Walking pneumonia
Overview
Walking pneumonia is a mild form of pneumonia. Pneumonia is a lung infection that causes your airways to swell, the air sacs in your lungs to fill with mucus and other fluids, a high fever and a cough with mucus. If you have walking pneumonia, you may feel well enough to walk around and carry out daily tasks without realizing you have pneumonia.
“Walking pneumonia” is the common term for atypical pneumonia.
Who does walking pneumonia affect?
Anyone can get walking pneumonia. You’re more likely to get walking pneumonia if you:
Are 2 or younger.
Are 65 or older.
Have a weakened immune system (immunocompromised) or take immunosuppressant medications.
Have chronic obstructive pulmonary disease (COPD).
Have asthma.
Have emphysema.
Live or work in crowded places, such as schools, dormitories, nursing homes or military barracks.
Use tobacco products.
Regularly use inhaled corticosteroids.
Symptoms
Walking pneumonia symptoms include:
Sore throat (pharyngitis).
Extreme tiredness (fatigue).
Chest pain or discomfort.
Low-grade fever (less than 101 degrees Fahrenheit or 38 degrees Celsius).
Mild chills.
Cough.
Sneezing.
Headache.
Causes
Walking pneumonia causes may include:
Bacteria.
Viruses.
Molds (fungi).
Diagnosis
A healthcare provider can diagnose walking pneumonia. They’ll conduct a physical examination and perform auscultation. They’ll ask about your symptoms, including how long you’ve had them. They may also ask whether any family, friends, coworkers or other people you regularly interact with are sick with similar symptoms.
During auscultation, the provider will use a stethoscope to listen to your lungs. A stethoscope is a medical device with a small, metal disc (diaphragm) that connects to earpieces with rubber tubing. They’ll press the diaphragm against your chest and back and listen for abnormal sounds.
If the provider suspects you have walking pneumonia, they’ll order tests to help confirm their diagnosis.
Treatment
Walking pneumonia treatment depends on its cause.
If a healthcare provider suspects that you have walking pneumonia and its cause is bacteria, they may prescribe antibiotics. They may prescribe the following:
Macrolide antibiotics. Macrolide drugs include azithromycin (Zithromax®) and clarithromycin (Biaxin®). They’re appropriate for children and adults.
Fluoroquinolones. Fluoroquinolones include ciprofloxacin (Cipro®) and levofloxacin (Levaquin®). Providers usually don’t prescribe fluoroquinolones to young children.
Tetracyclines. Tetracyclines include doxycycline (Acticlate®) and tetracycline (Emtet-500®). They’re appropriate for adults and older children.
If a provider prescribes antibiotics, be sure to finish the full course, even if you feel better. If you don’t, walking pneumonia may come back and be more difficult to treat.
If you have walking pneumonia as a result of a virus or another cause, you have to let the illness run its course.
A provider may recommend over-the-counter (OTC) medications to help relieve nasal congestion, cough and mucus buildup in your chest. You can help open your airways by drinking plenty of warm fluids, using a humidifier or taking a hot bath or shower.
If you have a fever, it’s a good idea to drink more fluids and rest. Nonsteroidal anti-inflammatory drugs (NSAIDs) can also help reduce your fever. Not everyone can take NSAIDs, so it’s a good idea to check with a provider before you take them.
Walking pneumonia is usually mild and doesn’t require hospitalization.
Will walking pneumonia go away without antibiotics?
Some cases of walking pneumonia may go away without antibiotics. However, it may take longer to feel better. Talk to a healthcare provider if you have any concerns about taking antibiotics.
What happens if walking pneumonia is left untreated?
Walking pneumonia is mild and can usually go away on its own without treatment. However, if you have walking pneumonia symptoms, a healthcare provider is the best person to help you determine the appropriate treatment.
How long does walking pneumonia usually last?
Walking pneumonia may last from four to six weeks. A cough is usually the longest-lasting walking pneumonia symptom.
Type of Doctor Department : A pulmonologist
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