Keywords: Streptococcus pneumoniae pneumonia symptoms and signs
1. Few prodrome symptoms, onset and more dramatic. Older children, Streptococcus pneumoniae pneumonia clinical manifestations similar to adults. Can be transient and mild upper respiratory tract infection symptoms, followed by chills, sudden high fever, body temperature can be as high as 40 ° C ~ 4l, facial flushing or cyanosis. Chest pain, loss of appetite, fatigue, and irritability or lethargy, dry cough, shortness of breath of 40 to 60 beats / min, breath moaning, nose fan, supraclavicular, intercostal space and Legong depression. Often lack signs of early signs of lung consolidation, more than 2 to 3 days. Breathing, chest pain, it is children more than Woyu the disease side. Cough is not more than the first few days of heavy phlegm, sputum was rusty after. Early multi vomiting, a small number of children with abdominal pain, sometimes misdiagnosed as appendicitis. Young children may have diarrhea. Mild conscious, a small number of children with headache, neck stiffness and other symptoms of meningeal irritation. Convulsions, delirium and coma in severe the toxic encephalopathy performance, often mistaken for central nervous system disorders. Severe cases may be associated with septic shock, even due to cerebral edema and brain herniation. Older children visible lip herpes.
Chest signs early only mild of percussion dullness or decreased breath sounds. 2 to 3 days duration after pulmonary consolidation typical percussion dullness, the fremitus enhancements and possession breath sounds, sometimes audible rales. Pulmonary signs less change throughout the course of the disease, but the recovery period increased auscultation. A small number of cases has never been any abnormal signs of the chest. Diagnosed to rely on X-ray examination.
3 most of the natural course of body temperature in the course of 5 to 10 days of arrest retire within 24h decreased 4 ~ 5 ℃, low around 35 ℃, visible sweat and exhaustion, a similar state of shock. Early antibiotic treatment in 1 to 2 days of fever, pulmonary signs disappeared about one week