Recurrent pneumonia in malnourished children

Putu Ria A. Dewi, I Gede Yogi Priyatna Biantara, Romy Windiyanto


Recurrent pneumonia was defined as two episodes of pneumonia per year or three episodes of pneumonia at any time of life. The causes of recurrent pneumonia are multifactorial. Additional diagnostic should be considered because most cases are associated with an underlying illness. We reported a case recurrent pneumonia of a 3 months old malnourished male patient. Chest radiograph show infiltrate in both lung with history hospitalized for pneumonia one month before admission. Recurrent pneumonia occurs in 7.7-9% of children with community-acquired pneumonia. Several related conditions such as malnutrition, anatomic defect, immunodeficiency and other underlying illness can cause recurrent pneumonia.


Recurrent pneumonia, Malnutrition

Full Text:



Bolursaz MR, Lotfian F, Ghaffaripour HA, Hassanzad M. Underlying causes of persistent and recurrent pneumonia in children at a pulmonary referral hospital in Tehran, Iran. Arch Iran Med. 2017;20(5):266-9.

Arsalan M, Walther T, Il RLS, Grayburn PA. Tricuspid regurgitation diagnosis and treatment. Eur Heart J. 2017;38(9):634-8.

Kevin PF, Lim MJ. The pulmonary valve. Cardiol Clin. 2011;29(2):223-7.

Ali K, Jennings RW. Tracheomalacia and tracheobronchomalacia in pediatrics: an overview of evaluation, medical management, and surgical treatment. Front Pediatr. 2019;7:512.

Silvia M, Corcione A, Santamaria F. Recurrent pneumonia in children: a reasoned diagnostic approach and a single centre experience. Int J Molecul Sci. 2017;18(2):296.

Panigrahy R. Serratia marcescens causing pneumonia-a rare case report. J Pulm Respir Med. 2015;5:254.

Nurvita R. Correlation between severe malnutrition and pneumonia among under-five children in East Java. Jurnal Berkala Epidemiologi. 2019;7(2):120-8.

Caggiano S, Ullmann N, DeVitis E, Trivelli M, Mariani C, Podagrosi M, et al. Factors that negatively affect the prognosis of pediatric community-acquired pneumonia in district hospital in Tanzania. Int J Molecul Sci. 2017;18(3):623.

Aryani DE, Hasmono D, Zairina N, Setiawan L. Analysis of antibiotics use in pediatric pneumonia patients aged 3 months-5 years. Folia Medica Indonesiana. 2016;52(2):108.

Lencu C, Alexescu T, Petrulea M, Lencu M. Respiratory manifestations in endocrine diseases. Clujul Med. 2016;89(4):459.

Gupta S, Om SC. Evaluation of thyroid functions in severely malnourished children. Int J Res Rev. 2019;6(6):199.