pneumococcal pneumonia is an infection of the lungs that can be fatal and require immediate hospitalization of an infected person. The disease can infect people from any age group, especially children and elderly adults. The infection is transmitted from one person to the other through contact or respiratory droplets from the mouth and nose of the infected person. Some people, especially children, can also carry the infection or bacteria in the throat without producing any symptoms and infect the person around them. Pneumococcal diseases can be life-threatening if not treated on time. Therefore, the person must have an immediate medical intervention for better outcomes and prognosis.

Frequently Asked Questions

1.

What Causes Pneumococcal Pneumonia?

A bacteria called Streptococcus pneumoniae (pneumococcus) causes pneumococcal pneumonia. The disease can be transmitted from one person to another through coughing or sneezing. The bacteria are present in the nose or throat of many individuals, particularly children. These bacteria are present even if one is not sick. Healthcare professionals term this ‘carriage’ and do not understand why it rarely causes illness. 

2.

Is It Possible to Cure Pneumococcal Pneumonia?

Pneumococcal infections that are non-invasive are generally mild and resolve without the need for any medical intervention. Fluids, ample rest, and over-the-counter painkillers like Paracetamol are usually recommended. Invasive types of pneumococcal infections are treated at the hospital or at home using antibiotics. Early identification and treatment with antibiotics can cure most pneumococcal infections. Severe infections can result in long-term illness, disability, or death.

3.

What Are the Clinical Features of Pneumococcal Pneumonia?

A bacteria called Streptococcus pneumoniae (pneumococcus) causes pneumococcal pneumonia. Common symptoms include cough, fever, chest pain, shortness of breath, confusion, joint pain, rapid heart rate, sweating, stiff neck, chills, increased sensitivity to light, ear pain, irritability, and an inability to sleep. There can be hearing loss, brain damage, or death in severe cases. Poor appetite, vomiting, or poor drinking can occur in babies. 

4.

How Does Pneumonia Differ From Pneumococcal Pneumonia?

Pneumococcal disease is the term given to any infection caused by pneumococcus. Pneumococcal pneumonia is a type of pneumococcal disease and is the most common and severe type of pneumococcal disease. Besides pneumococcus, other reasons for pneumonia include other bacteria, viruses, and fungi. Hence, not every case of pneumonia can be diagnosed as pneumococcal pneumonia. 

5.

What Are the Latest Advances in the Treatment of Pneumococcal Pneumonia?

Pneumococcal pneumonia is usually treated with antibiotics. Mild to moderate Penicillin and cephalosporin-resistant pneumococcal pneumonia cases can be treated using oral Amoxicillin. Severe cases may be treated using intravenous Ceftriaxone, Cefotaxime, or amoxicillin-clavulanic acid. Pneumococcal vaccines have been developed that offer protection from pneumococcal disease. Side effects are uncommon and, even if present, are mild and resolve within two days.

6.

Who Is More Prone to Develop Pneumococcal Pneumonia?

Adults of any age are more prone to developing pneumococcal disease if they are alcoholics or have long-term (chronic) lung, heart, liver, or kidney disease. Elderly adults over 65 are also more susceptible to developing pneumococcal disease. Other risk factors include cigarette smoking, cerebrospinal fluid leaks, cochlear implants, diabetes, poor immunity due to disease, solid organ transplants or drugs, sickle cell disease, and those with damaged or removed spleens.

7.

Is Pneumococcal Pneumonia a Serious Disease?

Pneumococcal pneumonia is a serious condition that should not be ignored. It can affect one’s quality of life. Most pneumococcal infections are mild, but the bacteria can cause serious, life-threatening complications. Early diagnosis and treatment are crucial. Invasive types of pneumococcal infections are treated at the hospital or home using antibiotics. Severe infections can result in long-term illness, disability, or death.

8.

How Long Does It Take To Recover From Pneumonia?

It may take some time for someone to recover from pneumonia. Few individuals get better and can resume their daily activities within one to two weeks. For some, it can take a month or even longer. A majority of people continue to feel fatigued for about a month. The recovery time may be influenced by factors like the patient’s age, overall health, severity of the infection, and treatment plan. Early diagnosis and treatment play a crucial role in recovery.

9.

What Are the Four Different Stages of Pneumococcal Pneumonia?

The four stages of pneumonia include congestion, red hepatization, gray hepatization, and resolution. In the first stage, the lungs become congested and feel very heavy due to the accumulation of infectious fluid in the air sacs. Red blood cells and immune cells that enter the lungs to fight against the infection give the lungs a red appearance in stage two. The disintegration of red blood cells in stage three makes the lungs grayish. In the last stage, the breakdown products and fluids formed due to cell destruction get reabsorbed.

10.

Does Pneumococcal Pneumonia Cause Pain?

In pneumonia, sharp or stabbing chest pain can be experienced, which can get worse when one cough or breathes deeply. Other symptoms include cough, fever, chest pain, shortness of breath, confusion, joint pain, rapid heart rate, sweating, stiff neck, chills, increased sensitivity to light, ear pain, irritability, and an inability to sleep.  There can be hearing loss, brain damage, or death in severe cases. 

11.

How Does Pneumococcal Pneumonia Spread From One Person to Another?

A bacteria called Streptococcus pneumoniae (pneumococcus) causes pneumococcal pneumonia. The disease can be transmitted from one person to another through coughing or sneezing. The bacteria are present in the nose or throat of many individuals, particularly children. These bacteria are present even if one is not sick. Healthcare professionals term this ‘carriage’ and do not understand why it rarely causes illness.

12.

What Foods Are Ideal for Pneumococcal Pneumonia Patients?

A protein-rich diet containing nuts, beans, peanuts, cold water fish (like sardines and salmon), and white meat with anti-inflammatory properties is ideal for pneumococcal pneumonia patients. These foods also help the body heal and regenerate tissues. Fruits like apples, oranges, pineapples, blueberries, and kiwis are also ideal since they contain high levels of vitamins A, C, and E and other anti-inflammatory and antioxidant properties.

13.

Can Pneumococcal Pneumonia Resolve on Its Own?

Only mild cases of pneumococcal pneumonia resolve on their own. A case of ‘walking pneumonia’ is so mild that one can continue their daily activities throughout their illness. Viral pneumonia also resolves on its own. Invasive types of pneumococcal infections are treated at the hospital or home using antibiotics. Severe infections can result in long-term illness, disability, or death.

14.

How Can I Recover From Pneumococcal Pneumonia Quickly?

One can recover from pneumococcal pneumonia by choosing foods good for the heart, drinking plenty of fluids, avoiding alcohol and drug abuse, refraining from smoking, drinking warm beverages, taking steam baths, using humidifiers, getting sufficient sleep, doing mild physical activity, sitting upright, and taking a couple of deep breaths many times a day. Deep breaths enable the lungs to open up.
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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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