Sepsis and Pneumonia

Pneumonia is an infection in the lungs. The infection can be only in one lung, or it can be in both. There are several causes of pneumonia but the most common are:

Left untreated, the infection can be deadly. In the days before antibiotics, it’s estimated that about one-third of those who developed bacterial pneumonia died.

Sepsis and septic shock can result from an infection anywhere in the body, including pneumonia. Pneumonia can be community-acquired, meaning someone develops pneumonia outside of the hospital. Pneumonia can also develop in a hospital or other healthcare facility, caused by a healthcare-associated infection (HAI). HAIs affect 1.7 million hospitalizations in the United States every year. An HAI is an infection contracted by people who are in the hospital for a different reason, such as surgery or treatment for another illness.

Sepsis, which was often called blood poisoning, is the body’s life-threatening response to infection. Like strokes or heart attacks, sepsis is a medical emergency that requires rapid diagnosis and treatment.

Suggested Citation:
Sepsis Alliance. Sepsis and Pneumonia. 2024. https://www.sepsis.org/sepsisand/pneumonia/

Updated January 5, 2024.

 

Funding for this campaign was provided by unrestricted support from Dompé.

More About Pneumonia

Symptoms

Some people can have pneumonia and not know it, but the most common signs and symptoms are:

  • Fever
  • Cough, with phlegm
  • Shortness of breath
  • Sweating
  • Shaking chills
  • Headache
  • Muscle pain
  • Fatigue
  • Chest pain with breathing

You do not have to have all these symptoms to have pneumonia. You may have heard the term “walking pneumonia.” It’s not an official medical term, but it usually means that it is a mild case, producing milder, slower-to-develop symptoms.

Risk Factors

While anyone can develop pneumonia, some people are at higher risk than others. These include those who:

  • Are older
  • Are very young
  • Recently had a cold, influenza, or COVID-19
  • Smoke
  • Have a respiratory illness, such as chronic obstructive pulmonary disease (COPD)
  • Were or are exposed to certain inhaled toxins
  • Recently had surgery
  • Are in an intensive care unit
  • Are malnourished
Treatment

Pneumonia treatment depends on the type of infection you have.

Bacterial

Antibiotics are used to treat bacterial pneumonia. The type of antibiotic your doctor would choose depends on the bacteria causing the infection. If you have a prescription for antibiotics, you should finish all the medication, even if you start to feel better. You will begin to feel more like yourself before the infection is completely gone. If you stop the medications before the infection disappears, you could get a more serious pneumonia that can’t be treated as easily.

Viral

Viral pneumonia does not respond to antibiotics; they will not do any good. In general, there isn’t much that can be done for viral pneumonia other than advising that you rest and take in plenty of fluids to stay hydrated. In some cases, doctors may prescribe an anti-viral medication.

Fungal

Medications called anti-fungals treat fungal pneumonia.

Prevention

Sometimes we can prevent pneumonia. If you will have general anesthetic for  surgery, you could be at risk for developing a bacterial pneumonia. To lower the risk, you will be encouraged to get up and out of bed after the procedure, even if you may not feel up to it. If you can’t get up and move around, you will be encouraged to breathe deeply and cough on a regular basis. This is to help keep your lungs clear. You might be given a device called an incentive spirometer. This small device encourages you to take deep breaths, to expand your lungs.

There is a vaccine that can help prevent pneumococcal pneumonia, caused by Streptococcus pneumoniae. The CDC recommends that all adults over 50 and adults over 18 with certain risk factors receive the vaccine, as well as children younger than 5 years or older children who may be at risk.

There is also a vaccine for children to decrease their risk of developing one of four types of infections, including pneumonia:

  • Meningitis (infection in the brain)
  • Bacteremia (infection in the blood)
  • Otitis media (infection in the middle ear)
  • Pneumonia

Related Resources

Information Guide

LA SEPSIS Y LA NEUMONÍA

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Information Guide

Pneumonia

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Alyvia C.

Towards the beginning if this year, I came down with what was believed to be strep. My illness consisted of swollen lymph nodes, tonsils, and a sore throat. I was in bed for days. I began feeling better after I went to an urgent care in my town and started on antibiotics. Stupidly, I didn’t finish my round of antibiotics because I began to feel better. (Sepsis and Strep Throat) About a week later, I started experiencing extreme pain in my left lung. Thinking it was muscle spasms, I ignored it. After suffering from the pain for a week, I ... Read Full Story

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Paula Jacobs

After working on development of one of the country’s first electronic sepsis alerts, followed by 18 years of leading teams in early detection and treatment of sepsis, I thought I knew everything there was to know about sepsis. But I did not know how it makes you feel. That all changed in 2016 when I developed severe sepsis after just a couple of days of fever from undiagnosed pneumonia. (Sepsis and Pneumonia) There was no preceding upper respiratory illness, no cough, just fever and extreme fatigue. It was about the sickest I had ever felt, with that vague yet horrible ... Read Full Story

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Shama Dunlow

As a 19-year-old, I never thought I’d get sepsis. I initially thought it was bad asthma since the it started getting colder and with college and work, I thought maybe I was pushing myself too hard. It was Thanksgiving break and I was at work when I first started feeling out of breath. It felt like asthma, I didn’t feel sick. It wasn’t until 4 days later that I started to get a fever and my lungs felt like they were being weighed down. I couldn’t eat and I started to throw up throughout the night. It was the night ... Read Full Story

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Brandi Baltes

I went into a doc in the box in late November 2023 for strep throat. (Sepsis and Strep Throat) Within a week, I was being transported from that same doc in the box for extremely low blood pressure. Next thing I remember is waking up from a coma. I had COVID, septic shock, kidney failure, diaphragmatic spasms, and pneumonia. (Sepsis and Covid-19, Sepsis and Pneumonia) I was in the ICU for 35 days1 2 weeks in a coma. The nightmares I had while in my coma still haunt me. I’m terrified of anything that seems “off” with my health. Read Full Story

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Brandon B.

Shortly after Hurricane Beryl hit Houston, Tx in July 2024, our (23yo) son diagnosed with Angelman Syndrome, a rare neuro-genetic disease, began to exhibit signs of illness. When someone you love is unable to communicate it’s one of the most difficult challenges you face as a caregiver. Initially we thought Brandon’s behavior changes were a sign of frustration due to the extended power outages in our area. Then came a sudden onset of 103 degree fever with increasing agitation. We immediately took him to the ER for assessment which revealed an ear infection and kidney stone. Shortly after arriving he ... Read Full Story

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Pneumonia