Walking Pneumonia

When we hear “pneumonia,” we often think of a severe illness that requires bed rest and sometimes hospitalization. However, there is a milder form of pneumonia, commonly known as “walking pneumonia,” which is less severe but still affects children and can spread easily. 

 

What is Walking Pneumonia? 

Walking pneumonia, medically referred to as atypical pneumonia, is a mild lung infection often caused by the bacterium Mycoplasma pneumoniae. Unlike more severe forms of pneumonia, walking pneumonia does not usually cause extreme symptoms, so children may still be able to continue their regular activities, hence the term “walking.” Although it may sound less concerning, it is still essential to address it as untreated cases can lead to more serious complications, especially in young children. 

 

Causes of Walking Pneumonia in Kids 

Walking pneumonia in children is primarily caused by Mycoplasma pneumoniae, a bacterium that spreads through respiratory droplets. This can happen when an infected person coughs or sneezes, releasing tiny droplets into the air that others may inhale. Children, especially those in school or daycare, are at a higher risk due to close interactions and shared spaces. 

 

Symptoms to Watch For 

Symptoms of walking pneumonia may appear gradually, often mimicking a common cold or mild flu.  

• Persistent Dry Cough: A prolonged cough that may last for several weeks. 

• Fever: Typically, mild but can occasionally spike higher. 

• Headache: Often accompanies respiratory symptoms. 

• Sore Throat: Like that of a common cold. 

• Fatigue and Weakness: Children may feel more tired than usual. 

• Runny or Stuffy Nose: Common cold-like symptoms can overlap with walking pneumonia. 

• Chest Pain: In some cases, children may feel mild chest discomfort due to the infection. 

While these symptoms may seem like other respiratory infections, the persistence of a dry cough (lasting over two weeks) is one of the hallmarks that should alert parents to seek medical evaluation. 

 

How is it diagnosed? 

Pediatricians may conduct a physical exam, listening to the lungs for any unusual sounds. In certain cases, a chest X-ray or blood test can confirm walking pneumonia, though diagnosis often relies on symptom observation and clinical experience. 

 

Treatment and Management 

Walking pneumonia in children is typically treated on an outpatient basis, and hospitalization is rarely required. Here is a look at common treatments: 

1. Antibiotics – Medications like azithromycin are usually prescribed to combat bacterial infection 
2. Rest – Even if symptoms are mild, rest aids recovery. 
3. Hydration – Keeps your child comfortable and supports their body in fighting the infection. 
4. Symptom Relief – Over-the-counter meds can help reduce fever and discomfort 
5. Limit Triggers – Avoid smoke and dust, as they can worsen symptoms. 

 

FAQ: Walking Pneumonia in Kids 

Q1: Can my child still go to school with walking pneumonia?
Yes, since symptoms are mild, kids may still go to school. However, to prevent spreading it, it is better to keep them at home if they are coughing excessively or have a fever. 

Q2: Is it contagious?
Yes, Mycoplasma pneumoniae spreads through droplets, so close contact can lead to infection. Encourage handwashing and teach kids to cover coughs and sneezes. 

Q3: How long does it last?
Symptoms can last 1-4 weeks, with the cough sometimes lingering even after other symptoms improve. 

 

Prevention Tips for Parents 

Taking preventive steps can protect children and reduce the spread of walking pneumonia: 

• Teach proper handwashing to reduce germ spread. 

• Cover coughs and sneezes to limit droplets. 

• Encourage distance if a classmate or sibling has respiratory symptoms. 

• Support immunity through a balanced diet, good sleep, and vaccinations. 

 

When to See a Doctor 

If your child has prolonged symptoms or their condition worsens, it is important to consult a healthcare provider. Warning signs that require medical attention include: 

• Difficulty breathing 

• Persistent fever or worsening cough 

• Chest pain 

• Extreme fatigue or lethargy 

 

Walking pneumonia might not be as severe as typical pneumonia, but it still requires attention. Recognizing symptoms, getting prompt treatment, and focusing on preventive steps can make all the difference for your child’s health. 

 

If you have questions about your child’s health when their pediatrician’s office is closed, contact our board-certified Pediatricians.