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Pneumonia: Symptoms, Causes, and Treatment

Medically reviewed by Antonio Matilla, MD. Internal MedicineLast reviewed:

Reading time: 2 minutes

About the author: Dr. Antonio Matilla, MD. is a graduate of the Anahuac University School of Medicine. Likewise, said university is affiliated with the National Autonomous University of Mexico UNAM. Moreover, Dr. Matilla completed a specialty in Internal Medicine from the Health Sector. He has more than two decades of experience in Internal Medicine in Puerto Vallarta. Antonio Matilla, MD. is characterized by his ethical and trustworthy treatment towards his patients. In addition, Dr. Antonio Matilla is highly trained and has various publications. It performs to the highest medical quality standards.

Quick answer

Pneumonia is an infection that inflames the air sacs in one or both lungs, causing cough, fever, and difficulty breathing. Most cases caused by bacteria improve with antibiotics within a week, but pneumonia can become serious quickly in young children, older adults, and people with weakened immune systems — difficulty breathing is always a reason to seek care right away.

Pneumonia: Symptoms, Causes, and Treatment

What is pneumonia?

Pneumonia happens when the tiny air sacs (alveoli) in the lungs fill with fluid or pus, usually due to infection. It can affect one lung (unilateral) or both (bilateral), and ranges from mild to life-threatening depending on the cause and the person’s overall health.

What are the symptoms of pneumonia?

  • Cough, often producing yellow, green, or blood-tinged mucus
  • Fever, chills, and sweating
  • Shortness of breath, even with mild activity
  • Chest pain that worsens with breathing or coughing
  • Fatigue and confusion (especially in older adults)
  • In infants: rapid breathing, grunting sounds, or poor feeding instead of typical adult symptoms

What causes pneumonia?

  • Bacterial (most common in adults) — often Streptococcus pneumoniae.
  • Viral — including flu and respiratory syncytial virus (RSV), common in children.
  • Fungal — less common, usually in people with weakened immune systems.
  • Aspiration pneumonia — from inhaling food, liquid, or vomit into the lungs.

Risk increases with age over 65, smoking, chronic lung disease, and a recently weakened immune system (after flu, for example).

How is pneumonia diagnosed?

Diagnosis combines a physical exam (listening to the lungs) with a chest X-ray to confirm and locate the infection. Blood tests and sometimes a sputum culture help identify the specific cause, which guides antibiotic choice.

What is the treatment for pneumonia?

  • Bacterial pneumonia: oral or, in more severe cases, intravenous antibiotics, usually for 5–7 days.
  • Viral pneumonia: supportive care (rest, fluids, fever control); antivirals in specific cases like influenza.
  • Oxygen support if blood oxygen levels are low.
  • Hospitalization for severe cases, especially in older adults, infants, or people with underlying conditions.

Everything under one roof

Chest X-ray, lab work, and emergency or inpatient care are all available at the same location, so a suspected pneumonia can be confirmed and treated the same day.

Persistent cough, fever, or trouble breathing? Message us on WhatsApp and our team will guide you on next steps.

When should you go to the ER for pneumonia?

Go immediately if you experience: difficulty breathing or breathing rapidly, bluish lips or face, confusion, chest pain that doesn’t ease, or a fever that doesn’t respond to medication — especially in young children, adults over 65, or anyone with a chronic illness.

How can pneumonia be prevented?

  • Get the pneumococcal and annual flu vaccines, especially if you’re over 65 or have a chronic condition.
  • Wash hands frequently and avoid close contact with people who have respiratory infections.
  • Don’t smoke, and manage chronic conditions like asthma or COPD closely.
  • Practice good oral hygiene, which lowers aspiration pneumonia risk in older adults.

Reviewed by: Dra. Itzel Aguayo, General Medicine, and Dr. David Hernández, Internal Medicine, Hospital CMQ. Review date: July 2026. References: World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), Mayo Clinic.

Frequently asked questions

Is pneumonia contagious?

The bacteria or viruses that cause it can spread person to person, though not everyone exposed develops pneumonia — it depends on the immune system and the specific germ involved.

How long does it take to recover from pneumonia?

Mild cases improve within 1–2 weeks; fatigue and cough can linger for several weeks, especially in older adults.

Can pneumonia be treated without hospitalization?

Yes, most cases are treated at home with oral antibiotics; hospitalization is reserved for more severe cases or high-risk patients.

What’s the difference between pneumonia and bronchitis?

Bronchitis affects the airways; pneumonia affects the air sacs deeper in the lungs, and tends to cause higher fever and more severe symptoms.

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