Mykoplasmapneumoni
Senast reviderad:
Sakkunnig:Gerdt Riise
Definition:
Nedre luftvägsinfektion orsakat av den intracellulära bakterien Mycoplasma pneumoniae.
Förekomst:
Utgör cirka 10 % av de samhällsförvärvade pneumonierna, vanligt agens framförallt i åldrarna 5-30 år.
Symtom:
Ofta långvarig torrhosta, måttlig feber, snuva och huvudvärk.
Kliniska fynd:
Pipande och väsande andning och krepitationer kan höras, men ofta normala auskulationsfynd.
Diagnostik:
CRP, LPK, nasofarynxprov för PCR , eventuellt serologi.
Behandling:
Antibiotika; doxycyklin eller erytromycin.
- Thibodeau KP, Viera AJ. Atypical pathogens and challenges in community-acquired pneumonia. Am Fam Physician 2004; 69: 1699-706. PubMed
- Mansel JK, Rosenow EC 3rd, Smith TF, Martin JW Jr. Mycoplasma pneumoniae pneumonia. Chest. 1989 Mar;95(3):639-46. pmid: 2646077. PubMed
- Sjukdomsinformation om mycoplasma pneumoniae-infektion. Folkälsomyndigheten 2013. www.folkhalsomyndigheten.se
- Heiskanen-Kosma T, Korppi M. Serum C-reactive protein cannot differentiate bacterial and viral aetiology of community-acquired pneumonia in children in primary healthcare settings. Scand J Infect Dis. 2000;32(4):399-402. PMID: 10959648 PubMed
- Marchello C, Dale AP, Thai TN. Prevalence of Atypical Pathogens in Patients With Cough and Community-Acquired Pneumonia: A Meta-Analysis. Ann Fam Med. 2016 Nov;14(6):552-566. PMID: 28376442 PubMed
- Zaleznik DR, Vallejo JG. Mycoplasma pneumoniae infection in children. UpToDate, last updated Aug 29, 2017. www.uptodate.com
- Kannan TR, Provenzano D, Wright JR, Baseman JB. Identification and characterization of human surfactant protein A binding protein of Mycoplasma pneumoniae. Infect Immun. 2005; 73: 2828-34. PubMed
- Walter ND, Grant GB, Bandy U, et al. Community outbreak of Mycoplasma pneumoniae infection: school-based cluster of neurologic disease associated with household transmission of respiratory illness. J Infect Dis 2008; 198: 1365-74. PubMed
- Smittevernveilederen. Mycoplasma pneumoniae-infeksjoner - veileder for helsepersonell. Folkehelseinstituttet, sist oppdatert 19.04.2017. www.fhi.no
- Gardiner SJ, Gavranich JB, Chang AB. Antibiotics for community-acquired lower respiratory tract infections secondary to Mycoplasma pneumoniae in children. Cochrane Database Syst Rev. 2015 Jan 8;1:CD004875. DOI: 10.1002/14651858.CD004875.pub5 DOI
- Kauppinen M, Saikku P. Pneumonia due to Chlamydia pneumoniae: prevalence, clinical features, diagnosis, and treatment. Clin Infect Dis 1995;21(suppl 3):S244-52.
- Fine MJ, Smith MA, Carson CA, Mutha SS, Sankey SS, Weissfeld LA, et al. Prognosis and outcomes of patients with community-acquired pneumonia. A meta-analysis. JAMA 1996; 275:134-41. Journal of the American Medical Association
- Gerdt Riise, docent och överläkare, Avdelningen för lungmedicin, Sahlgrenska universitetssjukhuset, Göteborg
- Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet