Which clinical history findings are characteristic of pediatric pneumococcal infections?

Updated: Jan 14, 2019
  • Author: Meera Varman, MD; Chief Editor: Russell W Steele, MD  more...
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Children with pneumococcal infections usually have a temperature higher than 102°F. Children with invasive infections also demonstrate signs and symptoms related to the site of infection. Symptoms of specific infections in addition to fever are as follows:

Otitis media symptoms include the following:

  • Otalgia (irritability and ear pulling in younger children)

  • Upper respiratory symptoms

  • Vomiting

Sinusitis symptoms include the following:

  • Headache

  • Facial tenderness (much less frequent than in adults)

  • Symptoms of upper respiratory infection (cough, nasal drainage, congestion) lasting for 10 days or longer

Occult bacteremia may present with fever without a localizing source in children aged 2-24 months.

Pneumonia may present with the following:

  • Cough

  • Chest pain, shortness of breath, or respiratory difficulty

  • Malaise and poor appetite

Meningitis may present with the following:

  • Stiff neck

  • Vomiting

  • Headache (older children)

  • High fever (temperature >103°F)

  • Lethargy

  • Irritability

  • Poor feeding

  • Inconsolable crying

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