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Walking pneumonia in children is a mild, but persistent, lung infection. At PurePediatrics, we know how worrisome a lingering cough or illness can be for parents. Our concierge pediatricians are here to help you recognize the signs, access quick testing, and get your child feeling better quickly.
If you’re ever concerned about your child’s symptoms, members can always reach their doctor directly through the Spruce app.

walking pneumonia in children

What Is Walking Pneumonia in Children?

Walking pneumonia is a type of atypical pneumonia, most often caused by Mycoplasma pneumoniae. Unlike typical pneumonia, which can cause high fevers and severe breathing problems, walking pneumonia develops slowly and is usually much milder—kids can often continue with daily activities, though they may not feel their best. Children can usually “walk around” with it, hence the name.
While not usually dangerous, it’s uncomfortable and can last for weeks if not properly treated.

Common Symptoms of Walking Pneumonia in Children

Our pediatricians at PurePediatrics encourage parents to watch for these symptoms, especially if they linger longer than a typical cold:

  • Persistent cough: Lasts 2 weeks or more, often dry or hacking
  • Low-grade fever: Sometimes subtle or easy to miss
  • Fatigue and weakness: Your child may seem unusually tired
  • Headache or sore throat may accompany the cough
  • Chest discomfort or tightness: Especially with deep breaths

How Does Walking Pneumonia Spread in Kids?

Walking pneumonia spreads through respiratory droplets—coughing, sneezing, or close contact. It’s common in group settings like schools, daycare, and sports teams. Symptoms can take 2–3 weeks to appear after exposure, making it tough to trace the source.

How PurePediatrics Diagnoses Walking Pneumonia

Unlike many practices, PurePediatrics offers on-site, same-day nasal swab testing for the bacteria that causes walking pneumonia. Results are typically available the next day, so you don’t have to wait and worry. Our pediatricians will also perform a thorough exam and listen for any abnormal lung sounds. In rare cases, we may order a chest X-ray if symptoms are severe or not improving.
Have questions about testing or symptoms? Members can message their doctor in Spruce anytime.

Treatment for Walking Pneumonia in Children

If Mycoplasma pneumoniae is detected, our pediatricians prescribe antibiotics that target the infection. With PurePediatrics, you receive a personalized care plan, follow-up, and ongoing access to your doctor—so you’re never left guessing.

Home care tips from PurePediatrics:

  • Encourage rest and hydration
  • Use fever reducers like acetaminophen or ibuprofen as directed by your doctor
  • Try a cool-mist humidifier for nighttime cough relief
  • Most children feel better within a week of starting antibiotics, but the cough may linger. Always finish the full course of medication and reach out if symptoms persist.

When to Call PurePediatrics for Walking Pneumonia

We’re here to help you decide when to seek care. Contact PurePediatrics if your child:

  • Has a cough that won’t go away
  • Runs a fever for more than a few days
  • Seems too tired to play or participate in usual activities

Call or text us immediately if your child:

  • Has trouble breathing or breathes rapidly
  • Complains of chest pain with deep breaths
  • Appears unusually weak or drowsy
  • Has a fever above 102°F (39°C)

PurePediatrics members can also message their doctor in Spruce for urgent concerns.

How to Prevent Walking Pneumonia in Children

Our pediatricians recommend:

  • Frequent handwashing
  • Teaching kids to cover coughs and sneezes
  • Avoid sharing drinks, food, or utensils

PurePediatrics supports families with ongoing wellness guidance, nutrition advice, and resources to keep your child’s immune system strong. There’s no vaccine for walking pneumonia, but staying healthy reduces the risk.

Frequently Asked Questions About Walking Pneumonia in Children
Is walking pneumonia serious in kids?

Most cases are mild, but prompt treatment ensures a smooth recovery.
Can kids recover without antibiotics?

Some cases improve on their own, but antibiotics usually shorten the duration of illness and reduce complications.
Is walking pneumonia contagious?

Yes, it spreads easily in schools and group settings.
How long does recovery take?

With treatment, most children recover in 1–2 weeks, though the cough may last longer.
If you have more questions, call or text PurePediatrics at 832-431-4336 or contact us online.

Conclusion

At PurePediatrics, we help Houston families navigate every cough, fever, and question—especially when it comes to walking pneumonia in children. Recognizing symptoms early, getting fast testing, and having easy access to your pediatrician makes all the difference!

Call or text 832-431-4336 to connect with our team, or join as a member for 24/7 pediatrician access.

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