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‫بسم ا الرحمن الرحيم‬

MYCOPLASMAS
Prof. Khalifa Sifaw Ghenghesh
 Pleomorphic organisms
 No cell wall

– Resistant to antibiotics act on bacterial
cell wall synthesis and to lysozyme
 Require animal protein (blood serum)
and sterol for cultivation
 On agar
– Colonies have “fried egg” appearance
 Two Important genera
– Mycoplasma
– Ureaplasma
Mycoplasma pneumoniae
colonies (40X)
Mycoplasma pneumoniae
Mycoplasma & Ureaplasma
 Important species associated

with human disease
–M. fermentans
–M. genitalium
–M. hominis
–M. pneumoniae
–Ureaplasma urealyticum
Pathogenesis
1. Respiratory Infections
 Primary atypical pneumonia

– M. pneumoniae
 Respiratory infection in the newborn
– M. hominis and U. urealyticum
 Other respiratory infection
– M. hominis and M. fermentans?
2. Urogenital Infections
Mainly M. hominis and U. urealyticum
 Urogenital infections in men >> NGU
 Urinary infection and calculi
– Acute pylonephritis
– Patients with infective stones
 Reproductive tract disease in women
– Bacterial vaginosis
– PID
 Disease associated with pregnancy and
newborn
3. Joint Infections
U. Urealyticum and M. genitalium
 Sexually acquired reactive arthritis
 Reiter’s disease and rheumatoid arthritis

4. Infection in the Immunocompromised
M. penumoniae, M. hominis and
ureaplasms
 Severe pneumonia, arthritis, persistent

urethritis and chronic cystitis
Laboratory Diagnosis
1. Respiratory Infections
 Specific serological test

– Complement fixation test
 Isolation of M. pneumoniae

– Specimen: sputum, throat washing,
pharyngeal swab
– Specific selective liquid and solid media
– Requires up to 3 weeks incubation ?
 PCR
2. Urogenital Infections
 Isolation of the causative organism
– Specimen: Urethral, cervical or vaginal
swabs
– Specific selective liquid media
– Culture on solid media
 Serological tests

– For definitive identification
 PCR

– DNA primers used for amplification by
PCR
Treatment
1. Respiratory Infections


M. pneumoniae
– Tetracycline, Erythromycin,
Clarithromycin, Ciprofloxacin

2. Urogenital Infections
– Tetracyclines, Erythromycin
plus clindamycin

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Lecture 31 Mycoplasms

  • 1. ‫بسم ا الرحمن الرحيم‬ MYCOPLASMAS Prof. Khalifa Sifaw Ghenghesh
  • 2.  Pleomorphic organisms  No cell wall – Resistant to antibiotics act on bacterial cell wall synthesis and to lysozyme  Require animal protein (blood serum) and sterol for cultivation  On agar – Colonies have “fried egg” appearance  Two Important genera – Mycoplasma – Ureaplasma
  • 5. Mycoplasma & Ureaplasma  Important species associated with human disease –M. fermentans –M. genitalium –M. hominis –M. pneumoniae –Ureaplasma urealyticum
  • 6. Pathogenesis 1. Respiratory Infections  Primary atypical pneumonia – M. pneumoniae  Respiratory infection in the newborn – M. hominis and U. urealyticum  Other respiratory infection – M. hominis and M. fermentans?
  • 7. 2. Urogenital Infections Mainly M. hominis and U. urealyticum  Urogenital infections in men >> NGU  Urinary infection and calculi – Acute pylonephritis – Patients with infective stones  Reproductive tract disease in women – Bacterial vaginosis – PID  Disease associated with pregnancy and newborn
  • 8. 3. Joint Infections U. Urealyticum and M. genitalium  Sexually acquired reactive arthritis  Reiter’s disease and rheumatoid arthritis 4. Infection in the Immunocompromised M. penumoniae, M. hominis and ureaplasms  Severe pneumonia, arthritis, persistent urethritis and chronic cystitis
  • 9. Laboratory Diagnosis 1. Respiratory Infections  Specific serological test – Complement fixation test  Isolation of M. pneumoniae – Specimen: sputum, throat washing, pharyngeal swab – Specific selective liquid and solid media – Requires up to 3 weeks incubation ?  PCR
  • 10. 2. Urogenital Infections  Isolation of the causative organism – Specimen: Urethral, cervical or vaginal swabs – Specific selective liquid media – Culture on solid media  Serological tests – For definitive identification  PCR – DNA primers used for amplification by PCR
  • 11. Treatment 1. Respiratory Infections  M. pneumoniae – Tetracycline, Erythromycin, Clarithromycin, Ciprofloxacin 2. Urogenital Infections – Tetracyclines, Erythromycin plus clindamycin