clinical features

Last reviewed 01/2018

Clinical features of staphylococcal pneumonia may include:

  • cough - often productive but less so in young children
  • fever and chills
  • pleural pain
  • progressive dyspnoea
  • cyanosis
  • rigors
  • sputum may be bloody or frankly purulent
  • history of abrupt onset
  • chest expansion reduced
  • chest dull to percussion
  • bronchial breathing
  • crepitations

Primary infection usually occurs in infants and children with the abrupt onset of respiratory distress or a pneumothorax; secondary infection is a more likely aetiology in older children and adults.

Pulmonary symptoms are less apparent and onset more insidious when pneumonia develops following cystic fibrosis, nosocomial infection, bronchogenic carcinoma, and staphylococcal bacteraemia.