Why does pneumonia sometimes cause chest pain during deep breaths?

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Pneumonia can cause chest pain during deep breaths because it is frequently accompanied by pleurisy, an inflammation of the pleura. The pleura consists of two thin membranes: one lining the thoracic cavity and the other covering the lungs.123

In a healthy state, these membranes are lubricated and slide past each other smoothly during respiration. However, when the pleura becomes inflamed due to an underlying infection like pneumonia, the surfaces become irritated. Because the pleura is well supplied with nerves, this inflammation results in significant pain, particularly when the lungs expand during deep breaths or coughing, which causes the inflamed surfaces to rub against one another.421