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Pneumonia, Mycoplasma

Kenneth A. Ballou, MD, FAAFP, Andrew G. Alexander, MD and Maegen Dupper, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Bronchopulmonary infection caused by the Mycoplasma species, Mycoplasma pneumoniae

  • Smallest free-living organism; fastidious and slow-growing; first isolated in cattle in 1898

  • Most fre...

DIAGNOSIS

HISTORY

  • Infection may be asymptomatic.

  • Gradual onset of headache, malaise, low-grade fevers, chills

  • Symptoms of upper respiratory infection, including incessant, nonproductive, worsening cough ...

TREATMENT

GENERAL MEASURES

  • Avoid sick contacts.

  • Treatment is usually empiric and must be comprehensive to cover all likely pathogens in the context of the clinical setting.

  • Calculation of pneumonia sever...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Clearing of condition on CXR should be documented in patients >50 years of age.

  • In smokers, document a clear CXR in 6 to 8 weeks.

  • Worsening symptoms/development ...

REFERENCES

1
Gao S, Wang L, Zhu W, et al. Mycoplasma pneumonia infection and asthma: a clinical study. Pak J Med Sci.  2015;31(3):548–551. [View Abstract on OvidMedline]
2
Marchello C, Dale AP, Thai...

ADDITIONAL READING

  • Atkinson TP, Balish MF, Waites KB. Epidemiology, clinical manifestations, pathogenesis and laboratory detection of Mycoplasma pneumoniae infections. FEMS Microbiol Rev.  2008;3...

CODES

ICD10

J15.7 Pneumonia due to Mycoplasma pneumoniae 

ICD9

483.0 Pneumonia due to mycoplasma pneumoniae 

SNOMED

46970008 Pneumonia due to Mycoplasma pneumoniae (disorder) 

CLINICAL PEARLS

  • Most common atypical respiratory pathogens include M. pneumoniae, C. pneumoniae, and L. pneumophila.

  • Atypical pneumonia is usually a clinical diagnosis.

  • Watch closely for complicating sy...

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