What is a common clinical feature of congenital pneumonia in neonates?

A common clinical feature of congenital pneumonia in neonates is chest wall retraction. This occurs because the neonate's lungs are compromised and are not fully expanding, leading to increased effort in breathing. As the baby struggles to draw in air, the intercostal muscles pull in the ribs, resulting in visible retractions of the chest wall. This sign indicates respiratory distress and is an important observation in assessing the respiratory status of a neonate with pneumonia.

Additionally, retractions may vary in severity based on the extent of lung involvement and the neonate's overall condition. Close monitoring of these symptoms is crucial in a NICU setting, as they can guide timely interventions to support respiratory function.

While decreased feeding may occur as a result of respiratory distress, it is not as directly indicative of pneumonia as chest wall retraction. Bilateral wheezing could suggest various respiratory issues but is not the primary feature associated with congenital pneumonia. Increased appetite is not consistent with this condition, as respiratory issues often lead to reduced feeding due to increased energy expenditure and discomfort during feeding.