How can I manage pneumococcal infection in my infant?

Question

Hello doctor,

My three-month-old baby has a fever, is very fussy, and has a poor appetite. I have also noticed faster breathing than usual.

Could this be a sign of a pneumococcal infection?
How serious is this in infants?
What treatments are recommended?
Are there vaccines that can protect him in the future?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Yes, it could be a pneumococcal infection. Due to the difficulty in breathing, your child might require hospital admission. He might need to do a chest X-ray, given oxygen if the oxygen saturation is low. Also, he might require antibiotics. There are vaccines available like pneumococcal vaccine about three doses for children, also influenza vaccines. This will help prevent pneumococcal infection. However other preventive methods include avoiding indoor cooking, ensuring a well-ventilated apartment, and preventing your child from getting in contact with a sick child or adult.

The probable causes:

Common in children.
Lack of vaccination.
Contact with someone coughing.

Investigations to be done: Chest X-ray.

Differential diagnosis: Bronchiolitis (hyperactive airway disease).

Probable diagnosis: Bronchopneumonia.

Treatment plan:

Hospital admission.
Intranasal oxygen if desaturated.
IV (intravenous) antibiotics.

Preventive measures:

Ensure vaccination.
Well aerated rooms.
Avoid contact with sick individuals.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.