And see your doctor right away if you have difficulty breathing, develop a bluish color in your lips and fingertips, have chest pain, a high fever, or a cough with mucus that is severe or is getting worse. If you think you or your child has symptoms of pneumonia, don't wait for the disease to get even worse before you seek care. For individuals that already have a chronic lung disease, those symptoms may worsen. Older adults who have pneumonia sometimes have sudden changes in mental awareness. They may even have a lower than normal temperature. Older adults and people who have serious illnesses or weak immune systems may have fewer and milder symptoms. Or, they may vomit, have a fever and cough, or appear restless, sick, or tired and without energy. Newborns and infants may not show any signs of the infection. Symptoms may vary in certain populations. There may be a high fever and there may be blueness of the lips. Within a day or two, the symptoms typically get worse, with increasing cough, shortness of breath and muscle pain. Early symptoms are similar to influenza symptoms: fever, a dry cough, headache, muscle pain, and weakness. The symptoms of viral pneumonia usually develop over a period of several days. A patient's mental state may be confused or delirious. Lips and nailbeds may have a bluish color due to lack of oxygen in the blood. Fever may rise as high as a dangerous 105 degrees F, with profuse sweating and rapidly increased breathing and pulse rate. The symptoms of bacterial pneumonia can develop gradually or suddenly. Bacterial pneumonia, which is the most common form, tends to be more serious than other types of pneumonia, with symptoms that require medical care.
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