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When is pneumonia considered recurrent?
When a person has two or more pneumonias in a year, or three or more at any time, confirmed by X-ray with full recovery between episodes. It is not the same as pneumonia that does not resolve, which also needs investigation.
Why does it happen?
If pneumonia keeps occurring in the same part of the lung, local causes are sought, such as an inhaled foreign body, a malformation or bronchial obstruction. If it appears in different areas, general causes are considered: poorly controlled asthma, aspiration from swallowing problems or reflux, immunodeficiency, cystic fibrosis, ciliary disorders or heart problems.
How is it investigated?
By reviewing all previous X-rays, a full exam and, depending on suspicion: lung function tests, chest CT, sweat test, immune studies, swallowing evaluation, reflux studies and bronchoscopy.
Why is finding the cause important?
Treating the underlying cause prevents new episodes and permanent lung damage such as bronchiectasis. Follow-up is led by a pulmonologist, or a pediatric pulmonologist for children, together with other specialists as needed.
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