Signs Of Pneumonia In Kids: Don’t Miss The Warning Signs| Treatment Options Explained

Protect your little ones: spotting pneumonia in kids is made easy. Discover effective treatments and proven prevention strategies now!

Kids are weak and delicate creations of God. They may sometimes become vulnerable to specific situations or things that may cause them to suffer long-term. A child’s health might worry you if you are a new parent.

It is the nature of every parent to keep a check on their child’s health. However, it is sometimes compromised unintentionally. Kids get sick and recover, but what if the sickness prevails, leading to long-term damage?

Numerous illnesses affect the species in many ways. Although there is a cure for almost every illness, that only works if diagnosed on time. One of those illnesses is pneumonia. Pneumonia is quite common in kids; most kids suffer from it yearly.

If your kid suffers from constant coughing or fever, he will likely develop pneumonia. This article will discuss the signs of pneumonia in kids, the long-term effects of pneumonia as a child, and everything that will help you diagnose and treat your child. So bring the pen and make the notes; you’ll be making a diagnosis!

What is pneumonia?

Pneumonia in kids is a lung infection that can make your little ones feel sick. It’s like a cold or flu but much more severe. When someone has pneumonia, the tiny air sacs in their lungs become inflamed and fill up with fluid, making breathing hard.

National Heart, Lung, and Blood Institute define pneumonia as:

“an infection that affects one or both lungs.”

Imagine your lungs like balloons that you use to blow up. When you blow them up, they fill with air and expand. But with pneumonia, instead of air, the lungs fill with fluid. This makes breathing harder for your child, who may feel unable to catch their breath.

Taking your child to see a doctor if you think they might have pneumonia is vital. The doctor can do some tests to figure out what’s causing the infection. Fortunately, most kids recover from pneumonia with proper pneumonia treatment, like antibiotics or antiviral medications.

So if your little one is under the weather, watch for signs of pneumonia in kids!

History of pneumonia

Pneumonia is a disease that has been around for centuries, affecting people of all ages and backgrounds. The earliest known reference to pneumonia dates back to ancient Greece, where it was described by the physician Hippocrates in the 4th century BC.

Over the centuries, many people have fallen victim to pneumonia, including names like Beethoven, Darwin, and Franklin D. Roosevelt. During World War I, it was the primary cause of death among soldiers due to unsanitary conditions in the trenches.

While the disease has affected people of all ages throughout history, children are particularly vulnerable due to their weaker immune systems and developing lungs. In the early 20th century, pneumonia was also the leading cause of death in children, claiming the lives of thousands of young ones each year. This was before the development of antibiotics, which helped to revolutionize pneumonia treatment.

However, even with the availability of antibiotics, pneumonia remains a severe illness for children. In fact, according to the World Health Organization, pneumonia is still one of the leading causes of death among children under the age of 5.

Recently, there has been a renewed focus on preventing pneumonia in children, especially in developing countries with limited access to medical care. Vaccines have played a significant role in this effort, with the vaccine for pneumococcal bacteria and Haemophilus influenzae type b helping to reduce the incidence of pneumonia in children significantly.

What are its causes?

Your little ones can get different types of pneumonia, each with its cause. Knowing the types of pneumonia can help you identify the symptoms and get proper treatment for your child. So let’s dive into it! Let’s look at the primary causes:

Viral pneumonia

One of the most common causes of pneumonia in children is viral infections. Viral pneumonia, as the name suggests, is caused by some viruses. Viral pneumonia is a sneaky ninja that attacks your lungs with stealth and speed. The viral causes of pneumonia include the following viruses.

  • Respiratory syncytial virus
  • Adenovirus
  • Parainfluenza virus
  • Influenza virus

Viral pneumonia is difficult to diagnose, as it can mimic the symptoms of bacterial pneumonia. However, the symptoms of pneumonia may include a dry cough, fever, headache, and muscle aches.

Fungal pneumonia

Fungal pneumonia is like a tricky magician who uses weakened immune systems to cause lung trouble. Fungi like

  • Pneumocystis jirovecii
  • Aspergillus fumigatus,
  • Histoplasma capsulatum

Can cause fungal pneumonia. This type of pneumonia is more common in people with weakened immune systems, such as Infants with HIV/AIDS or cancer. Fungal pneumonia symptoms may include fever, cough, chest pain, and difficulty breathing.

Bacterial pneumonia

Bacterial pneumonia is like an unwelcome intruder that invades your lungs and causes inflammation. Some of the most common causes of bacterial pneumonia are

Streptococcus pneumoniae

  • Haemophilus influenzae,
  • Legionella pneumophila.

When you have bacterial pneumonia, your body’s immune system will try to fight it, leading to symptoms such as high fever, chest pain, coughing, and difficulty breathing. This battle between the bacteria and your immune system can cause serious health issues if not treated promptly.

Symptoms of pneumonia

Although pneumonia symptoms look familiar in adults and kids, there could be some possible distinctions because of the disease’s severity and cause. Let’s look at the symptoms of pneumonia in kids and adults individually.



A persistent cough that produces phlegm or mucus is a common symptom of pneumonia in adults. The cough may be dry or dry wet and can be accompanied by chest pain.


Fever is the most common symptom of pneumonia in adults ranging from mild to high. A high fever may indicate a more severe infection/

Shortness of breath

Difficulty breathing or shortness of breath is a common symptom of pneumonia in adults, mainly when performing physical activities.

Chest pain

Chest pain that is sharp or stabbing in nature can be a symptom of pneumonia, particularly when taking deep breaths or coughing.


Pneumonia can cause fatigue and weakness, making it difficult to carry out daily activities.


High fever

A high fever is often the first sign of pneumonia in kids. Chills and sweating might accompany it.

Rapid breathing

Children with pneumonia may breathe faster than usual or have trouble catching their breath. They may also wheeze or cough.

Chest retractions

In severe cases of pneumonia, children may have retractions or visible pulling of the chest wall with each breath.

Bluish skin

Children with pneumonia may have bluish skin or lips, indicating a lack of oxygen.

Decreased appetite

Pneumonia can cause a decrease in appetite, leading to rapid weight loss in children.


Diagnosis of pneumonia

To diagnose pneumonia in kids, a healthcare provider may follow the below-mentioned steps:

Conduct a physical exam

This will involve checking the child’s breathing and listening to their chest with a stethoscope for any crackling or wheezing sound.

Take a medical history

The healthcare provider will ask about the child’s symptoms, including when they started and how severe they are. They may also ask about the child’s medical history, including any underlying health conditions.

Order tests

The healthcare provider may order additional tests depending on the child’s symptoms and medical history. These tests can help identify the cause of pneumonia and determine the most appropriate treatment.

Monitor the child

If the child has mild pneumonia, the healthcare provider may monitor their symptoms and recommend rest and plenty of fluids. However, if the pneumonia is severe, the child may need hospitalization and treatment with antibiotics or antiviral medications.

Methods of diagnosing

It is essential to seek medical attention promptly if you suspect signs of pneumonia in kids, as early treatment can help prevent complications and speed up recovery. There are several methods of diagnosing pneumonia, including:

Blood tests- looking at body fluid

Blood tests can provide valuable information about the type of infection causing pneumonia and its severity. A complete blood count (CBD) can help identify whether the child has an infection and how their immune system is responding.

Additionally, a blood test for procalcitonin (PCT) levels can differentiate bacteria from viral infections, which can help guide treatment decisions. It’s like peeking inside the body to see how the immune system fights off the infection.

Chest x-ray- a peek at the lungs

A chest X-ray is a commonly used diagnostic test for pneumonia. It’s like taking a picture of the lungs to see if there are any areas of inflammation or infection.

The X-ray can show the doctor whether one or both lungs are affected and the severity of the infection. It’s like looking at a map of the lungs to help guide treatment decisions.

Pulse oximetry- keeping check of oxygen levels

Pulse oximetry is a non-invasive test that measures the oxygen saturation level in the blood. This test can help determine whether the child is getting enough oxygen, which is vital in cases of pneumonia where the lungs are not functioning correctly.

A low oxygen saturation level may indicate pneumonia or other respiratory problems and can prompt the healthcare provider to order additional tests. It’s like a quick check-up to see how well the lungs work.

Sputum test- taking a sample

If the child produces sputum (phlegm), a sample may be collected and sent to a laboratory for analysis. This test can help identify the type of bacteria causing the infection, which can help healthcare providers choose the most appropriate antibiotic.

Collecting sputum can be complicated, particularly in young children who cannot cough up phlegm, so healthcare providers may use techniques like chest physiotherapy to help the loosened mucus.

Blood culture- identifying bacteria

Blood cultures involve taking a sample of the child’s blood and testing it for bacteria. This test can help identify the specific bacteria causing the infection, which can help the healthcare provider choose the most effective antibiotic.

It’s like being a detective, searching for clues to identify the culprit responsible for the infection.

Arterial blood gas- measuring oxygen and carbon dioxide levels

In some cases, arterial blood gas (ABG) tests may be ordered. This test involves taking a blood sample from an artery, typically in the wrist, to measure oxygen and carbon dioxide levels.

This test can help determine how well the lungs function and whether the child is getting enough oxygen. It’s like examining how well the lungs exchange gasses with the bloodstream.

Urine antigen tests- identifying pneumococcal infection

Urine antigen tests can help identify specific types of bacteria, such as Streptococcus pneumoniae, a common cause of pneumonia in children.

This test involves collecting a sample of the child’s urine and testing it for the presence of specific antigens, which are markers of the bacteria. It’s like using a unique tool to identify the specific type of bacteria causing the infection.

Thoracentesis- removing fluid

In some cases, pneumonia can cause fluid to build up in the space between the lungs and chest wall, known as the pleural space. A thoracentesis involves using a needle to remove some of this fluid for testing.

This test can help identify the cause of the fluid buildup and guide treatment decisions. It’s like draining a pool to see what’s lurking at the bottom.

Bronchoscopy- a closer look inside

In some cases of pneumonia, a bronchoscopy may be ordered. This test involves inserting a thin, flexible tube with a camera on its end into the child’s airway to get a closer look at the lungs.

This test can help identify the cause of pneumonia and rule out other conditions like foreign objects in the airways. It is like taking a mini-submarine ride through the lungs to see what’s happening inside.

Treatment of pneumonia in kids

When you see the signs of pneumonia in kids, it is advised to seek pneumonia treatment.

  • Antibiotics
  • Antivirals
  • Oxygen therapy
  • Nebulizers
  • Intravenous fluids


Antibiotics are like superheroes fighting off the villains, which can help treat bacterial pneumonia by killing off harmful and problem-causing bacteria.


If your kid has viral pneumonia, they will be given antivirals to treat the infection. Consider the example of James Bond having unique gadgets that help him on his missions; antivirals work similarly. They block the replication of viruses in our immune system leading to recovery.

Oxygen therapy

Oxygen therapy is like boosting the lungs when they struggle to get enough oxygen.


Nebulizer is a magic stick that directly delivers medications to the lungs. It can help deliver medications to the lungs by reducing inflammation and improving breathing.

Intravenous fluids

Intravenous fluids are like a lifeline that keeps the body hydrated and nourished. It is similar to providing nutrients and fluids to the body when it’s too weak to eat and drink independently.

How to avoid pneumonia in kids?

When you notice signs of pneumonia in kids, seek medical help. However, there are a few ways to protect your little one from getting infected with the pneumonia virus.

  • Get vaccinated
  • Practice good hygiene
  • Cover coughs and sneezes
  • Avoid exposure to smoke
  • Keep up with healthy habits
  • Limit exposure to sick people

Let’s have a look at each in detail!

Get vaccinated

One of the best ways to prevent pneumonia in kids is by vaccinating them. Vaccines can help protect against certain types of bacteria and viruses.

Vaccination is like wearing a superhero suit that protects you from bad guys. Iron man’s suit protects him from harm so that the vaccine can protect kids from dangerous viruses and bacteria.

Practice good hygiene

Hand hygiene is integral to preventing the spread of germs that can cause pneumonia. Encourage your kids to wash their hands frequently with soap and water or use hand sanitizer when soap and water are unavailable.

Hand hygiene is like a force field that keeps germs from entering your body. It is like having a magical shield that stops germs in their track.

Cover coughs and sneezes

When kids cough or sneeze, they can release droplets that contain germs that can cause pneumonia. Encourage kids to cover their coughs and sneezes with a tissue or their elbow to help contain the spread of germs.

Covering coughs and sneezes is equivalent to using a magic wand to put germs in a box, similar to the wand of Harry Potter, which keeps his fears locked in the closet!

Avoid exposure to smoke

Exposure to smoke, whether from cigarettes or other sources, can increase the risk of respiratory infections like pneumonia. Keep kids away from smoking as much as possible, and avoid smoking in the car or at home.

Just like wearing a gas mask protects you from exposure to smoke in a warzone, it will protect you from inhaling harmful pollutants.

Keep up with healthy habits

Maintaining a healthy lifestyle can help strengthen the immune system and reduce the risk of infections. Encourage the kids to eat a balanced diet, sleep well, and stay physically active.

Imagine your body as a castle and these habits as a fortress around it. They will protect you from diseases, just like a fortress protects a castle from invaders.

Limit exposure to sick people

Pneumonia is often caused by germs that can spread from person to person. Avoiding contact with sick people, especially those with respiratory infections, can help limit the spread of germs and reduce the risk of pneumonia.

It is more like avoiding a dragon’s fiery breath. Like how a knight would avoid getting burned by a dragon, staying away from the sick can help protect from germs.

Who gets pneumonia?

Children of any age can get pneumonia, but some kids are at a higher risk than others. Here are some factors that can increase a child’s risk of developing pneumonia:

  • Age
  • Weak immune system
  • Chronic health conditions
  • Environmental factors
  • Recent illness
  • Genetic factors

Let’s see what role each of the factors plays!


Younger children, especially those under two years old, are at a greater risk of getting affected by pneumonia.

Weak immune system

As mentioned earlier, kids with a weak immune system, like those having HIV or cancer, are more at risk of catching the disease.

Chronic health conditions

If your child has a chronic illness like asthma or cystic fibrosis, they are more likely to catch the germs of pneumonia.

Environmental factors

Living in crowded or unsanitary conditions or being exposed to pollution or secondhand smoke can put your kid at higher risk.

Recent illness

Children who have recently had a cold, flu, or any other respiratory infection may be more vulnerable to disease,

Genetic factors

Some genetic factors may make certain children more susceptible to pneumonia than others.

Is Pneumonia contagious?

Yes, pneumonia is contagious for kids. As various bacteria and viruses cause it, it can transfer from one person to another through coughing, sneezing, or contact with respiratory secretions.

While anyone can get pneumonia, children are at higher risk because of their immature immune systems.

Key points/facts about pneumonia in children

Here are some key facts that you should know when studying pneumonia:

  • Pneumonia is one of the top 10 leading causes of death in children under the age of 5 worldwide.
  • The pneumococcal vaccine, which can help prevent some types of bacterial pneumonia, is highly effective in reducing the incidence of pneumonia in kids by 86%.
  • Children who attend daycare or school are at higher risk of developing pneumonia due to increased exposure to germs and viruses.
  • Some children may develop pneumonia due to inhaling toxic substances like smoke or chemicals.
  • Children who are hospitalized with pneumonia may be at risk of developing a hospital-acquired infection, such as MRSA or C difficile.

Wrapping up!

Recognizing the signs of pneumonia in kids is crucial for early detection and treatment. Some of the common symptoms include cough, fever, and difficulty breathing.

Once diagnosed, pneumonia treatment typically involves a combination of antibiotics, antivirals, oxygen therapy, and many more.

It is essential to work closely with a healthcare provider to develop a treatment plan tailored to the child’s needs and prevent the spread of pneumonia to others.


When should I suspect my child of pneumonia?

Suspect pneumonia if your child has a persistent cough, fever, difficulty breathing, and chest pain.

What are the first warning signs of pneumonia?

The first warning signs of pneumonia include cough, fever, fatigue, and loss of appetite.

How do you rule out pneumonia in children?

Pneumonia can be ruled out in children through physical examination, chest x-ray, and laboratory tests.

What are the four stages of pneumonia in kids?

The four stages of pneumonia in kids are consolidation, red hepatization, gray hepatization, and resolution.