Symptoms of Mycoplasma Pneumonia

Written by Li Tao
Pulmonology
Updated on September 18, 2024
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Pneumonia caused by Mycoplasma pneumoniae infection, known as Mycoplasma pneumonia, refers to acute inflammation of the respiratory tract and lungs caused by Mycoplasma pneumoniae. It is usually accompanied by pharyngitis, bronchitis, and pneumonia. This type of pneumonia accounts for one third of non-infectious pneumonia cases and 10% of pneumonia cases caused by various reasons. Clinically, after infection with Mycoplasma pneumoniae, the symptoms usually appear gradually with a typical incubation period of two to three weeks. Some patients primarily experience fatigue, sore throat, headache, cough, and fever. Others may suffer from diarrhea, loss of appetite, muscle pain, and ear pain. The cough is generally paroxysmal and choking, with little sputum, and the fever can last two to three weeks. Some people may show extrapulmonary manifestations such as dermatitis. In children, complications such as periostitis or otitis media may occur, and there can be swelling of the cervical lymph nodes.

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Mycoplasma pneumoniae is asymptomatic.

If Mycoplasma pneumoniae is diagnosed in the body, although there are no discomforts or symptoms, appropriate treatment and intervention should still be taken. If the disease lasts for a long time, it may induce other pathological changes, which are harmful stimulations to health. Treating asymptomatic Mycoplasma pneumonia mainly involves using antimicrobial drugs to control the infection, and etiological treatment is sufficient. Patients with mild symptoms can take medication orally, such as choosing one from azithromycin, roxithromycin, clarithromycin, or erythromycin. If conservative treatment is not effective, intravenous medication may be administered. (Specific medication use should be carried out under the guidance of a doctor.)

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Is Mycoplasma pneumoniae contagious?

Mycoplasma pneumoniae is infectious. In fact, we need to understand what Mycoplasma pneumoniae is: it is a relatively small microorganism that can live independently, positioned between bacteria and viruses. Mycoplasma pneumoniae is spread through the respiratory tract—normal people can become infected by inhaling secretions expelled through coughing, sneezing, laughing, or talking loudly by someone who has Mycoplasma pneumoniae pneumonia. Transmission mainly occurs via the respiratory route. Clinically, it is common to find sequential or simultaneous occurrences of Mycoplasma pneumoniae among inhabitants of a dormitory or members of a household. Mycoplasma pneumoniae pneumonia is widespread globally, and most cases are sporadic, with regional outbreaks happening approximately every three to six years. These outbreaks can last for a long time, sometimes over a year.

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What should I do about Mycoplasma pneumonia?

Do not be overly anxious if you develop mycoplasma pneumonia, as it is a common and frequently occurring disease in clinical settings, caused by an acute inflammatory response in the lungs due to mycoplasma infection. You can take oral antimicrobial drugs such as rhubarb-type agents, for example, azithromycin, typically for a course of two to three weeks. Since mycoplasma lacks a cell wall, it is resistant to antimicrobial drugs like cephalosporins and penicillins. If the patient also experiences symptoms of coughing and phlegm, oral antitussive and expectorant medications, such as ambroxol and bromhexine, should be administered. If fever symptoms occur, temperature changes should be managed accordingly. After two to three weeks of aggressive anti-infection treatment, a follow-up lung CT is necessary to check if the lesions have absorbed and improved. (Please follow medical advice regarding medication.)

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What can you eat with Mycoplasma pneumonia?

Patients with Mycoplasma pneumonia should pay attention to their diet, focusing on light foods, especially during the acute phase of the illness, where primarily liquid foods are recommended. For example, foods such as porridge, soft noodles, and soups should be prioritized, while avoiding hard-to-digest foods. Additionally, during the recovery phase, although normal diet can be resumed, it is advised to continue with a light diet such as drinking some millet or vegetable porridge and consuming vegetables like baby greens, winter melon, cucumber, loofah, and bitter gourd. Also, drinking more water to promote metabolism and enhance immunity is beneficial, as well as consuming nutritious soups like wonton or dough drop soup, which do not negatively impact the illness and help in increasing metabolism and immunity, facilitating a quicker recovery.

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What is Mycoplasma pneumoniae afraid of?

Mycoplasma pneumoniae is a relatively special microorganism, situated between bacteria and viruses. It is smaller than bacteria but larger than viruses. This type of mycoplasma can grow within bacterial cells through a filter. In such cases, clinically, we generally use specific medications to treat Mycoplasma pneumoniae. Typically, for respiratory infections caused by mycoplasma, we use macrolides or quinolones; for urinary tract infections, quinolones are usually the preferred treatment. Therefore, the medication choice should be based on the location of the infection. (Specific medications should be used under the guidance of a physician.)