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Hospital-acquired pneumonia

  • Alternative Names

    Nosocomial pneumonia; Ventilator-associated pneumonia; Health-care associated pneumonia

    • Cough that may produce mucus-like, greenish, or pus-like phlegm (sputum)
    • Chills
    • Easy fatigue
    • Excessive sweating (rare)
    • Fever
    • General discomfort, uneasiness, or ill feeling (malaise)
    • Headache
    • Joint stiffness and pain (rare)
    • Loss of appetite
    • Muscle stiffness (rare)
    • Nausea and vomiting
    • Sharp or stabbing chest pain that gets worse with deep breathing or coughing
    • Shortness of breath

    Signs and tests

    A physical examination shows:

    • Crackles or decreased breath sounds when listening to the chest with a stethoscope
    • Decreased oxygen
    • Respiratory distress

    Tests performed may include:

    • Arterial blood gases
    • Blood cultures
    • Chest x-ray or CT scan
    • Complete blood count (CBC)
    • Sputum culture
    • Sputum gram stain