Clinical manifestations of pneumococcal pneumonia

The main clinical manifestations of pneumococcal pneumonia are cold, fatigue, drunkenness, and a history of viral infection. Most of them have a prodrome of upper respiratory tract infection for several days, the onset is more abrupt, high fever, chills, body temperature usually rises to 39 to 40 degrees within a few hours, the peak is in the afternoon and evening or myogenic fever, the pulse rate increases, the patient feels muscle aches all over the body, chest pain can radiate to the shoulders and abdomen, cough or deep breathing is aggravated, less sputum, may be bloody or rust-colored, occasionally nausea and vomiting, abdominal pain and diarrhea, is misdiagnosed as an acute abdomen.

The patient presents with acute fever, crimson cheeks, nasal alar agitation, burning and dry skin, herpes simplex at the corners of the mouth and around the nose, cyanosis may occur when the lesions are extensive, mucocutaneous bleeding spots may occur in patients with sepsis, neck resistance and pathological reflexes may occur when the meninges are involved.

The heart rate is increased and sometimes irregular.

Early pulmonary signs are unremarkable, except for decreased thoracic respiratory movements, mild percussion, decreased breath sounds, and pleural friction rubs. Lung parenchymal changes are sometimes characterized by dullness, increased tactile tremor, and bronchial breath sounds.

Crackles can be heard during the dissipation phase, intestinal inflation is present in severe cases, and epigastric tenderness is mostly related to inflammation involving the septal pleura. When the infection is severe, it is accompanied by shock, acute respiratory distress syndrome and neurological symptoms, manifested as confusion, irritability, dyspnea, drowsiness, coma, etc.