Walking Pneumonia vs. Pneumonia

31 de enero de 2024
3 min de lectura
The terms “walking pneumonia” and “pneumonia” are often used interchangeably, even though they have certain differences.
Walking pneumonia is a milder case of pneumonia with symptoms that do not require hospitalization. Also known as atypical pneumonia, walking pneumonia is caused by bacteria, viruses, or mold and can take longer to recover than regular pneumonia.
In contrast, regular pneumonia is a more severe form of lung infection characterized by high fever, cough, and shortness of breath.
While people with severe pneumonia need several days of bed rest and even hospitalization, those with walking pneumonia may simply have symptoms of cold or viral illness.

What are their symptoms?

The symptoms of walking pneumonia are less severe than those of regular pneumonia.
Some of the symptoms of walking pneumonia are:
  • Mild fever below 110℉
  • Dry cough that lasts more than a week
  • Chest pain
  • Chills
  • Labored breathing
  • Headache
  • Sore throat
  • Loss of appetite
Symptoms of severe pneumonia are:
  • High fever (110 to 105)℉
  • Phlegm or mucus-producing coughs
  • Headache
  • Chills
  • Fatigue
  • Sore throat
  • Shortness of breath
  • Loss of appetite
  • Chest pain with prolonged cough

What causes them?

Both walking pneumonia and severe pneumonia are respiratory tract infections, even though they are caused by different germs.

Walking pneumonia

Walking pneumonia is commonly caused by bacteria like:
  • Mycoplasma pneumoniae
  • Legionella pneumoniae, a bacteria that causes a severe form of walking pneumonia called Legionnaire’s disease
  • Chlamydophila pneumoniae

Pneumonia

Regular pneumonia is a severe lung infection caused by viruses, bacteria, or fungi. While the most common pneumonia-causing bacteria is Streptococcus pneumoniae, the second most common is Haemophilus influenza.
Commonly, viral pneumonia is caused by the Influenza virus. In rare cases, fungal pneumonia occurs from the fungi in the soil or bird droppings.

Who gets them?

Both walking pneumonia and pneumonia can occur if you :
  • Are 2 years of age or below
  • Are 65 years of age and above
  • Have a weakened immune system or take immunosuppressant drugs
  • Have asthma
  • Smoke or use tobacco products
  • Live in highly polluted areas
  • Use inhaled corticosteroids regularly
  • Have chronic obstructive pulmonary disease (COPD)
  • Have emphysema.

Diagnosis

Walking pneumonia

Your medical provider will diagnose walking pneumonia based on the symptoms. They may also perform blood and sputum tests or chest X-rays to identify the organism causing it.

Pneumonia

Pneumonia is diagnosed using more extensive tests like:
  • A chest X-ray to determine how the disease affects the lungs
  • Sputum and blood cultures to identify the organisms causing pneumonia
  • Pulse oximetry monitoring that measures the fluctuating oxygen levels in a person’s blood

Treatment

Walking pneumonia

A doctor may recommend antibiotics for walking pneumonia, depending on the severity of the symptoms.
Home remedies include:
  • Medications, like acetaminophen and ibuprofen for fever
  • Antihistamines to reduce the symptoms
People with walking pneumonia must stay hydrated and take plenty of rest.

Pneumonia

The doctor may recommend additional treatments for pneumonia and severe forms of walking pneumonia, like:
  • Oral or intravenous antibiotics
  • Corticosteroids to reduce inflammation
  • Oxygen to assist breathing
  • Intravenous IV fluids
Severe pneumonia may require oxygen therapy as intubation or breathing therapy from a ventilator for supplemental oxygen.

Recovery time

While walking pneumonia has a longer recovery period of 6 weeks, most people take about one week to recover from regular pneumonia.
People with bacterial pneumonia recover after starting antibiotics, while those with viral pneumonia typically improve after one to three weeks of antiviral treatment.

Prevention

You can prevent walking pneumonia and pneumonia by:
  • Getting flu vaccines and pneumonia vaccines to improve immunity
  • Regular washing of hands with soap and water
  • Covering nose and mouth while sneezing or coughing
  • Avoiding sick people
  • Avoiding smoking or drinking alcohol

Sources

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