### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi,my son, he is 4 years old now and weighs 14kgs, was hospitalized 5 times in a span of 1 year. 1st hospitalization is due to dengue fever, after 4 mos he had tonsilitis, and during the admission pneumonia and myocarditis was discovered. He was re-admitted again a month after due to pneumonia, he had intravenous antibiotic both for pneumonia and to manage the myocarditis. He was discharged, and found to be okay but we were advise to monitor his heart by taking ECG every month. By April this year, he stopped taking carnicor, monitoring is stopped and the doctor advised to just be on the look out when has a fever. Then by June this year, he was admitted again due to pneumonia with consolidation. Treated then okayed. But after 2 weeks he was readmitted again due to dengue and myocarditis again. We are already out of the hospital now, but just after 2 weeks he has some cough again. i gave him ventolin syrup, and we nebulized with duavent for 2 days. his cough has improved but still there every now and then. my fear is if this could developed into pneumonia again. should i bring him to the doctor again? what could be the cause of frequent pneumonia and coughing? should i see and find another pediatrician?

### output:

Hi....your kid falls into the criteria or definition of recurrent pneumonia. If I were your pediatrician I would definitely consider working up your kid immune deficiency. Cough and cold can be viral in 95% of the times. It does not necessarily mean that it is pneumonia. But if the kid developed any of the below-mentioned signs or symptoms, then take him to the nearest emergency room immediately.1. Fast breathing.2. Bluish discoloration of fingertips or lips.3. High grade fever.4. Breathlessness.5. Inability to feed.6. Altered sensorial or consciousness. Regards - 