Journal of Postgraduate Medicine, Education and Research

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VOLUME 56 , ISSUE 2 ( April-June, 2022 ) > List of Articles


A Child with Recurrent Pneumonia: Approach to Diagnosis and Management

Anvesh Reddy, Sachin Singh, Ketan Kumar, Kamal K Singhal, Kushaljit S Sodhi, Pankaj C Vaidya, Joseph LL Mathew, Meenu Singh

Keywords : Chronic granulomatous disease, Clinical approach, Recurrent pneumonia

Citation Information : Reddy A, Singh S, Kumar K, Singhal KK, Sodhi KS, Vaidya PC, Mathew JL, Singh M. A Child with Recurrent Pneumonia: Approach to Diagnosis and Management. J Postgrad Med Edu Res 2022; 56 (2):94-100.

DOI: 10.5005/jp-journals-10028-1563

License: CC BY-NC 4.0

Published Online: 07-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


In children, recurrent pneumonia is defined as the occurrence of more than one episode of pneumonia within a single year, or greater than three episodes within any duration; with radiographically documented clearing between episodes. Although childhood pneumonia is one of the most common clinical problems in children; when a child presents with recurrent pneumonia, there are additional diagnostic considerations because most cases are associated with an underlying illness. A meticulous clinical approach and judicious choice of laboratory investigations tailored to the differential diagnoses can clinch the diagnosis and guide management. We describe the case of a 11-year-old girl, presenting with a history of recurrent pneumonia, and the clinical approach toward an unusual diagnosis.

  1. Patterson TF, Thompson GR, Denning DW, et al. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis 2016;63(4):e1–60. Available from: DOI: 10.1093/cid/ciw326
  2. Wald ER. Recurrent and nonresolving pneumonia in children. Semin Respir Infect 1993;8(1):46–58. Available from:
  3. Rubin BK. The evaluation of the child with recurrent chest infections. Pediatr Infect Dis J 1985;4(1):88–98. Available from:
  4. Regelmann WE. Diagnosing the cause of recurrent and persistent pneumonia in children. Pediatr Ann 1993;22(9):561–568. DOI: 10.3928/0090-4481-19930901-08 Available from:
  5. Wald ER. Recurrent pneumonia in children. Adv Pediatr Infect Dis 1990;5:183–203. Available from:
  6. Nahum AM, Harris JP, Davidson TM. The patient who aspirates – diagnosis and management. J Otolaryngol 1981;10(1):10–16. Available from:
  7. Russell FM, Reyburn R, Chan J, et al. Impact of the change in WHO's severe pneumonia case definition on hospitalized pneumonia epidemiology: case studies from six countries. Bull World Health Organ 2019;97(6):386–393. DOI: 10.2471/BLT.18.223271 Available from:–223271.pdf
  8. Yousif TI, Elnazir B. Approach to a child with recurrent pneumonia. Sudan J Paediatr 2015;15(2):71–77. Available from:
  9. Brand PLP, Hoving MFP, de Groot EP. Evaluating the child with recurrent lower respiratory tract infections. Paediatr Respir Rev 2012;13(3):135–138. Available from: DOI: 10.1016/j.prrv.2011.02.005
  10. Kaplan KA, Beierle EA, Faro A, et al. Recurrent pneumonia in children: a case report and approach to diagnosis. Clin Pediatr (Phila) 2006;45(1):15–22. Available from: DOI: 10.1177/000992280604500103
  11. Zhang M, Zhu J, Wang Q, et al. Contrast enhanced MR angiography in pulmonary sequestration. Chin Med J (Engl) 2001;114(12):1326–1328. Available from:
  12. Owayed AF, Campbell DM, Wang EEL. Underlying causes of recurrent pneumonia in children. Arch Pediatr Adolesc Med 2000;154(2):190. Available from: DOI: 10.1001/archpedi.154.2.190
  13. White CJ, Gallin JI. Phagocyte defects. Clin Immunol Immunopathol 1986;40(1):50–61. Available from: DOI: 10.1016/0090-1229(86)90068-1
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