What should you know about verminous pneumonia?

Pneumonia causes inflammation in the small air spaces of the lungs, which can interfere with oxygen exchange. It may follow infection with bacteria, viruses or other organisms. Pneumonia can present with cough, coughing up phlegm, fever, chills, chest discomfort, tiredness or shortness of breath. COVID-19 and influenza can cause illness with similar features, so symptoms alone cannot identify the cause. Older adults and people with long-term health conditions may become seriously unwell without a high fever.

Arrange a clinical assessment when a cough is accompanied by fever, breathlessness, chest pain, marked weakness or worsening phlegm. A clinician may check your breathing, oxygen level, temperature and chest, and may arrange further tests. Rest, drink enough fluid for your circumstances and follow the treatment plan provided. Avoid smoking and reduce close contact with others while you have an infectious respiratory illness. Do not start leftover antibiotics; the appropriate treatment depends on the suspected cause and your health.

Get emergency help for severe difficulty breathing, blue or grey lips, new confusion, fainting, severe chest pain or inability to stay awake. Seek same-day medical advice for rapidly worsening symptoms, persistent high fever, coughing blood, dehydration or a sudden decline after initial improvement. Sepsis is a medical emergency; possible warning signs include confusion, very fast breathing, mottled skin or feeling dramatically worse than expected.

What is the likely cause of my pneumonia? Do I need testing or treatment today? Which changes in breathing or temperature should trigger urgent help? When is it safe to return to work, school or close contact?