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Symptoms of bacterial pneumonia include: A cough with thick yellow, green, or blood mucus Chest pains that worsen during breathing or coughing Sudden onset of chills Fever over 102 F Headache Muscle pain Breathlessness or rapid breathing Severe fatigue Moist, pale skin Confusion (usually seen in seniors) Loss of appetite Bacterial pneumonia treatment and management Your doctor will confirm the diagnosis of bacterial pneumonia by listening to your chest, conducting blood work to check white blood cells and to take blood culture, analyzing a sample of mucus, and performing a chest x-ray