Pneumonia is an acute or chronic inflammation of the lung tissue. It is usually triggered by bacteria, viruses or fungi that attack the fine air sacs in the lungs (alveoli). This is where gas exchange normally takes place - i.e. the absorption of oxygen into the blood.
If the disease is not treated in time, it can cause serious complications and be life-threatening. Elderly people, children and people with a weakened immune system are particularly at risk.
In Germany, over 500,000 people suffer from pneumonia every year - more than from a heart attack or stroke. Around a third of patients have to be treated in hospital.
Pneumonia is usually caused by bacteria, viruses or fungi @ yodiyim /AdobeStock
The signs of pneumonia differ depending on the type of pathogen. A basic distinction is made between typical and atypical pneumonia. While typical pneumonia is caused by bacteria (pneumococci), viruses and other pathogens are responsible for atypical pneumonia.
Typical symptoms:
A typical pneumonia is characterized by an acute course of the disease, which is accompanied by the following symptoms:
- Fever and chills
- Severe cough with or without sputum
- Shortness of breath
- Chest pain, often when breathing or coughing
- increased heart rate (tachycardia)
- General weakness and tiredness
- Confusion, especially in older people
Atypical symptoms (often with viral infection):
- dry chesty cough
- mild fever or no fever at all
- slowly increasing feeling of illness
In severe cases, cyanosis can occur - a bluish discoloration of the lips or fingernails due to a lack of oxygen.
The most common cause is bacteria, especially pneumococci. However, viruses, fungi, parasites or chemical irritants can also trigger inflammation.
Other risk factors are:
Environmental influences such as fine dust, gases or radiation exposure can also increase the risk.
The diagnosis is made by the family doctor or a specialist in respiratory medicine (pulmonologist).
Possible examinations are:
- Physical examination (listening to the lungs)
- X-ray of the chest (chest X-ray)
- Blood test (inflammation values, oxygen content)
- Swab of the cough sputum to determine the pathogen
- Pulse oximetry (measurement of oxygen saturation in the blood)
In severe cases, further procedures such as computer tomography (CT) or bronchoscopy (examination of the airways) are used.
If pneumonia is suspected, an X-ray of the chest (chest X-ray) is always necessary @ utah51 /AdobeStock
The therapy depends on the type of pathogen and the severity of the disease.
Possible treatments are
- Antibiotics (for bacterial infections)
- Antivirals or antifungals (for viruses or fungi)
- Antipyretics (e.g. paracetamol)
- Inhalations (e.g. with saline solution)
- Respiratory therapy and tapping massages
- Bed rest and adequate fluid intake
Important: Antibiotics should not be discontinued prematurely - even if the symptoms improve. Discontinuation can lead to antibiotic resistance.
If pneumonia is recognized and treated in time, most people heal completely within 10 to 14 days.
However, complications can also occur if the disease is severe:
- Pleuritis (inflammation of the pleura)
- Pleural effusion (fluid in the lungs)
- Lung abscesses (accumulation of pus)
- Sepsis (blood poisoning)
- Myocarditis (inflammation of the heart muscle due to protracted illness)
Chronically ill, smokers and elderly patients are at increased risk of complications. In rare cases, the disease can be fatal.
Yes - especially if it was caused by bacteria or viruses. The pathogens spread via droplet infection, i.e. when coughing, sneezing or speaking.
Protective measures against infection are:
- Frequent hand washing
- Keep your distance from sick people
- Mouth and nose protection in risk areas
- Cough and sneeze etiquette
A strong immune system is the best protection.
Tips for prevention:
- Regular exercise in the fresh air
- A balanced diet with plenty of vitamin C
- Avoid nicotine and excessive alcohol consumption
- Sufficient drinking
- Vaccinations against influenza and pneumococcus (especially for risk groups)
If pneumonia is not fully cured, it can become chronic or damage vital organs.
Dangerous secondary diseases are:
- Inflammation of the heart muscle (myocarditis)
- Meningitis (inflammation of the meninges)
- Lung failure
For this reason, those affected should continue to take it easy for several days after the fever has subsided and have regular medical check-ups.
Specialists in pneumology or pulmonary and bronchial medicine are primarily responsible for diagnosis and treatment. GPs also often provide initial treatment and refer patients to a specialist if necessary.
Pneumonia is a serious respiratory disease that can be caused by various pathogens. Early diagnosis and targeted treatment are crucial for a complication-free course. Preventive measures such as vaccinations, a healthy lifestyle and a strong immune system help to reduce the risk.
Glossary (important terms explained)
- Cyanosis: blue coloration of lips or fingers due to lack of oxygen
- Antibiotic resistance: bacteria no longer respond to antibiotics
- Pleural effusion: fluid collects between the lungs and chest wall
- Bronchoscopy: examination of the airways with a camera
- Sepsis: life-threatening spread of pathogens in the blood