Mycoplasma Pneumoniae Infections

DeckerMed Medicine Pub Date : 2020-08-20 DOI:10.2310/IM.1078
T. Atkinson, W. Geisler, KenB. Waites
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Abstract

The class Mollicutes includes organisms in the genera Mycoplasma and Ureaplasma. They are prokaryotes that lack a cell wall, and are among the smallest known living organisms in both cellular dimensions and genome sizes. At least 17 different species inhabit the mucosae of the respiratory and urogenital tracts of humans, several of which are pathogenic in a variety of clinical illnesses. Their fastidious nature and often slow growth in vitro have hampered understanding of their roles as agents of human disease. Mycoplasma pneumoniae is an important cause of community acquired respiratory infections that occur endemically and epidemically worldwide in persons of all ages and ranges in severity from mild to life-threatening. Molecular-based laboratory techniques have resulted in increased understanding of the pathogenesis and epidemiology M. pneumoniae infections as well as improved means for laboratory detection. Resistance of M. pneumoniae to macrolide antimicrobials has emerged worldwide over the past several years, complicating treatment strategies. This review contains 2 figures, 1 table and 58 references Key Words: Antimicrobial Resistance, Ciliated respiratory epithelium, Community Acquired Pneumonia, Cytadherence, Mycoplasma pneumoniae, Reinfections
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肺炎支原体感染
分子纲包括支原体和脲原体属的生物。它们是缺乏细胞壁的原核生物,在细胞尺寸和基因组大小方面都是已知最小的生物体之一。至少有17种不同的物种栖息在人类呼吸道和泌尿生殖道的粘膜上,其中一些在各种临床疾病中具有致病性。它们挑剔的本性和体外生长缓慢阻碍了对它们作为人类疾病媒介作用的理解。肺炎支原体是社区获得性呼吸道感染的一个重要原因,这种感染在世界各地所有年龄人群中地方性和流行,严重程度从轻度到危及生命不等。基于分子的实验室技术增加了对肺炎支原体感染的发病机制和流行病学的了解,并改进了实验室检测手段。肺炎支原体对大环内酯类抗菌素的耐药性在过去几年中已在世界范围内出现,使治疗策略复杂化。关键词:抗生素耐药性,纤毛呼吸道上皮,社区获得性肺炎,细胞粘附性,肺炎支原体,再感染
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