Last Updated : 8/1/2015
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Ira Shah
Neonates: Refusal of feeds, lethargy. Tachypnea, grunting, retractions, cyanosis.

Infants: Cough, fever, Refusal of feeds, lethargy.Tachypnea, grunting, retractions, cyanosis, wheezing, noisy breathing.

Preschoolers: cough, post tussive vomiting, fever, chest pain, abdominal pain.In severe cases: Tachypnea, grunting, retractions, cyanosis,

Older Children: fever, cough, chest pain, dyspnea. Pharyngitis and otalgia/otitis are other common symptoms.

The pathognomic sign of pneumonia is the presence of crackles (also called as crepitations). Localized crepitations in a febrile child without underlying lung disease is pneumonia until proven otherwise. However, not all

children with pneumonia

have crepitations. Decreased breath sounds with dull note on percussion and presence of bronchial breathing are also suggestive of pneumonia.

Contributor Information and Disclosures Ira Shah
Consultant Pediatrician, B.J.Wadia Hospital for Children, Mumbai, India

First Created : 1/2/2001
Last Updated : 3/5/2007
Contributor Information and Disclosures

Last Updated : 8/1/2015
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