Mycoplasma pneumonia

Source: Wikipedia, the free encyclopedia.
Mycoplasma pneumonia
Infectious disease, pulmonology
ComplicationsStevens–Johnson syndrome, autoimmune hemolytic anemia, cardiovascular diseases, encephalitis, Guillain–Barré syndrome[citation needed]

Mycoplasma pneumonia is a form of bacterial pneumonia caused by the bacterium Mycoplasma pneumoniae.

Signs and symptoms

M. pneumoniae is known to cause a host of symptoms such as

dermatological disorders have been associated with M. pneumoniae infections in up to 25% of cases.[1]

Cause

Mycoplasma pneumoniae is spread through

]

Pathophysiology

Once attached to the mucosa of a host organism, M. pneumoniae extracts nutrients, grows, and reproduces by

binary fission. Attachment sites include the upper and lower respiratory tract, causing pharyngitis, bronchitis, and pneumonia. The infection caused by this bacterium is called atypical pneumonia because of its protracted course and lack of sputum production and wealth of extrapulmonary symptoms. Chronic Mycoplasma infections have been implicated in the pathogenesis of rheumatoid arthritis and other rheumatological diseases.[citation needed
]

Mycoplasma atypical pneumonia can be complicated by Stevens–Johnson syndrome, autoimmune hemolytic anemia, cardiovascular diseases, encephalitis, or Guillain–Barré syndrome.[citation needed]

Diagnosis

pathogenic mycoplasmas present in the respiratory tract are mistaken for M. pneumoniae.[1]

Historically, diagnosis of M. pneumoniae infections was made based on

viability of the cells present.[2][3] Enzyme immunoassay (EIA) serological assays are the most common method of M. pneumoniae detection used in patient diagnosis due to the low cost and relatively short testing time. One drawback of serology is that viable organisms are required, which may overstate the severity of infection.[1] Neither of these methods, along with others, has been available to medical professionals in a rapid, efficient and inexpensive enough form to be used in routine diagnosis, leading to decreased ability of physicians to diagnose M. pneumoniae infections.[citation needed
]

Treatment

While antibiotics with activity specifically against M. pneumoniae are often used (e.g., erythromycin, doxycycline), it is unclear if these result in greater benefit than using antibiotics without specific activity against this organism in those with an infection acquired in the community.[4]

The majority of antibiotics used to treat M. pneumoniae infections are targeted at bacterial

neurological effects in children with complicated infections.[1]

The difficulty in eradicating Mycoplasma pneumoniae infections is due to the ability of the bacterium to persist within an individual, as well as the lack of cell wall in M. pneumoniae, which renders multiple antibiotics directed at the bacterial cell wall ineffective in treating infections.

Prognosis

Prevention

Transmission of Mycoplasma pneumoniae infections is difficult to limit because of the several day period of infection before symptoms appear.[8] The lack of proper diagnostic tools and effective treatment for the bacterium also contribute to the outbreak of infection.[8] Using network theory, Meyers et al. analyzed the transmission of M. pneumoniae infections and developed control strategies based on the created model. They determined that cohorting patients is less effective due to the long incubation period, and so the best method of prevention is to limit caregiver-patient interactions and reduce the movement of caregivers to multiple wards.[9]

peptides that block adhesion receptors on the surface of the host cell may also be able to prevent attachment of M. pneumoniae.[11]

Epidemiology

The prevalence of mycoplasma pneumonia (MP) is greater among children than adults.[12][13][14] Many adults remain asymptomatic, while children typically do not.[13]

The incidence of disease does not appear to be related to season or geography; however, infection tends to occur more frequently during the summer and fall months when other respiratory

households.[1]

Rates of mycoplasma pneumonia in all global community-acquired pneumonia (CAP) cases range from 10-15%.[12][14] The rate of mycoplasma pneumonia in adults with CAP is estimated to be 15%, and the rate of in children with CAP has been reported at 27.4%.[13] The rates of M. pneumonia among hospitalized CAP cases are 35% in adults[14] and 24% in children.[13] Rates of hospitalizations among adults increase with age.[13] M. pneumonia has been shown to act as a trigger for other lung diseases.[14]

Cases of M. pneumonia may be unreported due to patients with little or no symptoms not seeking medical care.[12][14] On a global scale, differences in lab techniques and sampling methods can also impact the reported number of cases.[12]

M. pneumonia can be spread by droplets and aerosols, typically from an infected person coughing or sneezing.[13] If a person still has a cough, they can remain infectious even after a majority of other symptoms disappear.[14]

Outbreaks follow a 3-7 year cycle.

El Niño can impact the yearly cycles and seasonal difference between continents.[14]

See also

  • Mycoplasmal pneumonia of swine

References

External links