Walking Pneumonia: Understanding the Illness, Treatment, Prevention, and Impact

Walking pneumonia is a milder form of lung infection that often allows individuals to continue their daily activities without significant disruption. Unlike typical pneumonia, which can cause severe symptoms and may require hospitalization, walking pneumonia presents with less intense manifestations.

What Is Walking Pneumonia?

Walking pneumonia is commonly caused by the bacterium Mycoplasma pneumoniae. This pathogen spreads through respiratory droplets when an infected person coughs or sneezes. The infection typically develops gradually over one to four weeks, leading to symptoms that are often mistaken for a common cold or mild respiratory infection.

Symptoms of Walking Pneumonia

Individuals with walking pneumonia may experience:

• Persistent dry cough
• Low-grade fever
• Sore throat
• Fatigue
• Headache
• Mild chest discomfort

These symptoms are generally mild, allowing many to remain active, hence the term “walking” pneumonia.

Diagnosis and Treatment

Diagnosing walking pneumonia involves a clinical evaluation of symptoms and may include a chest X-ray to confirm the presence of an infection. Blood tests or sputum cultures can identify the specific causative agent.

Treatment typically involves antibiotics, as Mycoplasma pneumoniae is a bacterial pathogen. Commonly prescribed antibiotics include macrolides (such as azithromycin), tetracyclines, or fluoroquinolones. Over-the-counter medications can help alleviate symptoms like fever and cough. Rest, hydration, and avoiding irritants like smoke are also recommended to support recovery.

Who Is Affected?

Walking pneumonia can affect individuals of all ages but is more prevalent among children, teenagers, and young adults. Environments where people are in close contact, such as schools, college dormitories, and military barracks, can facilitate the spread of the infection.

Prevention

Preventive measures include practicing good hygiene, such as regular handwashing, covering the mouth and nose when coughing or sneezing, and avoiding close contact with infected individuals. While there is no vaccine specifically for Mycoplasma pneumoniae, maintaining overall health and staying up-to-date with vaccinations for other respiratory infections can help reduce the risk.

Statistics: National and New Jersey Data

According to the Centers for Disease Control and Prevention (CDC), Mycoplasma pneumoniae infections are common, with an estimated 2 million infections occurring each year in the United States. However, the true number of people affected annually is unknown, as there is no national reporting or dedicated surveillance system to track these infections.

In New Jersey, the Department of Health has observed an increase in reports of pneumonia. The proportion of patients discharged from emergency departments with a diagnosis of Mycoplasma pneumoniae-associated pneumonia has been increasing across the state. This trend aligns with national observations, indicating a broader rise in cases.

New Jersey Department of Health

In summary, walking pneumonia is a mild form of pneumonia caused by Mycoplasma pneumoniae, presenting with symptoms that are less severe than typical pneumonia. It is treatable with antibiotics and supportive care, and preventive measures can help reduce the risk of infection.

The contents of this article have been reviewed by Manolito Cadacio, MD with Shore Physicians Group’s Primary Care office located at 401 Bethel Road in Somers Point, NJ. To schedule an appointment with Dr. Cadacio, call 609.365.6200.