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General features
Mycoplasma pneumoniae
Clinical Presentation
Chest muscle soreness may result from frequent and prolonged coughing, but true
pleuritic pain is uncommon.
Pharyngeal injection is often noted.
Cervical lymph node enlargement is unusual.
System
Dermatologic
Cardiovascular
Neurologic
Manifestations
Erythema multiforme
Maculopapular exanthems
Vesicular exanthems
Erythema nodosum
Urticaria
Myocarditis
Pericarditis
Encephalitis
Aseptic meningitis
Cerebellar ataxia
Guillain-Barr syndrome
Transverse myelitis
Polyradiculopathy
System
Rheumatologic
Hematologic
Manifestations
Arthralgias
Arthritis
Juvenile-onset spondyloarthropathy
Hemolytic anemia
Coagulopathies
Diagnosis
TLC is increased
Gram's staining of sputum - shows leukocytes without a predominance of
any bacterial morphologic type.
CXR- show reticulonodular or interstitial infiltration, primarily in the lower
lobes.
Culture media are 20% horse or human serum & yeast extract. Serum
provides cholesterol.
MC media is brain heart infusion media which contains 20% horse
serum & 10% yeast extract , glucose & phenol red as indicator.
Fried egg colonies are formed.
Colonies are identified by
1. Haemadsorbtion test adsorb guinea pigs RBCs at 37*c
2. Tetrazolium reduction test
3. Serological techniques
Table 168-2 Oral Antimicrobial Agents for the Treatment of Ambulatory Patients
with Community-Acquired Pneumonia
Agent
Doxycycline
Erythromycin
Clarithromycin
Azithromycin
Levofloxacin
Moxifloxacin
Gemifloxacin
Genital Mycoplasmas
Epidemiology