Neonatal pneumonia

Infection in the lung are most commonly bacterial but may also be viral.

May be categorised into the following

  • Pneumonia acquired from the mother: congenital/transnatal. The onset of clinical signs is delayed for a few hours or days.
  • Aspiration pneumonia.

Clinical Presentation

The diagnosis is made on history and clinical symptoms. Pneumonia may be one symptom of a clinical spectrum of sepsis.

In newborn, pneumonia may present as:

  • Respiratory distress
  • Apnoea (Forgetting to breath)


  • Chest X-ray (AP and Lateral): X-ray findings may not be specific in pneumonia but may show non-specific areas of consolidation or atelectasis.
  • Septic Screening and Management of Infection.

Aspiration Pneumonia

Inhalation of milk or other agents, associated with respiratory symptoms.

Aspiration pneumonia may occur due to sucking/swallowing in-coordination caused by:

  • Prematurity
  • Structural malformations
  • Neurological disorders
  • HIE
  • Syndromes with poor sucking
  • Syndromes attributed to Gastro Oesophageal Reflux
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