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Walking Pneumonia

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

All children with walking pneumonia have a fever. Walking pneumonia mainly strikes children more than 5 years old. 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 children become severely ill and have trouble breathing. You must call the doctor immediately, if the child has trouble breathing.

It is widely believed that walking pneumonia is a dangerous pneumonia where you do not have a fever – this is entirely wrong. All people with walking pneumonia have a fever and in far the most cases the illness is not particularly 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 a certain bacterial infection in the airways called mycoplasma. Walking pneumonia mainly strikes the slightly larger children and is rare with children less than 5 years old. The illness occurs every winter but approximately every four years many cases appear – a so-called epidemic.

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 become severely ill and have trouble breathing. The illness is lengthy and a lot of children cough in up to 3 to 4 weeks. Since it is possible to contract the illness several times during the same winter, some people are bothered by coughing for several months.

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Contamination

Walking pneumonia is highly contagious. The illness infects through air – for example via coughing. In places where many children are gathered – schools and day cares – the illness quickly spreads. It takes 2 to 3 weeks from exposure to contagion till you fall ill.

Day care:
The child is kept at home until its temperature is normal and it can participate in its usual activities without extra care.

Medication

Walking pneumonia can be treated with a certain kind of antibiotics – ordinary penicillin has no effect. You can administer antipyretics (e.g. paracetamol) for the night, to make the child sleep better. The cough mechanism is a natural defence mechanism against smoke, slime or snot and should not be suppressed by cough medicine.

What can you do?

The child should be dressed lightly and stay in a cool room to make the temperature fall. The child should have plenty to drink, since it loses fluid during a fever. Cough medicine should as far as possible not be used. You can try giving the child camomile tea, lukewarm lemon water or warm milk with honey to loosen the slime and soothe the cough (children less than 1 year old should not be given honey). If you raise the bedhead, it will improve breathing and ensure that the child swallows the slime. During the night, the cough can be such a bother to the child that it cannot sleep. In this case it is appropriate to administer cough medicine.

Contact the doctor tomorrow

If the child coughs for more than 5 days and has a fever.

Contact the doctor immediately

If the child has trouble breathing.