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Walking Pneumonia

By Bjarne Lühr Hansen PhD, MD and Philipp Skafte-Holm MD, Mentor Institute

Everyone with walking pneumonia has a fever. Walking pneumonia primarily strikes people between 5 and 25 years, while only rarely children less than 5 years old and older people more than 50 years. Walking pneumonia starts like a common cold with a sore throat, headache, running and stuffy nose, slight increase in temperature and dry cough. A few people become very ill and have trouble breathing. You must call the doctor immediately, if you have trouble breathing.

It is a common misconception that walking pneumonia is a dangerous pneumonia where you do not have a fever. Everyone with walking pneumonia has a fever and in far the most cases, the illness is not very serious.

The illness is called walking pneumonia because its patients can sometimes continue to walk around, while suffering from its symptoms.

The illness is caused by an inflammation of the airways with a certain bacteria called mycoplasma. Walking pneumonia primarily strikes people between 5 and 35 years, while only rarely children less than 5 years old and older people more than 50 years. The illness occurs every winter but approximately every 4 years a lot of cases appear – a so-called epidemic.

Walking pneumonia develops like a common cold with a sore throat, headache, running and stuffy nose, light increase in temperature and dry cough. A few people become really ill and have trouble breathing. However, most people are only affected by the illness in the same manner they would have been by a common cold. The illness is lengthy and many people cough for up to 3 to 4 weeks. Since it is possible to contract the illness several times after each other during the same winter, a few people are bothered by cough for several months.

Contamination

Walking pneumonia is highly contagious. The illness infects through the air – for example through cough. In places where many people gather – schools and workplaces – the illness can spread quickly. It takes 2 to 3 weeks from exposure to contagion to you fall ill.

When can I go to work?
When you are free of fever and have no trouble breathing.

Medication

Walking pneumonia is treatable with a special kind of antibiotics – ordinary penicillin does not work. It is a good idea to take antipyretics (e.g. paracetamol) for the night because it will make you sleep better. The cough reflex is a natural defence mechanism against smoke, slime or snot and should not be suppressed.

What can you do?

You should dress lightly and stay in a cool room to make the temperature drop. You should drink plenty since you lose fluid. You do not have to stay in bed if you prefer being up and around.

Contact the doctor tomorrow

If you have a fever and coughs for more than 5 days.

Contact the doctor immediately

If you have trouble breathing.