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Pneumonia

Sepsis and septic shock can result from an infection anywhere in the body, including pneumonia. Pneumonia can be community-acquired, meaning that a person becomes ill with pneumonia outside of the hospital. Pneumonia can also be caused by a healthcare-associated infection (HAI), which affect 1.7 million hospitalizations in the United States every year. An HAI is an infection contracted by people while the hospital for a different reason, such as surgery or treatment for another illness.

Sometimes incorrectly called blood poisoning, sepsis is the body’s often deadly response to infection. Like strokes or heart attacks, sepsis is a medical emergency that requires rapid diagnosis and treatment.

Sepsis and septic shock can result from an infection anywhere in the body, such as influenza or urinary tract infections. Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue,  organ dysfunction (organs don’t work properly), and/or amputations.

The most common source of infection among adults is the lungs.

pneumonia is one of the most common infections leading to sepsis

What is 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.

 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.

Who is at higher risk for developing the infection?

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

  • The elderly
  • The very young
  • People who recently had a cold or influenza
  • Smokers
  • Having a respiratory illness, such as chronic obstructive pulmonary disease (COPD)
  • Exposure to certain inhaled toxins
  • Recent surgery
  • People in intensive care units
  • People who are malnourished

What is the treatment?

Treatment depends on the type of infection you have.

Bacterial

Antibiotics treat bacterial pneumonia. The type of antibiotics your doctor may 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, but this is not common.

Fungal

Medications called anti-fungals treat fungal pneumonia.

Preventing pneumonia

Sometimes we can prevent pneumonia. If you have surgery that requires general anesthetic, you could be at risk for developing bacterial infection. To lower the risk, get up and out of bed after the surgery. If you can’t get up and move around, breathe deeply and cough on a regular basis. This is to help keep your lungs clear.

There is a vaccine that can help prevent a common type of pneumonia called pneumococcal pneumonia, caused by Streptococcus pneumoniae. There is also a vaccine that doctors can give children to decrease the risk of developing one of four types of infections:

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

Doctors recommend the vaccine ito the elderly and for people at high risk of developing pneumonia. If you fall into one of those categories, you may want to discuss this with your doctor.

If you suspect sepsis, call 9-1-1 or go to a hospital and tell your medical professional, “I AM CONCERNED ABOUT SEPSIS.” 

The information here is also available as a Sepsis Information Guide, which is a downloadable format for easier printing.

Would you like to share your story about sepsis or read about others who have had sepsis? Please visit Faces of Sepsis, where you will find hundreds of stories from survivors and tributes to those who died from sepsis.

Updated November 3, 2021.

Read Personal Stories of Sepsis and Pneumonia

Rebecca Brindle

Survivor

Back in January of 2016, I was working third shift as a registered nurse for a nursing home. I had just finished my shift when two first shift nurses came to me and told me I didn’t look well, and they suggested I rest for awhile in one of the spare beds before driving home. I was extra tired so I went and laid down. One of the nurses came back to wake me up later on, but I still felt really tired so I told her I would rest a bit more. I slept until it was time to ... Read Full Story

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Lily Salska

Survivor, Survivor

It’s been a little over a year now since I nearly lost my life to sepsis, a condition I knew very little about and can affect anyone. The experience now being one of the hardest things I have ever gone through and not a day goes by that I don’t think of it in some sense. One day I was healthy and fine, sitting writing having breakfast in Nepal and within a matter of days hooked up to IVs and later a ventilator. There was an exact moment I knew things were teetering on life and death, (the little semblance ... Read Full Story

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Poppy F.

Survivor, Survivor, Survivor

My name is Poppy, and I want to tell you my full story to make sure you know the signs of sepsis- it almost took my life. I was 36 weeks pregnant. My breathing had been shallow for a week and it hurt to move; to describe the pain, it felt like I had been kicked in the ribs, like an awful stitch or heartburn every time I moved. It was becoming hard even just to sit up in bed in the morning because every moment sent ripples of pain through my body. (Sepsis and Pregnancy & Childbirth) I knew ... Read Full Story

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Kayla Ferrer

Survivor, Survivor, Survivor, Survivor

Kayla was admitted for hip pain then became septic due to osteomyelitis of the hip, which was also MRSA. Due to her asthma she got pneumonia. (Sepsis and MRSA, Sepsis and Pneumonia) Kayla was intubated two days after being admitted. Went into surgery to remove the infection but unfortunately her heart was failing she received two rounds of chest compressions and was placed on ECMO. Kayla was not getting any better her left lung was completely collapsed after a bronchoscopy that an RT recommended. From one day to another she showed so much improvement. After 7 days on ECMO she ... Read Full Story

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Kimberly Brown

Survivor, Survivor, Survivor, Survivor, Survivor

My story started in 2017, I was recently married in Punta Cana and just returned from our first family vacation in Florida. Upon returning, I woke up with a swollen lip that I thought was a sun blister that I had picked at the night before. I went to the ER and was sent home with Bactrim and Keflex being treated for a skin infection. I had broke out with a sulphur rash on my 8th day of treatment and was advised to discontinue the meds. At this time the infection had appeared to have healed on the outside but ... Read Full Story

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Pneumonia

Sepsis and septic shock can result from an infection anywhere in the body, including pneumonia. Pneumonia can be community-acquired, meaning that a person becomes ill with pneumonia outside of the hospital. Pneumonia can also be caused by a healthcare-associated infection (HAI), which affect 1.7 million hospitalizations in the United States every year. An HAI is an infection contracted by people while the hospital for a different reason, such as surgery or treatment for another illness.